A Survey on Neonatal Incubator Monitoring System

Rajalakshmi, A.; Sunitha, K. A.; Venkataraman, Revathi

doi:10.1088/1742-6596/1362/1/012128

Cited by 15 publications

(13 citation statements)

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“…However, future studies might shed light on additional elements to take into account. Following the expert panel’s judgment, the NAME model might also be enhanced by integrating physiological parameters like heart rate, respiratory rate, blood pressure, SpO 2 , temperature (vital signs already monitored in NICUs) [ 47 , 48 ], or heart rate variability – a measurement that is emerging as reliable and valid to predict and monitor the infants’ clinical progression [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

The neonatal assessment manual score (NAME) for improving the clinical management of infants: a perspective validity study

Manzotti

Chiera²,

Galli³

et al. 2021

Ital J Pediatr

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Background and objectives The Neonatal Assessment Manual scorE (NAME) was developed to assist in the clinical management of infants in the neonatal ward by assessing their body’s compliance and homogeneity. The present study begins its validation process. Methods An expert panel of neonatal intensive care unit (NICU) professionals investigated the NAME face and content validity. Content validity was assessed through the content validity index (CVI). Construct validity was assessed using data collected from 50 newborns hospitalized in the NICU of “Vittore Buzzi” Children Hospital of Milan, Italy. Kendall’s τ and ordinal logistic regressions were used to evaluate the correlation between the NAME scores and infants’ gestational age, birth weight, post-menstrual age, weight at the time of assessment, and a complexity index related to organic complications. Results The CVIs for compliance, homogeneity, and the whole scale were respectively 1, 0.9, and 0.95. Construct validity analysis showed significant positive correlations between the NAME and infants’ weight and age, and a negative correlation between the NAME and the complexity index (τ = − 0.31 [95% IC: − 0.47, − 0.12], p = 0.016 and OR = 0.56 [95% IC: 0.32, 0.94], p = 0.034 for categorical NAME; τ = − 0.32 [95% IC: − 0.48, − 0.14], p = 0.005 for numerical NAME). Conclusions The NAME was well accepted by NICU professionals in this study and it demonstrates good construct validity in discriminating the infant’s general condition. Future studies are needed to test the NAME reliability and predictive capacity.

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Section: Discussionmentioning

confidence: 99%

The neonatal assessment manual score (NAME) for improving the clinical management of infants: a perspective validity study

Manzotti

Chiera²,

Galli³

et al. 2021

Ital J Pediatr

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“…In essence, they guarantee a clean and controlled environment concerning temperature, humidity, and even mechanical noise and light. They monitor vital signs through sensors and electrodes placed on the babies (Rajalakshmi et al, 2019).…”

Section: A Technological Analysis To Efficiently Monitor and Use Hrv mentioning

confidence: 99%

“…The foremost vital signs-temperature, blood pressure, pulse frequency, HR, and SpO 2 -are measured through monitors for the control of pressure, cardiorespiratory system, skin temperature, and carbon dioxide and oxygen concentrations; pulse oximetry; and mechanical ventilator. In the case of anomalies, an alarm alerts the NICU staff to intervene promptly (Rajalakshmi et al, 2019).…”

Section: A Technological Analysis To Efficiently Monitor and Use Hrv mentioning

confidence: 99%

“…Relying upon the instruments already present in NICUs is paramount (Rajalakshmi et al, 2019); in particular, due to the advantages over ECG, PPG could be the instrument to choose, although PPG-based computation can suffer from precision issues compared with ECG-based computation (Kevat et al, 2017;Pernice et al, 2019b;Henry et al, 2020).…”

Section: The Future Perspectives For the Clinical Use Of Hrv In The Nmentioning

confidence: 99%

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Heart Rate Variability in the Perinatal Period: A Critical and Conceptual Review

Chiera¹,

Cerritelli²,

Casini³

et al. 2020

Front. Neurosci.

