Background Hypothermia significantly affects mortality and morbidity of newborns. Literature about severe accidental hypothermia in neonates is limited. We report a case of a neonate suffering from severe accidental hypothermia. An understanding of the physiology of neonatal thermoregulation and hypothermia is important to decide on treatment. Case presentation A low-birth-weight newborn was found with severe accidental hypothermia (rectal temperature 25.7 °C) due to prolonged exposure to low ambient temperature. The newborn presented bradycardic, bradypnoeic, lethargic, pale and cold. Bradycardia, bradypnea and impaired consciousness were interpreted in the context of the measured body temperature. Therefore, no reanimation or intubation was initiated. The newborn was closely monitored and successfully treated only with active and passive rewarming. Conclusion Clinical parameters such as heart frequency, blood pressure, respiration and consciousness must be interpreted in light of the measured body temperature. Medical treatment should be adapted to the clinical presentation. External rewarming can be a safe and effective measure in neonatal patients.
BackgroundHypothermia significantly affects mortality and morbidity of newborns. Literature about severe accidental hypothermia in neonates is limited. We present a case of a neonate suffering from severe accidental hypothermia. An understanding of the physiology of neonatal thermoregulation and hypothermia is important to decide on treatment.Case presentationWe report a case of severe accidental hypothermia (rectal temperature 25.7°C) in a hypothropic newborn due to prolonged exposure to low ambient temperature. The newborn presented bradycardic, bradypneic, lethargic, pale and cold. Bradycardia, bradypnea and consciousness were interpreted in the context of the measured body temperature. Therefore, no reanimation or intubation was initiated. The newborn was closely monitored and successfully treated only with active and passive rewarming. ConclusionClinical parameters such as heart frequency, blood pressure, respiration and consciousness must be interpreted in light of the measured body temperature. Medical treatment should be adapted to the clinical presentation. External rewarming can be a safe and effective measure in neonatal patients.
ZusammenfassungBei zunehmender Alterung unserer Gesellschaft behandeln AnästhesistInnen und AugenchirurgInnen zusehends mehr GlaukompatientInnen, die gleichzeitig an Aortenklappenstenose (AKS) leiden. In der chirurgischen und anästhesiologischen Therapie erfordert diese Konstellation eine anspruchsvolle gemeinsame Herangehensweise. Wir berichten über 6 Fälle von AKS-PatientInnen, die sich einer Glaukomoperation in Sub-Tenon-Block oder subkonjunktivaler Anästhesie unterzogen haben. Dabei musste einer Patientin mit intraoperativen Schmerzen wiederholt eine subkonjunktivale Lokalanästhesie gegeben werden. Die Patientin war anhaltend hypertensiv und es kam zu einer umschriebenen Choroidalblutung. Das komplizierte Follow-up war geprägt durch exorbitante intraokulare Druckschwankungen und einer sekundären Choroidalblutung. Anästhesiologie und Ophthalmochirurge müssen ihre Strategie aufeinander abstimmen, um den optimalen transmuralen Druck über die choroidalen Gefäße, aber auch den stenotischen aortalen Ausflusstrakt gewährleisten zu können. Oftmals sind den Klinikern die pathophysiologischen Kernkonzepte der Partnerdisziplin nicht geläufig. Die Diskussion unserer Fallserie erörtert die differenzierte Herangehensweise beider beteiligter Disziplinen, Pathophysiologie der AKS und der choroidalen Blutung und besonders jene Arbeitsschritte und therapeutischen Entscheidungen, die zur Sicherheit solcher Hochrisikopatienten gemeinsam angegangen werden müssen.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.