Get access

Successful treatment of profound hypothermia of the newborn

Authors


Correspondence
Konopova Patricia, Department of Neonatology,
Thomayer, University Hospital, Videnska 800, Praha
4, Czech Republic, 140 59.
Tel: +42 0775063162 |
Fax: +42 0261083740 |
Email: patricia.konopova@ftn.cz

Abstract

We report a case of a profoundly hypothermic newborn with a core temperature of 25°C with a successful recovery and normal neurological outcome at 3 and 6 months. This term male infant had been exposed to a temperature of −3°C for approximately 30 min. Slow re-warming, using external modalities was used in addition to volume expansion, heparinization, antibiotics and sedation. There is limited information available concerning the safest and most effective method of re-warming hypothermic newborns. Slow re-warming has been advocated as it replicates the normal physiological process in a neonate, which minimizes a negative therapy impact.

Conclusion: The most significant decision regarding treatment is the identification of the most appropriate method and speed of re-warming. This report supports recommendations for gradual re-warming of a severely hypothermic newborn. Physiological cardiovascular mechanisms seemed to be intact during slow re-warming; this might be applicable to the treatment of profound hypothermia of the newborn.

Ancillary