Infrared thermography for detailed registration of thermoregulation in premature infants
-
Konrad Heimann
, Katrin Jergus
Abstract
Objective: To evaluate skin temperature by using different positions with non-contact infrared thermography (IRT) in multiple body areas of preterm infants for detailed information about temperature regulation and distribution.
Methods: The temperature of ten premature infants (median: 27 weeks; age 36 days; weight 1322 g) was determined via IRT (leg, back, arm, head, upper abdomen; diameter 1 cm, scale 0.00°C), and comparison was made with two conventional sensors. There were measurements of 10 min each: first incubator phase (I1), standardized skin-to-skin care (SSC) at the beginning (SSC1), after 90 min (SSC2), and then there was a second incubator phase (I2).
Results: From I1 to SSC1, patients cooled down (max. 0.62°C; both methods). From SSC1 to SSC2 temperature on central areas (abdomen, back) was maintained but rose distinctively on the head and leg (P<0.05). In the incubator (I2), temperature niveau in all IRT-areas was significantly lower than before SSC.
Conclusion: Via IRT, it is possible to detect fluctuations in temperature of premature infants. The cooling in I2 after SSC should be taken into account before routine daily care.
References
[1] Abbas A, Heimann K, Jergus K, Orlikowsky T, Leonhardt S. Neonatal infrared thermography imaging. In: Chen W, Oetomo SB, Feijs L, editors. Neonatal monitoring technologies: Design for integrated solutions. Hershey: IGI Global; 2012. p. 84–124.10.4018/978-1-4666-0975-4.ch005Suche in Google Scholar
[2] Abbas KA, Heimann K, Blazek V, Orlikowsky T, Leonhardt S. Neonatal infrared thermography: Analysis of heat flux during different clinical scenarios. Infr Phys Tech. 2012;55:538–48.10.1016/j.infrared.2012.07.001Suche in Google Scholar
[3] Asakura H. Fetal and neonatal thermoregulation. J Nihon Med Sch. 2004;71:360–70.10.1272/jnms.71.360Suche in Google Scholar
[4] Bauer K, Uhrig C, Sperling P, Pasel K, Wieland C, Versmold H. Body temperatures and oxygen consumption during skin-to-skin (kangaroo) care in stable preterm infants less than 1500 grams. J Pediatr. 1997;130:240–4.10.1016/S0022-3476(97)70349-4Suche in Google Scholar
[5] Bohnhorst B, Heyne T, Peter CS, Poets CF. Skin-to-skin (kangaroo) care, respiratory control, and thermoregulation. J Pediatr. 2001;138:193–7.10.1067/mpd.2001.110978Suche in Google Scholar PubMed
[6] Bohnhorst B. Skin to skin care in the neonatal intensive care unit: More data regarding seriously ill infants are badly needed. Neonatology. 2010;97:318–20.10.1159/000255164Suche in Google Scholar PubMed
[7] Bohnhorst B, Gill D, Dördelmann M, Peter CS, Poets CF. Bradycardia and desaturation during skin-to-skin care: no relationship to hyperthermia. J Pediatr. 2004;145:499–502.10.1016/j.jpeds.2004.06.019Suche in Google Scholar PubMed
[8] Clark RP, Stothers JK. Neonatal skin temperature distribution using infra-red colour thermography. J Physiol. 1980;302:323–33.10.1113/jphysiol.1980.sp013245Suche in Google Scholar PubMed PubMed Central
[9] De Leeuw R, Colin EM, Dunnebier EA, Mirmiran M. Physiological effects of kangaroo care in very small preterm infants. Biol Neonate. 1991;59:149–55.10.1159/000243337Suche in Google Scholar PubMed
[10] Frankenberger RT, Bussmann O, Nahm W, Konencny E, Gortner L. Measuring lateral skin temperature profiles of preterm infants in incubators by thermography. Biomed Technik. 1998;43:174–8.10.1515/bmte.1998.43.6.174Suche in Google Scholar PubMed
[11] Gournay V, Drouin E, Roze CJ. Development of baroreflex control of heart rate in preterm and full term infants. Arch Dis Child Fetal Neonatal Ed. 2002;86:151–4.10.1136/fn.86.3.F151Suche in Google Scholar
