title: Influence of head position on thermal stress in newborns: simulation using a thermal mannequin.
abstract: The influence of head position on thermal stress was assessed by using a heavily clothed thermal mannequin in three different body positions [supine, face straight up (FSU); supine, face to the side (FTS); prone, FTS] and with or without the head covered by a bonnet. The mannequin was exposed to air temperatures of 29, 32, 34, and 36 degrees C. When the head is uncovered, body or head position has no impact on heat loss. When the head is covered, dry heat loss from the mannequin as a whole (and that from the head in particular) is lower (-0.35 to -0.40 W) in the FTS position than in the FSU position as a result of decreased heat loss from the surface area of the face in contact with the mattress. In the FTS position and with the head covered, there was no difference in heat loss between the prone and supine positions. The results suggest that in heavily clothed newborns whose head is covered by a bonnet, thermal stress depends on the head position.
authors.affiliation: Environnement Toxique Périnatal et Adaptations Physiologiques et Comportementales, Faculté de Médecine, Université de Picardie Jules Verne, F-80036 Amiens Cédex, France. elmountacer-billah.elabbassi@sa.u-picardie.fr
authors.forename: Elmountacer Billah
authors.initials: EB
authors.lastname: Elabbassi
authors.forename: Karen
authors.initials: K
authors.lastname: Chardon
authors.forename: Frédéric
authors.initials: F
authors.lastname: Telliez
authors.forename: Véronique
authors.initials: V
authors.lastname: Bach
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Libert
mesh_terms: D003020:Clothing; D006257:Head / Q000502:physiology*; D006358:Hot Temperature; D006801:Humans; D007231:Infant, Newborn; D007236:Infant, Small for Gestational Age; D008348:Manikins; D016684:Prone Position; D013312:Stress, Physiological / Q000209:etiology*; D016683:Supine Position; D013696:Temperature