Document Detail

Transepidermal water loss during halogen spotlight phototherapy in preterm infants.
MedLine Citation:
PMID:  11861949     Owner:  NLM     Status:  MEDLINE    
Among preterm infants there is a relationship between skin blood flow and transepidermal water loss (TEWL). The aim of this study was to assess whether halogen spotlight phototherapy without significant heat stress increases TEWL and affects maintenance fluid requirements in preterm infants. TEWL was measured noninvasively before the start and after 1 h of halogen spotlight phototherapy in a group of preterm infants, nursed in double-walled incubators with moderately high relative humidity. Relative humidity and ambient temperature in the incubator were tightly controlled. Mean +/- SD birth weight of the 18 infants was 1412 +/- 256 g, gestational age 30.6 +/- 1.6 wk, and age at measurement 5 +/- 3 d. Nine infants received ventilatory assistance. Relative humidity was 40-80% (mean 52%). Average TEWL increased from 13.6 to 16.5 g/m(2)/h during phototherapy. These data show that TEWL increases by approximately 20% during phototherapy despite constant skin temperature and relative humidity. Maintenance fluids of preterm infants should be increased by 0.35 mL/kg/h during exposure to halogen spotlight phototherapy.
Dirk J Grünhagen; Mark G J de Boer; Arnout Jan de Beaufort; Frans J Walther
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric research     Volume:  51     ISSN:  0031-3998     ISO Abbreviation:  Pediatr. Res.     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-02-25     Completed Date:  2002-05-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0100714     Medline TA:  Pediatr Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  402-5     Citation Subset:  IM    
Department of Pediatrics, Division of Neonatology, Leiden University Medical Center and Juliana Children's Hospital, Leiden/The Hague, The Netherlands.
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MeSH Terms
Fluid Therapy
Infant, Newborn
Infant, Premature
Jaundice, Neonatal / therapy*
Skin / blood supply,  metabolism
Skin Temperature
Water Loss, Insensible / radiation effects*
Reg. No./Substance:

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