The Effects of Bundling on Infant Temperature

PEDIATRICS ◽  
1994 ◽  
Vol 94 (5) ◽  
pp. 669-673
Author(s):  
Geeta Grover ◽  
Carol D. Berkowitz ◽  
Marita Thompson ◽  
Lynne Berry ◽  
James Seidel ◽  
...  
Keyword(s):  
Los Angeles ◽  
Skin Temperature ◽  
Rectal Temperature ◽  
Room Temperature ◽  
Significant Rise ◽  
Mean Skin Temperature ◽  
Term Infants ◽  
Young Infants ◽  
Wilcoxon Rank Sum Test ◽  
The Mean

Objective. To determine whether bundling elevates rectal and/or skin temperature of young infants. Design. Randomized, prospective study stratified by age. Setting. Clinical Studies Center at a teaching hospital in Los Angeles. Patients. Sixty-four well, full-term infants (ages 11 to 95 days). Interventions. Control infants (n = 28) were dressed in a disposable diaper and terry coveralls. Bundled infants (n = 36) were dressed as control infants, plus a cap, a receiving blanket, and a thermal blanket. All infants were monitored in an open crib (room temperature 72° to 75°F). Rectal and skin (anterior mid-lower leg) temperatures and infant states were measured at 5-minute intervals from time 0 to 60 minutes and at 62 and 65 minutes. Results. The mean skin temperature of bundled infants increased by 2.67°C/hr; mean rectal temperature increased by 0.06°C/hr. The mean skin temperature of nonbundled infants increased by 1.5°C/hr; mean rectal temperature decreased by less than 0.01°C/hr. Comparing bundled infants to nonbundled controls, there was a significant rise in skin temperature (P = .0001) but not in rectal temperature (P > .05, Wilcoxon rank sum test). The study had a power > 98% to detect a rise of .5°C in rectal temperature over 60 minutes. The 95% confidence interval for the change in rectal temperature in bundled infants was -0.03 to + 0.15°C. Conclusions. Bundling a healthy infant in a temperate external environment causes an increase in skin temperature, but not in rectal temperature. Elevated rectal temperatures should therefore, rarely if ever be attributed to bundling.

Human thermoregulatory responses during cold water immersion after artificially induced sunburn

1992 ◽  
Vol 262 (4) ◽  
pp. R617-R623 ◽  
Author(s):  
K. B. Pandolf ◽  
R. W. Gange ◽  
W. A. Latzka ◽  
I. H. Blank ◽  
A. J. Young ◽  
...  
Keyword(s):  
Skin Temperature ◽  
Rectal Temperature ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
The Body ◽  
Esophageal Temperature ◽  
Mean Skin Temperature ◽  
Thermoregulatory Responses ◽  
The Mean

Thermoregulatory responses during cold-water immersion (water temperature 22 degrees C) were compared in 10 young men before as well as 24 h and 1 wk after twice the minimal erythemal dose of ultraviolet-B radiation that covered approximately 85% of the body surface area. After 10 min of seated rest in cold water, the mean exercised for 50 min on a cycle ergometer (approximately 51% of maximal aerobic power). Rectal temperature, regional and mean heat flow (hc), mean skin temperature from five sites, and hearrt rate were measured continuously for all volunteers while esophageal temperature was measured for six subjects. Venous blood samples were collected before and after cold water immersion. The mean skin temperature was higher (P less than 0.05) throughout the 60-min cold water exposure both 24 h and 1 wk after sunburn compared with before sunburn. Mean hc was higher (P less than 0.05) after 10 min resting immersion and during the first 10 min of exercise when 24 h postsunburn was compared with presunburn, with the difference attributed primarily to higher hc from the back and chest. While rectal temperature and heart rate did not differ between conditions, esophageal temperature before immersion and throughout the 60 min of cold water immersion was higher (P less than 0.05) when 24 h postsunburn was compared with presunburn. Plasma volume increased (P less than 0.05) after 1 wk postsunburn compared with presunburn, whereas plasma protein concentration was reduced (P less than 0.05). After exercise cortisol was greater (P less than 0.05) 24 h postsunburn compared with either presunburn or 1 wk postsunburn.(ABSTRACT TRUNCATED AT 250 WORDS)

scholarly journals Effect of Elevated Temperature on Immediate Neurodevelopmental Outcome in Term Neonates with Hypoxic-Ischemic Encephalopathy

2019 ◽  
Vol 9 (3) ◽  
pp. 160-165
Author(s):  
Bithi Debnath ◽  
Naila Zaman Khan ◽  
Dilara Begum ◽  
Asma Begum Shilpi ◽  
Shaheen Akter
Keyword(s):  
Elevated Temperature ◽  
Rectal Temperature ◽  
Neurodevelopmental Outcome ◽  
Hypoxic Ischemic Encephalopathy ◽  
Neurodevelopmental Outcomes ◽  
Term Infants ◽  
Term Neonates ◽  
Risk Of Death ◽  
The Mean ◽  
Ischemic Encephalopathy

