title: Effect of posture on the thermal efficiency of a plastic bag wrapping in neonate: assessment using a thermal "sweating" mannequin.
abstract: To assess the various heat exchanges with the environment a multisegment, anthropometric, thermal mannequin representing a neonate with a birth weight of 900 g has been designed. The mannequin simulates not only dry heat loss (radiative+conductive+convective body heat exchanges) but also the evaporative skin water loss which can be encountered in low-birth-weight neonates. The model was placed in the supine or prone position in a closed incubator (air temperature, 33 C; relative air humidity, 50%; air velocity below 0.1 m s(-1)). Experiments were performed with the mannequin either naked or wrapped in a flexible, plastic bag (with the head exposed) used to prevent excessive body water loss at delivery and during the following hours About 30% of the model's total surface was wetted with water. Our results demonstrated that body position does not modify dry and evaporative heat losses, whatever the experimental conditions. The plastic bag acts rapidly and reduces total heat loss by 30% to 34%, primarily through a reduction in evaporative water loss (between 5.4 and 6.7 g kg(-1) h(-1)). When the bag is present, the uncovered surface of the head accounts for about 50% of the total heat loss. This simple and inexpensive solution can be used to prevent thermal stress and dehydration in very small premature neonates.
authors.affiliation: DMAG EA 3901-INERIS, Faculté de Médecine, Université de Picardie Jules Verne, 3 rue des louvels, F-80036 Amiens cédex 1, France. khalid.belghazi@u-picardie.fr
authors.forename: Khalid
authors.initials: K
authors.lastname: Belghazi
authors.forename: Pierre
authors.initials: P
authors.lastname: Tourneux
authors.forename: Elmountacer Billah
authors.initials: EB
authors.lastname: Elabbassi
authors.forename: Laurent
authors.initials: L
authors.lastname: Ghyselen
authors.forename: Stephane
authors.initials: S
authors.lastname: Delanaud
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Libert
mesh_terms: D000392:Air Movements; D006358:Hot Temperature; D006801:Humans; D006813:Humidity; D007035:Hypothermia / Q000517:prevention & control; D007186:Incubators, Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D015931:Intensive Care, Neonatal / Q000379:methods*; D008348:Manikins; D008954:Models, Biological; D010969:Plastics; D011187:Posture; D016684:Prone Position; D016683:Supine Position; D013546:Sweating / Q000502:physiology*; D014870:Water Loss, Insensible / Q000502:physiology
chemical_list: D010969:Plastics