Wednesday, April 2, 2014

Quality Report: Reducing Hypothermia in Preterm Infants

Deputy Editor Dr. Alex Kemper offers a preview of a Quality Report being early released this week from our April issue:

Photo by bradleyolin via Flickr
Even very slight hypothermia can have a profound negative effect on preterm infants, including respiratory distress syndrome, metabolic derangements and intraventricular hemorrhage and other challenges that can lead to increased mortality and morbidity.

Today, we are releasing a Quality Report by Dr. Russo and colleagues on the implementation of strategies in the delivery room to minimize rates of hypothermia (doi: 10.1542/peds.2013-2544). Of course, aggressive strategies to avoid hypothermia could lead to hyperthermia, which is also dangerous.

Dr. Russo and colleagues implemented a multidisciplinary practice to safely warm up moderately hypothermic infants less than 35 weeks old by using an occlusive wrap (without drying the infant first), a warming mattress and cap for all infants, as well as keeping the operating room temperatures up between 21-23°C.

So, how did they do? Take a look and see how cool their work is and how you can be red hot in your NICU by adopting their strategies. Let us know how it goes. Comment below or on our Facebook page, find us on Twitter, or share your comments as an eLetter on our journal site.

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