Background: Among term infants, hypoxic-ischemic encephalopathy due to acute perinatal asphyxia remains an important cause of neurodevelopmental deficits in childhood. Treatment is currently limited to supportive intensive care, without any specific brain-oriented therapy. Objective: To determine whether the risk of death or moderate/severe neurodevelopmental impairment in term infants with hypoxic-ischemic encephalopathy increases with relatively high skin or rectal temperature between 12 and 72 hours of birth. Materials and Methods: This was a prospective observational study. Asphyxiated newborns who came within 12 hours of birth were enrolled in this study. Both axillary and rectal temperature were recorded 6 hourly for 72 hours and each infant`s temperature for each site were rank ordered. Then mean of all axillary and rectal temperatures of each neonate was calculated. Outcomes were related to temperatures in logistic regression analyses for the elevated/relatively high temperatures and normal/low temperatures group, with adjustment of the level of encephalopathy and gender. Results: The mean axillary temperature was 36.07 ± 6.10C and in 25.71%, 11.92% and 6.32% cases axillary temperatures were >370C, >37.50C and >380C respectively. The mean rectal temperature was 36.8 ± 60C, and in 43.53%, 30.02% and 19.97% cases rectal temperatures were >370C, >37.50C and >380C respectively. Mean ambient temperature was 26.170C. There was significant correlation between axillary and rectal temperatures (r=0.889). For elevated temperature, the odds of death or moderate to severe impairment increased 8.9-fold (CI 0.906–88.18) and the odds of death alone increased 4.6-fold (CI 0.373–56.83). The odds of impairment increased 1.84-fold (CI 0.45– 7.50). Conclusion: Relatively high temperature during usual care after hypoxic-ischemia in term neonates was associated with adverse neurodevelopmental outcomes. J Enam Med Col 2019; 9(3): 160-165

Oxygen Consumption and Temperature Control of Premature Infants in a Double-Wall Incubator

PEDIATRICS ◽  
1981 ◽  
Vol 68 (1) ◽  
pp. 93-98
Author(s):  
Keith H. Marks ◽  
Cheryl A. Lee ◽  
Charles D. Bolan ◽  
M. Jeffrey Maisels
Keyword(s):  
Oxygen Consumption ◽  
Skin Temperature ◽  
Premature Infants ◽  
Significant Rise ◽  
Mean Skin Temperature ◽  
Quiet Sleep ◽  
Total Heat Loss ◽  
Ambient Room Temperature ◽  
Double Wall ◽  
Thermal Steady State

The effects of a double wall in a forced convection-heated incubator were studied on ten naked, nondistressed, premature infants by measuring their mean skin temperature, esophageal temperature, and oxygen consumption when they were in thermal steady state with, and without, the double wall in place. The incubator air temperature was maintained within the recommended thermoneutral zone during the consecutive paired experiments. Ambient room temperature and relative humidity were constant and the infant's activity (quiet sleep) and postprandial state were the same in both conditions. Together with a significant rise in operative temperature (P < .05) induced by the double wall (accounted for by a 0.9 C mean increase in incubator wall temperature nearest the baby), their mean skin temperature and esophageal temperatures increased (P < .025), while a decrease in oxygen consumption occurred in nine of the ten infants (P < .05). These findings suggest that the double wall reduced radiant and total heat loss from the baby by diminishing the temperature gradient between the skin and incubator surfaces and that metabolic heat production (oxygen consumption) was reduced when the double wall was in place.

Thermal comfort in relation to mean skin temperature

1970 ◽  
Vol 48 (2) ◽  
pp. 98-101 ◽  
Author(s):  
E. D. L. Topliff ◽  
S. D. Livingstone
Keyword(s):  
Thermal Comfort ◽  
Ambient Temperature ◽  
Skin Temperature ◽  
Incident Radiation ◽  
Mean Skin Temperature ◽  
Ambient Temperatures ◽  
The Mean ◽  
Per Se

Nude men were exposed to a range of ambient temperatures and were brought to a condition of thermal comfort by adjustment of the incident radiation. The mean skin temperature associated with comfort was found to be different for each combination of ambient temperature and incident radiation. It was evident that mean skin temperature, per se, was not a dependable criterion of thermal comfort.

Skin temperature and blood flow in the rabbit ear

1963 ◽  
Vol 204 (4) ◽  
pp. 615-618 ◽  
Author(s):  
N. Honda ◽  
L. D. Carlson ◽  
W. V. Judy
Keyword(s):  
Blood Flow ◽  
Ambient Temperature ◽  
Skin Temperature ◽  
Rectal Temperature ◽  
Peripheral Blood ◽  
Room Temperature ◽  
Peripheral Blood Flow ◽  
Rabbit Ear

The relation of skin temperature and blood flow in the rabbit ear may be expressed as (See PDF for Equation) where Ts is skin temperature, F is peripheral blood flow, TR is rectal temperature, Tr is room temperature, and K1, K2, K3, and α are constants. The constants vary with ambient temperature probably reflecting the degree of precooling that occurs in the circulating blood.

scholarly journals Thermal imaging in total knee replacement and its relation with inflammation markers

