Extremely low birth weight preterm infants lack vasomotor response in relationship to cold body temperatures at birth.

Journal Article (Journal Article)

Objective

This study evaluated peripheral vasoconstriction in extremely low birth weight (ELBW) infants when body temperature decreased during the first 12 h of life.

Study design

An exploratory, within-subjects design with 10 ELBW infants. Abdominal and foot temperatures were measured every minute. Peripheral vasoconstriction (abdominal>peripheral temperature by 2 degrees C) and abdominal-peripheral temperature difference were also evaluated.

Results

Abdominal and peripheral temperatures were significantly correlated within each infant. One 880 g infant exhibited isolated peripheral vasoconstriction; a 960-g infant had abdominal temperatures >1 degrees C higher than peripheral temperatures. Eight smaller infants exhibited no peripheral vasoconstriction and spent most of their observations with peripheral greater than abdominal temperatures. In eight infants, mean temperature difference was significantly higher when abdominal temperature was <36.5 degrees C.

Conclusion

Most ELBW infants did not exhibit peripheral vasoconstriction during their first 12 h of life, despite low temperatures. ELBW infants' vasomotor control may be immature during this period.

Full Text

Duke Authors

Cited Authors

  • Knobel, RB; Holditch-Davis, D; Schwartz, TA; Wimmer, JE

Published Date

  • December 2009

Published In

Volume / Issue

  • 29 / 12

Start / End Page

  • 814 - 821

PubMed ID

  • 19626030

Pubmed Central ID

  • PMC2787712

Electronic International Standard Serial Number (EISSN)

  • 1476-5543

International Standard Serial Number (ISSN)

  • 0743-8346

Digital Object Identifier (DOI)

  • 10.1038/jp.2009.99

Language

  • eng