PMID: 11334097May 4, 2001Paper

The effects of core and peripheral warming methods on temperature and physiologic variables in injured children

Pediatric Emergency Care
L M BernardoH Ford

Abstract

Injured children are at risk for thermoregulatory compromise, where temperature maintenance mechanisms are overwhelmed by severe injury, environmental exposure, and resuscitation measures. Adequate thermoregulation can be maintained, and heat loss can be prevented, by core (administration of warmed intravenous fluid) and peripheral (application of convective air warming) methods. It is not known which warming method is better to maintain thermoregulation and prevent heat loss in injured children during their trauma resuscitations. The purpose of this feasibility study was to compare the effects of core and peripheral warming measures on body temperature and physiologic changes in a small sample of injured children during their initial emergency department (ED) treatment. A prospective, randomized experimental design was used. Eight injured children aged 3 to 14 years (mean = 6.87, SD = 3.44 ) treated in the ED of Children's Hospital of Pittsburgh were enrolled. Physiologic responses (eg, heart rate, blood pressure, respiratory rate, arterial oxygen saturation, core, peripheral temperatures) and level of consciousness were continuously measured and recorded every 5 minutes to detect early thermoregulatory compromise and to deter...Continue Reading

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Citations

Jun 1, 2005·Der Anaesthesist·J SchnoorR Rossaint
Sep 6, 2005·The Tohoku Journal of Experimental Medicine·Hiroaki Nakazawa, Motohiro Nozaki
Nov 28, 2012·International Journal of Critical Illness and Injury Science·Yulia Ivashkov, Sanjay M Bhananker
Feb 10, 2012·Journal of Veterinary Emergency and Critical Care·Vivian ChiangMatthew S Mellema
Sep 28, 2002·Anesthesia and Analgesia·Alexander KoberKlaus Hoerauf
Mar 23, 2005·Journal of Wound Care·C C MacFieD J Leaper
Oct 5, 2006·Current Opinion in Anaesthesiology·Bernd Schmitz, Sven Albrecht
Dec 24, 2004·Current Opinion in Critical Care·Samuel A Tisherman
Jan 29, 2013·The Journal of Trauma and Acute Care Surgery·Deirdre C KelleherElizabeth A Carter
Jul 30, 2018·BMC Anesthesiology·Norbert ZorembaThomas Breuer

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