[12] Hannsler L, Liu Y, Blank M. Infrarot-telethermographie in der neonatologie: Hauttemperaturmessungen bei neugeborenen. ThermoMed. 1991;7:85–8.Suche in Google Scholar
[13] Heimann K, Vaessen P, Peschgens T, Stanzel S, Wenzl TG, Orlikowsky T. Impact of skin to skin care, prone and supine positioning on cardiorespiratory parameters and thermoregulation in premature infants. Neonatology. 2010;97:311–7.10.1159/000255163Suche in Google Scholar
[14] Heß N, Hüning BM, Roll C. Stressreaktionen und zerebrale Oxygenierung während venöser und kapillärer blutentnahmen bei sehr kleinen Frühgeborenen. Klin Päd. 2010;222:18–19 (Abstract).10.1055/s-0030-1261338Suche in Google Scholar
[15] Horns K. Comparison of two microenvironments and nurse caregiving on thermal stability of ELBW infants. Adv Neonatal Care. 2002;2:149–60.10.1053/adnc.2002.33543Suche in Google Scholar
[16] Horns KM. Innovative non-invasive measures of thermal stability in low birth weight infants. InfraMation. 2003; ITC 092 A 2003-08-15.Suche in Google Scholar
[17] Hull D, Smales O. Heat production in the newborn. In: Sinclair J, editor. Temperature regulation and energy metabolism in the newborn. New York: Gurne & Stratton; 1978. p. 129–56.Suche in Google Scholar
[18] Jahnukainen T, van Ravenswaaij-Arts C, Jalonen J, Välimäki I. Dynamics of vasomotor thermoregulation of the skin in term and preterm neonates. Early Hum Dev. 1993;33:133–43.10.1016/0378-3782(93)90208-CSuche in Google Scholar
[19] Knobel RB, Geunther BD, Rice HE. Thermoregulation and thermography in neonatal physiology and disease. Biol Res Nurs. 2011;13:274–82.10.1177/1099800411403467Suche in Google Scholar PubMed PubMed Central
[20] Knobel RB, Holditch-Davies D, Schwartz TA, Wimmer Jr JE. Extremely low birth weight preterm infants lack vasomotor response in relationship to cold body temperatures. J Perinatol. 2009;29:814–21.10.1038/jp.2009.99Suche in Google Scholar PubMed PubMed Central
[21] Login E, Gerstner T, Schaible T, Lenz T, Konig S. Maturation of the autonomic nervous system: differences in heart rate variability in premature infants vs. term infants. J Perinatol Med. 2006;34:303–8.Suche in Google Scholar
[22] Ludington-Hoe SM, Anderson GC, Swinth JY, Thompson C, Hadeed AJ. Randomized controlled trial of kangaroo care: cardiorespiratory and thermal effects on healthy preterm infants. Neonatal Netw. 2004;23:39–48.10.1891/0730-0832.23.3.39Suche in Google Scholar PubMed
[23] Lyon A, Pikaar M, Badger P, McIntosh N. Temperature control in very low birthweight infants during the first five days of life. Arch Dis Fetal Neonatal Ed. 1997;76:47–50.10.1136/fn.76.1.F47Suche in Google Scholar
[24] Mok Q, Bass C, Ducker D, McIntosh. Temperature instability during nursing procedures in preterm neonates. Arch Dis Child. 1991;66:783–6.10.1136/adc.66.7_Spec_No.783Suche in Google Scholar
[25] Rice H, Hollingsworth CL, Bradsher E, Danko M, Crosby S, Goldberg R, et al. Infrared thermal imaging (thermography) of the abdomen in extremely low birthweight infants. J Surg Radiol. 2010;1:82–9.Suche in Google Scholar
[26] Stening W, Kribs A, Kiencke P, Stützer H, Roth B. Die Verbreitung der Känguruh-Methode in Deutschland. Monatschschr Kinderheilk. 1999;147:766–9.10.1007/s001120050496Suche in Google Scholar
[27] Vohra S, Roberts RS, Zhang B, Janes M, Schmidt B. Heat loss prevention (HeLP) in the delivery room: A randomized controlled trial of polyethylene occlusive skin wrapping in very preterm infants. J Pediatr. 2004; 145:750–3.10.1016/j.jpeds.2004.07.036Suche in Google Scholar PubMed
The authors stated that there are no conflicts of interest regarding the publication of this article.
