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Hypothermia during umbilical catheterization in preterm infants
| Content Provider | Scilit |
|---|---|
| Author | Dubbink-Verheij, Gerdina H. Westerop, Tjarda A. J. W. M. Van Lopriore, Enrico Pas, Arjan B. Te |
| Copyright Year | 2019 |
| Description | Objective: To describe the effect of umbilical catheterization (UC) on skin temperature and cardiorespiratory status in preterm infants. Materials and methods: In a prospective observational study of infants <32 weeks of gestation, the duration of UC, course of skin temperature, and cardiorespiratory status were registered. Hypothermia was defined as a temperature below 36.5 °C. Results: UC was performed in 55 infants with a median (range) gestational age of 28 weeks (24–31) and birth weight of 1120 g (625–2091). Mean (SD) temperature first decreased 0.6 (0.6)°C during UC followed by a rise of 0.4 (0.4)°C after reaching the minimal temperature. Hypothermia already existed in 69% (38/55) of the infants before start of UC, which increased to 89% (49/55) during UC (p = .001). Duration of UC was not associated with the development of hypothermia during the procedure (p = .48). Heart rate (mean(SD)) significantly increased (162 (17) versus 152 (15); p <.001) and there was a trend toward an increase in supplemental oxygen (mean(SD)) (0.31 (0.17) versus 0.28 (0.13); p = .78), but both changes were only temporary. Conclusion: Hypothermia was frequent in preterm infants before start of UC and increased during UC. Postponing UC until the infant has a normal temperature should be considered. |
| Related Links | https://www.tandfonline.com/doi/pdf/10.1080/14767058.2019.1598365?needAccess=true |
| Ending Page | 92 |
| Page Count | 6 |
| Starting Page | 87 |
| ISSN | 14767058 |
| e-ISSN | 14764954 |
| DOI | 10.1080/14767058.2019.1598365 |
| Journal | The Journal of Maternal-Fetal & Neonatal Medicine |
| Issue Number | 1 |
| Volume Number | 34 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2021-01-02 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Journal of Maternal-fetal & Neonatal Medicine Pediatrics and Child Health Hypothermia Neonatal Intensive Care Unit Preterm Infant Procedures Umbilical Catheterization |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health Obstetrics and Gynecology |
