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Updated: Jul 5, 2026

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
Published on: November 21, 2017
Heat loss prevention in neonates
1Fletcher Allen Health Care, University of Vermont College of Medicine, Burlington, VT 05401, USA. Roger.Soll@vtmednet.org
Maintaining a neutral thermal environment is one of the key physiologic challenges a newborn infant faces after delivery. Attention to detail regarding the management of an infant's neutral thermal environment may lead to improvement in clinical outcome, including improved survival. The details of this management cover a broad spectrum of interventions, from attention to the general environment (such as delivery room temperature) to specific individualized therapies, such as the use of polyethylene occlusive skin wrap. Although an integral part of the routine care of all newborns (whether term or preterm), these interventions have unfortunately received little attention and study. A commitment to greater understanding of these issues and their impact on newborns is essential if we hope to improve their outcome.
Maintaining a neutral thermal environment is one of the key physiologic challenges a newborn infant faces after delivery. Attention to detail regarding the management of an infant's neutral thermal environment may lead to improvement in clinical outcome, including improved survival. The details of this management cover a broad spectrum of interventions, from attention to the general environment (such as delivery room temperature) to specific individualized therapies, such as the use of polyethylene occlusive skin wrap. Although an integral part of the routine care of all newborns (whether term or preterm), these interventions have unfortunately received little attention and study. A commitment to greater understanding of these issues and their impact on newborns is essential if we hope to improve their outcome.
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Conduction, accounting for approximately 3% of body heat loss at rest, is the process of exchanging heat between molecules of two materials in direct contact. This can result in both heat loss and gain. For instance, when the body is submerged in water, which conducts heat 20 times more effectively than air, it can either lose or gain significant heat.

