Temperature probe placement in very preterm infants during delivery room stabilization: an open-label randomized trial

Background Variation in practice exists for temperature probe positioning during stabilization of very preterm infants (38 °C or developed skin injury. Conclusions In very preterm infants, upper back site was equally effective as the axilla in maintaining normothermia, with no increase in adverse ev...

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Published in:Pediatric research 2024-07, Vol.96 (1), p.190-198
Main Authors: Jani, Pranav R., Maheshwari, Rajesh, Skelton, Hannah, Viola, Patricia, Thomas, Sheela, Ryder, Lynette, Culcer, Mihaela, Mishra, Umesh, Shah, Swapnil, Baird, Jane, Elhindi, James, Padernia, Ann-Maree, Goyen, Traci-Anne, D’Cruz, Daphne, Luig, Melissa, Shah, Dharmesh
Format: Article
Language:English
Subjects:
Axilla
Back
Body Temperature
Body Temperature Regulation
Clinical Research Article
Delivery Rooms
Female
Gestational Age
Humans
Hypothermia - prevention & control
Infant, Extremely Premature
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
Male
Medicine
Medicine & Public Health
Newborn babies
Pediatric Surgery
Pediatrics
Premature babies
Temperature
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Summary:Background Variation in practice exists for temperature probe positioning during stabilization of very preterm infants (38 °C or developed skin injury. Conclusions In very preterm infants, upper back site was equally effective as the axilla in maintaining normothermia, with no increase in adverse events. Clinical trial registration The study was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620000293965). Impact Substantial variation in practice exists for the site of securing a temperature probe during delivery room stabilization of very preterm infants and the influence of temperature probe site on thermoregulation remains unknown. In this study, upper back site was equally effective as the axilla in maintaining normothermia, with no increase in adverse events. Clinicians could adopt upper back site for maintaining normothermia. This study may contribute data to future international participant data prospective meta analysis of randomized controlled trials worldwide on temperature probe positioning in very preterm infants, increasing translation of research findings to optimize thermoregulation and clinical outcomes.
ISSN:0031-3998
1530-0447
1530-0447
DOI:10.1038/s41390-024-03115-5