PEDIATRICS Vol. 60 No. 2 August 1977, pp. 223-226
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A Simple Device for Reducing Insensible Water Loss in Low-Birth-Weight Infants

Keith H. Marks M.B., F.C.P., M.R.C.P.1, Zvi Friedman M.D., F.R.C.P.(C)1, and M. Jeffrey Maisels M.B., B.Ch.1

1 Division of Newborn Medicine, Department of Pediatrics, The Milton S. Hershey Medical Center of The Pennsylvania State University College of Medicine, Hershey

Insensible water loss (IWL) was measured in five premature infants, 1 to 4 days old, by multiple weighings on an electronic balance inside an incubator. The babies were studied naked before and after being covered with a transparent thermal blanket. The use of the thermal blanket produced a mean reduction of 70% in IWL and a net caloric saving of 27 kcal/kg/day. There was minimal interference with nursing care. The important caloric saving achieved from reduced vaporization of water and evaporative heat loss may be an important determinant of intact survival in the high-risk infant.

Submitted on December 20, 1976
Accepted on February 24, 1977




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