• P Konopova, J Janota, J Termerova, I Burianova, M Paulova, and J Zach.
• Department of Neonatology, Thomayer, University Hospital, Videnska 800, Prague 4, Czech Republic. patricia.konopova@ftn.cz
• Acta Paediatr. 2009 Jan 1;98(1):190-2.

UnlabelledWe report a case of a profoundly hypothermic newborn with a core temperature of 25 degrees C with a successful recovery and normal neurological outcome at 3 and 6 months. This term male infant had been exposed to a temperature of -3 degrees C for approximately 30 min. Slow re-warming, using external modalities was used in addition to volume expansion, heparinization, antibiotics and sedation. There is limited information available concerning the safest and most effective method of re-warming hypothermic newborns. Slow re-warming has been advocated as it replicates the normal physiological process in a neonate, which minimizes a negative therapy impact.ConclusionThe most significant decision regarding treatment is the identification of the most appropriate method and speed of re-warming. This report supports recommendations for gradual re-warming of a severely hypothermic newborn. Physiological cardiovascular mechanisms seemed to be intact during slow re-warming; this might be applicable to the treatment of profound hypothermia of the newborn.

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