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Case report
Astrid Kuonen
Inselspital University Hospital Bern: Inselspital Universitatsspital Bern
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9752-9781
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Hypothermia significantly affects mortality and morbidity of newborns. Literature about severe accidental hypothermia in neonates is limited. We present a case of a neonate suffering from severe accidental hypothermia. An understanding of the physiology of neonatal thermoregulation and hypothermia is important to decide on treatment.
Case presentation
We report a case of severe accidental hypothermia (rectal temperature 25.7°C) in a hypothropic newborn due to prolonged exposure to low ambient temperature. The newborn presented bradycardic, bradypneic, lethargic, pale and cold. Bradycardia, bradypnea and consciousness were interpreted in the context of the measured body temperature. Therefore, no reanimation or intubation was initiated. The newborn was closely monitored and successfully treated only with active and passive rewarming.
Conclusion
Clinical parameters such as heart frequency, blood pressure, respiration and consciousness must be interpreted in light of the measured body temperature. Medical treatment should be adapted to the clinical presentation. External rewarming can be a safe and effective measure in neonatal patients.
Keywords
accidental hypothermia, neonate, external rewarming, hyperglycemia, case report
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CURRENT STATUS: Published
View the published article at Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
Version 1
Posted 12 Mar, 2021
No community comments so far
Editorial decision: Major Revision
On 21 Apr, 2021
Review #2 received
Received 19 Apr, 2021
Review #1 received
Received 19 Apr, 2021
Reviews received
Received 03 Apr, 2021
Reviewer #2 agreed
On 03 Apr, 2021
Reviewer #1 agreed
On 01 Apr, 2021
Reviewers invited
Invitations sent on 29 Mar, 2021
Editor assigned
On 02 Mar, 2021
Submission checks complete
On 02 Mar, 2021
Editor invited
On 02 Mar, 2021
First submitted
On 26 Feb, 2021
Metrics
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PDF Downloads: ...
HTML Views: ...
Subject Areas
Critical Care & Emergency Medicine
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A new preprint design is coming!
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See the published version of this preprint at Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Case report
Astrid Kuonen
Inselspital University Hospital Bern: Inselspital Universitatsspital Bern
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9752-9781
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
Version 1
Posted 12 Mar, 2021
No community comments so far
Editorial decision: Major Revision
On 21 Apr, 2021
Review #2 received
Received 19 Apr, 2021
Review #1 received
Received 19 Apr, 2021
Reviews received
Received 03 Apr, 2021
Reviewer #2 agreed
On 03 Apr, 2021
Reviewer #1 agreed
On 01 Apr, 2021
Reviewers invited
Invitations sent on 29 Mar, 2021
Editor assigned
On 02 Mar, 2021
Submission checks complete
On 02 Mar, 2021
Editor invited
On 02 Mar, 2021
First submitted
On 26 Feb, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Critical Care & Emergency Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
Background
Hypothermia significantly affects mortality and morbidity of newborns. Literature about severe accidental hypothermia in neonates is limited. We present a case of a neonate suffering from severe accidental hypothermia. An understanding of the physiology of neonatal thermoregulation and hypothermia is important to decide on treatment.
Case presentation
We report a case of severe accidental hypothermia (rectal temperature 25.7°C) in a hypothropic newborn due to prolonged exposure to low ambient temperature. The newborn presented bradycardic, bradypneic, lethargic, pale and cold. Bradycardia, bradypnea and consciousness were interpreted in the context of the measured body temperature. Therefore, no reanimation or intubation was initiated. The newborn was closely monitored and successfully treated only with active and passive rewarming.
Conclusion
Clinical parameters such as heart frequency, blood pressure, respiration and consciousness must be interpreted in light of the measured body temperature. Medical treatment should be adapted to the clinical presentation. External rewarming can be a safe and effective measure in neonatal patients.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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