2021 ◽  
Vol 18 (6) ◽  
pp. 7759-7773
Author(s):  
Viney Lohchab ◽  
◽  
Jaspreet Singh ◽  
Prasant Mahapatra ◽  
Vikas Bachhal ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Skin Temperature ◽  
Knee Replacement ◽  
Thermal Imaging ◽  
Inflammatory Markers ◽  
Mean Skin Temperature ◽  
Inflammation Markers ◽  
Relative Percentage ◽  
Total Knee ◽  
The Mean

<abstract> <p>Total knee replacement is an end-stage surgical treatment of osteoarthritis patients to improve their quality of life. The study presents a thermal imaging-based approach to assess the recovery of operated-knees. The study focuses on the potential of thermal imaging for total knee replacement and its relation with clinical inflammatory markers. A total of 20 patients with bilateral knee replacement were included for thermal imaging and serology, where data was acquired on pre-operative day and five post-operative days. To quantify the inflammation, the temperature-based parameters (like mean differential temperature, relative percentage of raised temperature) were evaluated from thermal images, while the clinically proven inflammation markers were obtained from blood samples for clinical validation. Initially, the knee region was segmented by applying the automatic method, subsequently, the mean skin temperature was calculated and investigated for a statistical relevant relationship with inflammatory markers. After surgery, the mean skin temperature was first increased (&gt;2.15 ℃ for different views) then settled to pre-operative level by 90th day. Consequently, the mean differential temperature showed a strong correlation with erythrocyte sedimentation rate (r &gt; 0.893) and C-reactive protein (r &gt; 0.955). Also, the visual profile and relative percentage of raised temperature showed promising results in quantifying the temperature changes both qualitatively and quantitatively. This study provides an automatic and non-invasive way of screening the patients for raised levels of skin temperature, which can be a sign of inflammation. Hence, the proposed temperature-based technique can help the clinicians for visual assessment of post-operative recovery of patients.</p> </abstract>

Heat Strain in Protective Clothing Following Hot-Wet or Hot-Dry Heat Acclimation

1996 ◽  
Vol 21 (2) ◽  
pp. 90-108 ◽  
Author(s):  
Tom M. McLellan ◽  
Yukitoshi Aoyagi
Keyword(s):  
Heart Rate ◽  
Skin Temperature ◽  
Rectal Temperature ◽  
Protective Clothing ◽  
Intermittent Exercise ◽  
Sweat Rate ◽  
Heat Acclimation ◽  
Heat Strain ◽  
Mean Skin Temperature ◽  
Time Required

The purpose of the present study was to compare the heat strain while wearing nuclear, biological, and chemical (NBC) protective clothing following a hot-wet (HW) or hot-dry (HD) heat acclimation protocol. Twenty-two males were assigned to groups HW (n = 7), HD (n = 8), or control (C, n = 7). Subjects were evaluated during continuous treadmill walking while wearing lightweight combat clothing and during intermittent exercise while wearing the NBC protective clothing. While wearing Combat clothing, greater decreases in rectal temperature (Tre), mean skin temperature [Formula: see text], and heart rate were observed for both acclimation groups. For the NBC clothing trials, lower Tre, [Formula: see text], and heart rates were observed only for group HW. The time required for Tre to increase 1.0 °C and 1.5 °C was significantly delayed for groups HW and HD. Sweat evaporation increased for HW, whereas no change was found for HD. The most significant changes in Tre, [Formula: see text], and heart rate while wearing the NBC protective clothing occur following heat acclimation that involves wearing the clothing during exercise. Key words: rectal temperature, mean skin temperature, heart rate, sweat rate

Freezing temperature of finger skin

1976 ◽  
Vol 41 (4) ◽  
pp. 551-558 ◽  
Author(s):  
O. Wilson ◽  
R. F. Goldman ◽  
G. W. Molnar
Keyword(s):  
Skin Temperature ◽  
Freezing Point ◽  
Freezing Temperature ◽  
Analysis Of Covariance ◽  
Heat Of Fusion ◽  
Mean Skin Temperature ◽  
Wind Speeds ◽  
Significant Difference ◽  
The Mean ◽  
Finger Skin

In 45 subjects, 154 frostnips of the finger were induced by cooling in air at -15 degrees C with various wind speeds. The mean supercooled skin temperature at which frostnip appeared was -9.4 degrees C. The mean skin temperature rise due to heat of fusion at ice crystallization was 5.3 degrees C.The skin temperature rose to what was termed the apparent freezing point. The relation of this point to the supercooled skin temperature was analyzed for the three wind speeds used. An apparent freezing point for a condition of no supercooling was calculated, estimating the highest temperature at which skin freezes at a given wind speed. The validity of the obtained differences in apparent freezing point was tested by an analysis of covariance. Although not statistically significant, the data suggest that the apparent freezing point with no supercooling decreases with increasing wind velocity.The highest calculated apparent freezing point at -15 degrees C and 6.8 m/swas 1.2 degrees C lower than the true freezing point for skin previously determined in brine, which is a statistically significant difference.

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