RECOVERY OF NEONATAL LAMBS FROM HYPOTHERMIA WITH THERMAL ASSISTANCE
Metabolic heat production and body core temperature were measured in 12 newborn lambs (4.7 ± 0.2 kg) prior to and during the induction of acute hypothermia (Tc = 30 °C), as well as during recovery to euthermia. Hypothermia was induced by immersion in 14–28 °C water. Rewarming was achieved by one of three procedures: (A) immersion of the lambs in warm water (38 °C); (B) exposure of the lambs in an air environment to a 250-watt infrared heat lamp; or (C) wrapping the lambs in a cotton cloth. Prehypothermia resting heat production was 4.3 ± 0.2 W kg−1. During the induction of hypothermia, summit metabolic heat production was 20.9 ± 0.5 W kg−1; however, as core temperature decreased from 35 to 31 °C, maximum metabolic rate declined by 1.33 W kg−1 per °C decline in core temperature. Recovery of the lambs to an euthermic state was achieved in 28, 38 and 50 ± 1.8 min in the warm water, infrared lamp and cotton cloth rewarming treatments with metabolic costs during recovery of 21.2, 33.2 and 40.6 ± 0.8 kJ kg−1, respectively. Recovery of hypothermic lambs in 38 °C water resulted in a thermal contribution to body heat content from the water and a substantial reduction in recovery time and in metabolic effort by the lambs. Key words: Hypothermia, rewarming, metabolic heat, supplemental heat, neonates, lambs