©2013 by Walter de Gruyter Berlin Boston
Artikel in diesem Heft
- Masthead
- Masthead
- Review Article
- Is 5-methyltetrahydrofolate an alternative to folic acid for the prevention of neural tube defects?
- Original Articles – Obstetrics
- Differences and similarities in the transcriptional profile of peripheral whole blood in early and late-onset preeclampsia: insights into the molecular basis of the phenotype of preeclampsiaa
- The correlation of ultrasonographic placental architecture with placental histology in the low-risk primigravid population
- The course of angiogenic factors in early- vs. late-onset preeclampsia and HELLP syndrome
- Effect of maternal body mass index on oxytocin treatment for arrest of dilatation1)
- Maternal weight gain in women with gestational diabetes mellitus
- Clinical risk factors for complete and partial placental retention – a case-control study
- Diagnostic problems in case of twin pregnancies: US vs. MRI study
- Subsequent pregnancy after stillbirth: obstetrical and medical risks
- MTHFR C677T polymorphism, folate, vitamin B12 and homocysteine in recurrent pregnancy losses: a case control study among north Indian women
- Acupuncture and/or sweeping of the fetal membranes before induction of labor: a prospective, randomized, controlled trial
- First trimester maternal serum placental protein 13 levels in singleton vs. twin pregnancies with and without severe pre-eclampsia
- Relaparotomies after cesarean sections: risk factors, indications, and management
- The impact of route of anesthesia on maternal and fetal ischemia modified albumin levels at cesarean section: a prospective randomized study
- Infection and smoking are associated with decreased plasma concentration of the anti-aging protein, α-klothoa
- Effect of oxygen tension on bacteria-stimulated cytokine production by fetal membranes
- Original Articles – Fetus
- Is there a relationship between fetal brain function and the fetal behavioral state? A fetal MEG-study
- Original Articles – Newborn
- Infrared thermography for detailed registration of thermoregulation in premature infants
- Short Communication
- Are there gender related differences in neonatal abstinence syndrome following exposure to buprenorphine during pregnancy?
- Congress Calendar
- Congress Calendar
Artikel in diesem Heft
- Masthead
- Masthead
- Review Article
- Is 5-methyltetrahydrofolate an alternative to folic acid for the prevention of neural tube defects?
- Original Articles – Obstetrics
- Differences and similarities in the transcriptional profile of peripheral whole blood in early and late-onset preeclampsia: insights into the molecular basis of the phenotype of preeclampsiaa
- The correlation of ultrasonographic placental architecture with placental histology in the low-risk primigravid population
- The course of angiogenic factors in early- vs. late-onset preeclampsia and HELLP syndrome
- Effect of maternal body mass index on oxytocin treatment for arrest of dilatation1)
- Maternal weight gain in women with gestational diabetes mellitus
- Clinical risk factors for complete and partial placental retention – a case-control study
- Diagnostic problems in case of twin pregnancies: US vs. MRI study
- Subsequent pregnancy after stillbirth: obstetrical and medical risks
- MTHFR C677T polymorphism, folate, vitamin B12 and homocysteine in recurrent pregnancy losses: a case control study among north Indian women
- Acupuncture and/or sweeping of the fetal membranes before induction of labor: a prospective, randomized, controlled trial
- First trimester maternal serum placental protein 13 levels in singleton vs. twin pregnancies with and without severe pre-eclampsia
- Relaparotomies after cesarean sections: risk factors, indications, and management
- The impact of route of anesthesia on maternal and fetal ischemia modified albumin levels at cesarean section: a prospective randomized study
- Infection and smoking are associated with decreased plasma concentration of the anti-aging protein, α-klothoa
- Effect of oxygen tension on bacteria-stimulated cytokine production by fetal membranes
- Original Articles – Fetus
- Is there a relationship between fetal brain function and the fetal behavioral state? A fetal MEG-study
- Original Articles – Newborn
- Infrared thermography for detailed registration of thermoregulation in premature infants
- Short Communication
- Are there gender related differences in neonatal abstinence syndrome following exposure to buprenorphine during pregnancy?
- Congress Calendar
- Congress Calendar