JuKiP - Ihr Fachmagazin für Gesundheits- und Kinderkrankenpflege 2014; 03(05): 204-209
DOI: 10.1055/s-0034-1393864
Praxis
Georg Thieme Verlag KG Stuttgart · New York

Postnatale Temperaturregulation Früh- und Termingeborener (Teil 2)

Vom Nutzen der zentral-peripheren Temperaturgradientenmessung
Norbert Lutsch
Further Information

Publication History

Publication Date:
06 October 2014 (online)

Zusammenfassung

Für Frühgeborene, aber auch für termingeborene Kinder ist eine gleichmäßige Umgebungstemperatur direkt nach der Geburt immens wichtig, denn Thermalstress kann die Gesundheit, das Wachstum und das Überleben der Kleinen gefährden. Wir stellen die theoretischen Hintergründe der Wärmeregulierung vor und geben praktische Tipps für den richtigen Umgang mit dem Inkubator.

 
  • LITERATUR

  • 1 Merenstein GB, Gardner S. Handbook of Neonatal Care6th Edition. St. Louis: Mosby-Elsevier; 2006: 122-136
  • 2 Hackman P. Recognizing and Understanding the Cold-Stressed Term Infant. Neonatal Network 2001; 20 (8) 35-41
  • 3 Knobel R, Hoditch-Davis D. Thermoregulation and Heat Loss Prevention After Birth and During Neonatal Intensive-Care Unit Stabilization of Extremely Low-Birthweight Infants. Adv. Neonatal Care 2007; 10 (5 Suppl.) 7-14
  • 4 Blackburn S. Maternal, Fetal & Neonatal Physiology. Oxford: Saunders W. B.; 2003. 533 ff & 710 ff
  • 5 Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc.
  • 6 Lutsch N. 2007 Temperaturregulierung und Überwachung Früh- und Neugeborner. 2007. Online unter http://portal.intensivmedicus.de/download/ppt/tempueberwachung_nl_05.ppt letzter Zugriff 31.07.2014
  • 7 Hammarlund K, Sedin G, Stromberg B. Transepidermal water loss in newborn infants. VIII. Relation to gestational age and postnatal age in appropriate and small for gestational age infants Acta Paediatr. Scand. 1983; 72: 721-728
  • 8 Sauer PJ, Dane HJ, Visser HKA. New standards for neutral thermal environment of healthy very low birthweight infants in week one of life. Arch. Dis. Child 1984; 59: 18-22
  • 9 Rutter N. Temperature control and its disorders. In: Rennie JM, Roberton NRC, (eds.) Robertons’s Textbook of Neonatology. 3.rd ed. London: Churchill Livingstone; 2003. Ch. 18
  • 10 Laptook AR, Salhab W, Bhaskar B. Neonatal Research Network. Admission temperature of low birth weight infants: predictors and associated morbidities. Pediatrics 2007; 119: e643-e649
  • 11 Lyon AJ. Applied physiology: Temperature control in the newborn infant. Current Pediatrics 2006; 16: 386-392
  • 12 Rutter N. Clinical consequences of an immature barrier. Semin. Neonatol. 2000; 5: 281-287
  • 13 Sedin G, Hammarlund K, Nilsson GE et al. Measurements of transepidermal water loss in newborn infants. Clin. Perinatol. 1985; 12 (1) 79-99
  • 14 Marshall A. Humidifying the environment for the premature neonate: Maintenance of a thermoneutral environment. J. Neonatal Nurs. 1997; 3 (1) 32
  • 15 Hanssler L, Breukmann H. Effect of different relative humidity in the incubator on skin temperature of newborn infants with low birth weight. Kinderheilkd 1993; 141 (6) 487-490
  • 16 Ducker DA, Lyon AJ, Ross RusselR et al. Incubator temperature control: effects on the very low birthweight infant. Arch. Dis. Child 1985; 60: 902-907
  • 17 Sherman TI, Greenspan JS, Clair N St. et al. Optimizing the Neonatal Thermal Environment. Neonatal Network 2006; 25 (4) 251-260
  • 18 Rutter N. Temperature control and its disorders. In: Rennie JM, Roberton NRC, (eds.) Robertons’s Textbook of Neonatology. 4th ed. London: Churchill Livingstone; 2005: 267-279
  • 19 Lemburg P. Thermal Monitoring of very Preterm Infants. Which Temperature should be Measured. In: Okken A, Koch J, (eds.) Thermoregulation of Sick and Low Birth Weight Infants. Berlin: Springer; 1995: 63-68
  • 20 Lyon AJ, Pikaar ME, Badger P et al. Temperature control in very low birthweigth infants during first five days of life. Arch. Dis. Child 1997; 76: 47-50
  • 21 Lyon AJ, Freer Y. Goals and options in keeping preterm babies warm. Arch. Dis. Child 2011; 96 (1) 71-74
  • 22 Antonucci R, Porcella A, Fanos V. The infant incubator in the neonatal intensive care unit: unresolved issues and future developments. J. Perinat. Med. 2009; 37: 587-598
  • 23 McIntosh N, Wilmshurst A, Hailey J. Experiences with Thermal Monitoring, Influence of Neonatal Care and how it should be Monitored. In: Okken A, Koch J, (eds.) Thermoregulation of Sick and Low Birth Weight Infants. Berlin: Springer; 1995: 63-68
  • 24 Zecca E, Corsello M, Priolo F et al. Early Weaning From Incubator and Early Discharge of Preterm Infants: Randomized Clinical Trial. Pediatrics 2010; 126 (3) e651-e656