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Percorsi Assistenziali Neonatologici Anno 2008 4. PRINCIPI DI TERMOREGOLAZIONE NEONATALE Background La nascita costituisce, per il neonato, un motivo di stress termico inevitabile. L’ipotermia neonatale può costituire, specialmente nei neonati pretermine e/o di basso peso, un problema clinico se, protraendosi nel tempo, provoca la “Sindrome da freddo”. La diagnosi di Ipotermia si basa sulla rilevazione di una temperatura corporea (TC) rettale
Base Percorsi Assistenziali Neonatologici Anno 2008 10 Tabella I – Valori di riferimento di temperatura neutra (°C) Età PN < 1200 g PN 1200-1500 g PN 1500-2500 g PN > 2500 g 0-6 h 34,0 – 35,4 33,9 – 34,4 32,8 – 33,8 32,0 – 33,8 6-12 h 34,0 – 35,4 33,5 – 34,4 32,2 – 33,8 31,4 – 33,8 12-24 h 34,0 – 35,4 33,3 – 34,3 31,8 – 33,8 31,0 – 33,7 24-36 h 34,0 – 35,0 33,1 – 34,1 31,6 – 33,6 30,7 – 33,5 36-48 h 34,0 – 35,0 33,0 – 34,1 31,4 – 33,5 30,5 – 33,3 48-72 h 34,0 – 35,0 33,0 – 34,0 31,2 – 33,4 30,1 – 33,2 72-96 h 34,0 – 35,0 33,0 – 34,0 31,0 – 33,2 29,5 – 32,6 4-6 gg 33,0 – 34,0 33,0 – 34,0 31,0 – 33,2 29,4 – 32,3 7-12 gg 33,0 – 34,0 33,0 – 34,0 31,0 – 33,2 29,0 – 31,8 12-14 gg 32,6 – 34,0 32,6 – 34,0 31,0 – 33,2 29,0 – 30,8 2–3 sett 32,3 – 34,0 32,3 – 34,0 30,5 – 33,0 3-4 sett 31,6 – 33,0 31,6 – 33,0 30,0 – 32,7 4-5 sett 31,2 – 32,6 31,2 – 32,6 29,5 – 32,2 5-6 sett 30,6 – 32,3 30,6 – 32,3 29,0 – 31,8 Adattato da Scopes J, Ahmed I: Arch Dis Child 1966; 41:417 Tabella II – Valori di riferimento per l’umidificazione delle incubatrici 0 – 7 gg 8 – 14 gg Fino a 30 settimane epm Fino al passaggio nel lettino EG < 26 sett 85% 85% 60% 40% EG 27-28 sett 85% 60% 60% 40% EG 29-30 sett 60% 60% 40% 40% EG > 30 sett 40% 40% 40% 40%
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Page 5 and 6: PERCORSI ASSISTENZIALI CARDIO-CIRCO
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Page 9 and 10: Base Percorsi Assistenziali Neonato
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Metabolici Percorsi Assistenziali N
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Metabolici 24 Percorsi Assistenzial
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Ortopedici Percorsi Assistenziali N
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Vari Percorsi Assistenziali Neonato
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Insufficienza respiratoria pretermi
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