Neonatal skin temperature distribution using infra-red colour thermography.

1. Infra-red Colour Thermography was used to visualize skin temperatures over seven neonates nursed in a modified temperature controlled incubator. 2. Temperature distributions were recorded on cine film which was analysed to evaluate mean skin temperatures; these were subsequently compared with values obtained from multiple, weighted measurements from a thermocouple thermometer. In all cases, there was agreement to within +/- 0 . 6 degrees C. 3. Thermograms in thermo-neutral conditions (approximately 32 degrees C) showed a temperature distribution with the warmest skin overlying the central hot 'core' and temperatures falling towards the extremities. Temperature patterns in a cooler environment (approximately 28 degrees C) showed features due to the conductive or thermogenic nature of the structures underlying the skin. 4. Multiple skin temperature recordings made at two environmental temperatures were obtained from a further twelve infants. 5. Linear regression of skin temperature against rectal--environmental difference, performed for each of the measured sites, showed that the upper arm and, to a lesser extent, the upper thigh temperatures represented the mean value most closely. The upper abdomen and head were both warmer and less responsive to environmental change than the mean skin temperature. These findings were supported by the thermographic observations.