Preterm infant thermal care: differing thermal environments produced by air versus skin servo-control incubators.
OBJECTIVE
Incubator thermal environments produced by skin versus air servo-control were compared.


METHODS
Infant abdominal skin and incubator air temperatures were recorded from 18 infants in skin servo-control and 14 infants in air servo-control (26- to 29-week gestational age, 14 +/- 2 days postnatal age) for 24 hours. Differences in incubator and infant temperature, neutral thermal environment (NTE) maintenance, and infant and incubator circadian rhythm were examined using analysis of variance and scatterplots.


RESULTS
Skin servo-control resulted in more variable air temperature, yet more stable infant temperature, and more time within the NTE. Circadian rhythm of both infant and incubator temperature differed by control mode and the relationship between incubator and infant temperature rhythms was a function of control mode.


CONCLUSIONS
The differences between incubator control modes extend beyond temperature stability and maintenance of NTE. Circadian rhythm of incubator and infant temperatures is influenced by incubator control.
Thomas
K A
KA
Department of Family and Child Nursing, University of Washington, Seattle 98195, USA.
Burr
R
R
D001833:Body Temperature Regulation; D002940:Circadian Rhythm; D004867:Equipment Design; D005260:Female; D006801:Humans; D007186:Incubators, Infant; D007231:Infant, Newborn; D007234:Infant, Premature / Q000502:physiology*; D016018:Least-Squares Analysis; D008297:Male; D012879:Skin Physiological Phenomena