Heat Loss Prevention (HeLP) in the delivery room: A randomized controlled trial of polyethylene occlusive skin wrapping in very preterm infants

Vohra, Sunita; Roberts, Robin S.; Zhang, Bo; Janes, Marianne; Schmidt, Barbara

doi:10.1016/j.jpeds.2004.07.036

Cited by 235 publications

(163 citation statements)

References 9 publications

(17 reference statements)

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“…• Radiant warmers: Neonatal resuscitation units have radiant warmers on the top and a heatable area of support • Covering, caps and plastic foils: Heated blankets and plastic foils prevent significantly hypothermia [1] • Hydrosun®: electromagnetic radiation-A (bandwidth 760-1400nm) and visible light (bandwidth 380-760 nm) • Transport incubators: with additional warmers • Double walled incubators: beside warmers with adjustable humidity for preterm infants • Kangaroo care: Originally developed to overcome a shortage of incubators in the developing world, kangaroo care was shown to improve bonding between mother and child and to decrease mortality and morbidity in premature infants [2] Standard during daily routine is care in the "thermoneutral-zone" which depends on body weight, gestational age and body temperature [3].…”

Section: Methods To Prevent Hypothermia After Birthmentioning

confidence: 99%

Thermomanagement in Neonatology and Paediatrics: Clinical Problems and Challenges

Heimann

Schoberer

Orlikowsky

2013

Biomedical Engineering / Biomedizinische Technik

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Section: Methods To Prevent Hypothermia After Birthmentioning

confidence: 99%

Thermomanagement in Neonatology and Paediatrics: Clinical Problems and Challenges

Heimann

Schoberer

Orlikowsky

2013

Biomedical Engineering / Biomedizinische Technik

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“…A variety of pilot studies have demonstrated improved rectal temperature in premature infants who are wrapped at the time of delivery. [16][17][18] In the few randomized controlled trials that have been conducted, there is a clear advantage regarding improved temperature on admission to the NICU. Interestingly, there is a trend toward decreased mortality prior to discharge in premature infants who have received plastic wrap.…”

Section: Hypothermiamentioning

confidence: 99%

Heat loss prevention in neonates

Soll

2008

J Perinatol

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Maintaining a neutral thermal environment is one of the key physiologic challenges a newborn infant faces after delivery. Attention to detail regarding the management of an infant's neutral thermal environment may lead to improvement in clinical outcome, including improved survival. The details of this management cover a broad spectrum of interventions, from attention to the general environment (such as delivery room temperature) to specific individualized therapies, such as the use of polyethylene occlusive skin wrap. Although an integral part of the routine care of all newborns (whether term or preterm), these interventions have unfortunately received little attention and study. A commitment to greater understanding of these issues and their impact on newborns is essential if we hope to improve their outcome.

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“…This approach has been superseded by the technique of wrapping preterm babies in food or hospital standard polythene bags to prevent evaporative heat loss while permitting radiant warming. [9][10][11][12][13][14] Despite the relative success of wrapping babies in polythene bags, some are still hypothermic. In the HeLP study of babies <28 weeks wrapped in polythene bags, the mean rectal admission temperature was 36.5 1C (s.d., 0.8 1C).…”

Section: Introductionmentioning

confidence: 99%

“…In the HeLP study of babies <28 weeks wrapped in polythene bags, the mean rectal admission temperature was 36.5 1C (s.d., 0.8 1C). 10 Knobel et al 12 found 44% of preterm babies <29 weeks who were wrapped in bags to have a temperature <36.4 1C.…”

Section: Introductionmentioning

confidence: 99%

Improving neonatal unit admission temperatures in preterm babies: exothermic mattresses, polythene bags or a traditional approach?

et al. 2009

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Objective: To investigate whether exothermic sodium acetate mattresses were associated with an improvement in the thermal care of babies <30 weeks gestation between birth and admission to a neonatal unit.Study Design: Analysis of a three case series of babies: the first with traditional thermal care of drying and wrapping in a towel, the second with wrapping in food standard polythene bags and the third with wrapping in polythene bags and nursing on an activated exothermic mattress. The main outcome measure was the temperature on admission to the neonatal unit.Result: There were no significant differences between the groups for gestation and birth weight. Hypothermia was less frequent in the 'bag and mattress' group compared with the 'bag only' and traditional care groups (26 vs 69 vs 84%, respectively) even though the median time to admission was longest in the 'bag and mattress' group (23 min). The proportions of babies admitted with temperatures in the target range of 36.5 to 37.5 1C were 46, 27 and 16%, respectively. Multiple regression analysis showed that use of the mattress raised admission temperatures by 1.04 1C. The median temperature of babies in the 'bag and mattress' group was higher compared with the other groups (36.9 vs 36.0 vs 35.8 1C), but significantly more were hyperthermic (28 vs 4 and 0.4%, respectively).Conclusion: Use of exothermic mattresses for babies <30 weeks gestation was associated with a significantly greater proportion of babies being admitted to the neonatal unit with a temperature in the euthermic range, but there was also an increased risk of hyperthermia.

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Heat Loss Prevention (HeLP) in the delivery room: A randomized controlled trial of polyethylene occlusive skin wrapping in very preterm infants

Cited by 235 publications

References 9 publications

Thermomanagement in Neonatology and Paediatrics: Clinical Problems and Challenges

Thermomanagement in Neonatology and Paediatrics: Clinical Problems and Challenges

Heat loss prevention in neonates

Improving neonatal unit admission temperatures in preterm babies: exothermic mattresses, polythene bags or a traditional approach?

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