Temperature changes during exercise stress testing in children with burns

R. P. Mlcak, M. H. Desai, E. Robinson, R. L. McCauley, M. C. Robson, David Herndon

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

It has been postulated that because of the extensive destruction of the skin and appendages after thermal injury, the thermoregulatory control mechanism would be impaired, and these patients would be intolerant to prolonged work. Preview studies demonstrate evidence that during work in a hot climate, patients with an extensively healed burn react with an excessive rise in body temperature. This study was designed to investigate the thermoregulatory response to exercise in pediatric patients with burns and to study changes in body temperature during exercise testing. Cardiopulmonary stress tests were completed in 32 children with a mean postburn time of 2.3 ± 1.5 years and a mean burn size of 44% ± 23% total body surface area. Exercise variables included expired volume, tidal volume, respiratory rate, tidal/dead space rate, heart rate, and work stage achieved. Temperature monitoring included external auditory canal temperature, burn scar, and normal skin temperature. Values were measured at baseline during and at maximum exercise. Our data indicate all patients reached the same endurance level regardless of the size of the total body surface area burn. Additionally, in a temperature-controlled environment, adequate heat dissipation in children with burns can be maintained during exercise testing without an excessive rise in body temperature.

Original languageEnglish (US)
Pages (from-to)427-430
Number of pages4
JournalJournal of Burn Care and Rehabilitation
Volume14
Issue number4
StatePublished - 1993

Fingerprint

Burns
Exercise
Temperature
Body Surface Area
Body Temperature
Hot Temperature
Body Temperature Changes
Controlled Environment
Ear Canal
Skin Temperature
Tidal Volume
Respiratory Rate
Climate
Exercise Test
Cicatrix
Heart Rate
Pediatrics
Skin
Wounds and Injuries

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery
  • Nursing(all)
  • Health Professions(all)

Cite this

Mlcak, R. P., Desai, M. H., Robinson, E., McCauley, R. L., Robson, M. C., & Herndon, D. (1993). Temperature changes during exercise stress testing in children with burns. Journal of Burn Care and Rehabilitation, 14(4), 427-430.

Temperature changes during exercise stress testing in children with burns. / Mlcak, R. P.; Desai, M. H.; Robinson, E.; McCauley, R. L.; Robson, M. C.; Herndon, David.

In: Journal of Burn Care and Rehabilitation, Vol. 14, No. 4, 1993, p. 427-430.

Research output: Contribution to journalArticle

Mlcak, RP, Desai, MH, Robinson, E, McCauley, RL, Robson, MC & Herndon, D 1993, 'Temperature changes during exercise stress testing in children with burns', Journal of Burn Care and Rehabilitation, vol. 14, no. 4, pp. 427-430.
Mlcak RP, Desai MH, Robinson E, McCauley RL, Robson MC, Herndon D. Temperature changes during exercise stress testing in children with burns. Journal of Burn Care and Rehabilitation. 1993;14(4):427-430.
Mlcak, R. P. ; Desai, M. H. ; Robinson, E. ; McCauley, R. L. ; Robson, M. C. ; Herndon, David. / Temperature changes during exercise stress testing in children with burns. In: Journal of Burn Care and Rehabilitation. 1993 ; Vol. 14, No. 4. pp. 427-430.
@article{63c3310205f94f2fa793373144ab0b3f,
title = "Temperature changes during exercise stress testing in children with burns",
abstract = "It has been postulated that because of the extensive destruction of the skin and appendages after thermal injury, the thermoregulatory control mechanism would be impaired, and these patients would be intolerant to prolonged work. Preview studies demonstrate evidence that during work in a hot climate, patients with an extensively healed burn react with an excessive rise in body temperature. This study was designed to investigate the thermoregulatory response to exercise in pediatric patients with burns and to study changes in body temperature during exercise testing. Cardiopulmonary stress tests were completed in 32 children with a mean postburn time of 2.3 ± 1.5 years and a mean burn size of 44{\%} ± 23{\%} total body surface area. Exercise variables included expired volume, tidal volume, respiratory rate, tidal/dead space rate, heart rate, and work stage achieved. Temperature monitoring included external auditory canal temperature, burn scar, and normal skin temperature. Values were measured at baseline during and at maximum exercise. Our data indicate all patients reached the same endurance level regardless of the size of the total body surface area burn. Additionally, in a temperature-controlled environment, adequate heat dissipation in children with burns can be maintained during exercise testing without an excessive rise in body temperature.",
author = "Mlcak, {R. P.} and Desai, {M. H.} and E. Robinson and McCauley, {R. L.} and Robson, {M. C.} and David Herndon",
year = "1993",
language = "English (US)",
volume = "14",
pages = "427--430",
journal = "Journal of Burn Care and Research",
issn = "1559-047X",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Temperature changes during exercise stress testing in children with burns

AU - Mlcak, R. P.

AU - Desai, M. H.

AU - Robinson, E.

AU - McCauley, R. L.

AU - Robson, M. C.

AU - Herndon, David

PY - 1993

Y1 - 1993

N2 - It has been postulated that because of the extensive destruction of the skin and appendages after thermal injury, the thermoregulatory control mechanism would be impaired, and these patients would be intolerant to prolonged work. Preview studies demonstrate evidence that during work in a hot climate, patients with an extensively healed burn react with an excessive rise in body temperature. This study was designed to investigate the thermoregulatory response to exercise in pediatric patients with burns and to study changes in body temperature during exercise testing. Cardiopulmonary stress tests were completed in 32 children with a mean postburn time of 2.3 ± 1.5 years and a mean burn size of 44% ± 23% total body surface area. Exercise variables included expired volume, tidal volume, respiratory rate, tidal/dead space rate, heart rate, and work stage achieved. Temperature monitoring included external auditory canal temperature, burn scar, and normal skin temperature. Values were measured at baseline during and at maximum exercise. Our data indicate all patients reached the same endurance level regardless of the size of the total body surface area burn. Additionally, in a temperature-controlled environment, adequate heat dissipation in children with burns can be maintained during exercise testing without an excessive rise in body temperature.

AB - It has been postulated that because of the extensive destruction of the skin and appendages after thermal injury, the thermoregulatory control mechanism would be impaired, and these patients would be intolerant to prolonged work. Preview studies demonstrate evidence that during work in a hot climate, patients with an extensively healed burn react with an excessive rise in body temperature. This study was designed to investigate the thermoregulatory response to exercise in pediatric patients with burns and to study changes in body temperature during exercise testing. Cardiopulmonary stress tests were completed in 32 children with a mean postburn time of 2.3 ± 1.5 years and a mean burn size of 44% ± 23% total body surface area. Exercise variables included expired volume, tidal volume, respiratory rate, tidal/dead space rate, heart rate, and work stage achieved. Temperature monitoring included external auditory canal temperature, burn scar, and normal skin temperature. Values were measured at baseline during and at maximum exercise. Our data indicate all patients reached the same endurance level regardless of the size of the total body surface area burn. Additionally, in a temperature-controlled environment, adequate heat dissipation in children with burns can be maintained during exercise testing without an excessive rise in body temperature.

UR - http://www.scopus.com/inward/record.url?scp=0027265870&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027265870&partnerID=8YFLogxK

M3 - Article

C2 - 8408166

AN - SCOPUS:0027265870

VL - 14

SP - 427

EP - 430

JO - Journal of Burn Care and Research

JF - Journal of Burn Care and Research

SN - 1559-047X

IS - 4

ER -