Management and Thermal Comfort of Premature Infants Under 32 Weeks

Study Overview
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Brief Summary
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Sleep propensity was assessed in terms of the duration of a spontaneous episode of wakefulness (W). Skin temperatures at six body sites (the abdomen, pectoral region, eye, hand, thigh and foot) were measured (using infrared thermography) during nocturnal polysomnography in 29 9-day-old preterm neonates (postmenstrual age: 209 9 days). Te investigators then determined whether the duration of the W episode depended upon the local skin temperatures measured at the start, during and end of the episode.

Detailed Description
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Although sleep is of paramount importance for preterm neonates, care of the latter in a neonatal intensive care unit does not favour sleep. Given that several studies in adults have described a 'vegetative preparedness to sleep' (in which distal skin vasodilation before lights-out promotes rapid sleep onset), the investigators looked at whether or not this process operates in preterm neonates. Sleep propensity was assessed in terms of the duration of a spontaneous episode of wakefulness (W). Skin temperatures at six body sites (the abdomen, pectoral region, eye, hand, thigh and foot) were measured (using infrared thermography) during nocturnal polysomnography in 29 9-day-old preterm neonates (postmenstrual age: 209 9 days).

Official Title
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Improvement of the Early Management and Thermal Comfort of Premature Infants Under 32 Weeks of Amenorrhea Placed in a Closed Incubator: Comparison of the Use of the Incubator in Conventional Air vs. Cutaneous Regulation Mode .

Conditions
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Thermoregulation

Intervention / Treatment
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* Other: mesure of skin temperature


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: premature newborns 25 to 32 weeks of amenorrhea; arrival in the Neonatal Medicine Unit <12 hours of life; need for management in a closed incubator; availability of an incubator equipped with communication card. Exclusion Criteria: premature newborns> 32 weeks of amenorrhea; arrival in the Neonatal Medicine unit after 12 hours of life; presence of malformation syndrome or serious heart disease; pathology requiring management within the first 10 days of life; Apgar score <5 at 10 minutes of life; need for initial management in an open incubator; unavailability of an incubator equipped with a communication card

Ages Eligible for Study
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Minimum Age: 1 Day
Maximum Age: 10 Days

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: mesure of skin temperature|The infants are placed in a closed incubator to study the variability of the heart and respiratory frequencies according to the regulation of the incubator and to quantify the time spent outside. Data will be collected during the first 10 days of life of the preterm infant. Skin temperatures at six body sites (the abdomen, pectoral region, eye, hand, thigh and foot) were measured (using infrared thermography) during nocturnal polysomnography in 29 9-day-old preterm neonates (postmenstrual age: 209 9 days). The investigators then determined whether the duration of the W episode depended upon the local skin temperatures measured at the start, during and end of the episode.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mesure of the Thermal confort of preterm infants less than 32 weeks | The objective of this study is to evaluate the thermal confort (variability of the heart and respiratory frequencies) of preterm infant placed in a clmosed incubator to reduce the thermal stress of the very premature newborn (< 32 weeks of amenorrhea) during the first 10 days of life. | 10 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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infant, thermoregulation, wakefulness episode