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ACoRN: Acute Care of at-Risk Newborns: A Resource and Learning Tool for Health Care Professionals (2 edn)

The thermoregulation chapter focuses on care for infants in a controlled thermal environment while maintaining their body temperature within normal range. All newborns are at risk for temperature instability, and stabilization means providing an optimal neutral thermal care environment by minimizing and managing factors that cause cold and heat stress. The effect of infection on infant temperature is also considered. Axillary temperature thresholds, infant risk factors for hypothermia and hyperthermia, and specific strategies to prevent both heat loss and overheating are discussed. Recommendations for care of infants at risk for hypoxic ischemic encephalopathy, described in the neurology chapter and included in the Thermoregulation Sequence, determine whether therapeutic hypothermia or strict normothermia is the appropriate treatment course. Thermal management principles are applied in the case scenario.

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