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Neonatal intensive care units (NICUs) greatly expand the use of technology. There is a need to accurately diagnose discomfort, pain, and complications, such as sepsis, mainly before they occur. While specific treatments are possible, they are often timeconsuming, invasive, or painful, with detrimental effects for the development of the infant. In the last 40 years, heart rate variability (HRV) has emerged as a noninvasive measurement to monitor newborns and infants, but it still is underused. Hence, the present paper aims to review the utility of HRV in neonatology and the instruments available to assess it, showing how HRV could be an innovative tool in the years to come. When continuously monitored, HRV could help assess the baby's overall wellbeing and neurological development to detect stress-/painrelated behaviors or pathological conditions, such as respiratory distress syndrome and hyperbilirubinemia, to address when to perform procedures to reduce the baby's stress/pain and interventions, such as therapeutic hypothermia, and to avoid severe complications, such as sepsis and necrotizing enterocolitis, thus reducing mortality. Based on literature and previous experiences, the first step to efficiently introduce HRV in the NICUs could consist in a monitoring system that uses photoplethysmography, which is low-cost and non-invasive, and displays one or a few metrics with good clinical utility. However, to fully harness HRV clinical potential and to greatly improve neonatal care, the monitoring systems will have to rely on modern bioinformatics (machine learning and artificial intelligence algorithms), which could easily integrate infant's HRV metrics, vital signs, and especially past history, thus elaborating models capable to efficiently monitor and predict the infant's clinical conditions. For this reason, hospitals and institutions will have to establish tight collaborations between the obstetric, neonatal, and pediatric departments: this way, healthcare would truly improve in every stage of the perinatal period (from conception to the first years of life), since information about patients' health would flow freely among different professionals, and high-quality research could be performed integrating the data recorded in those departments.

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“…Oleh karena itu, untuk mengurangi beban kerja para tenaga medis, dan mengurangi kemungkinan kesalahan pembacaan data pada pasien diperlukan alat yang dapat memantau kondisi vital khususnya parameter vital SpO2 beberapa bayi sekaligus dengan jarak yang cukup jauh, sehingga tenaga medis dapat memantau secara kontinyu kondisi vital bayi pada satu tempat. [20] pada penelitian ini hanya fokus pada pemantauan alat baby incubator serta pernafasan bayi yang ada dilamnya saja.…”

Section: Issn: 2407-8964unclassified

Pengembangan Pusat Pemantauan Central SpO2 untuk Ruang Neonate denga Sistem Wireless

2020

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Monitoring status kesehatan bayi merupakan hal yang sangat penting khususnya pada bayi yang lahir secara prematur. Pemantauan kadar saturasi oksigen pada bayi baru lahir dapat membantu mendeteksi dini kelainan-kelainan bawaan pada bayi tersebut. Tujuan dari penelitian ini adalah untuk membuat dan mendisain sebuah alat yang dapat digunakan untuk melakukan pemantauan kondisi nilai Saturasi Oksigen (SpO2) beberapa pasien sekaligus secara kontinyu dengan jarak yg cukup jauh sehingga tenaga medis tidak perlu mendatangi satu persatu baby incubator secara berkala untuk melakukan pemantauan kadar nilai Saturasi Oksigen (SpO2) pasien di dalam baby incubator. Dimana pada pembahasan penelitian kali ini akan membuat 2 modul alat monitoring yang dapat digunakan untuk memantau 2 bayi prematur pada baby incubator secara bersamaan menggunakan 2 sensor berbeda, yaitu pada modul 1 akan menggunakan sensor Fingertip Neonatal dan pada modul 2 akan menggunakan sensor Max 30100. Alat ini akan menampilkan nilai dan sinyal saturasi oksigen (SpO2) pada sebuah PC secara bersamaan. Pemantauan pada alat ini dilakukan secara wireless menggunakan modul Bluetooth HC-05. Berdasarkan dari hasil pengujian dan pengukuran modul yang telah di buat, pada 5 pasien berbeda dengan menggunakan pembanding pulse oxymeter pada sensor Max 30100 didapatkan nilai selisih sebesar 1% pada masing-masing hasil pasien, pada sensor fingertip neonatal juga didapatkan nilai selisih 1% pada masing-masing pasien. Pada pengujian jarak, alat ini mampu memantau kondisi 2 pasien secara bersamaan dengan jarak maksimal 3,5 meter. Hasil penelitian ini dapat diimplementasikan pada sistem pemantauan pada ruang NICU untuk membantu mengurangi beban kerja tenaga medis dan untuk meningkatkan efektifitas pelayanan Rumah Sakit. Monitoring the health status of babies is very important, especially for babies born prematurely. Monitoring oxygen saturation levels in newborns can help detect early congenital abnormalities in these babies. The purpose of this study is to create and design a tool that can be used to monitor the condition of Oxygen Saturation (SpO2) values of several patients at once continuously with a great distance so that medical staff do not need to go one by one baby incubators periodically to monitor levels Oxygen Saturation (SpO2) value of the patient in the baby incubator. Where in the discussion of this study will make 2 monitoring tool modules that can be used to monitor 2 premature babies in a baby incubator simultaneously using 2 different sensors, namely in module 1 will use the Neonatal Fingertip sensor and in module 2 will use the Max 30100 sensor. it displays the value and oxygen saturation signal (SpO2) on a PC simultaneously. Monitoring on this device is carried out wirelessly using the Bluetooth module HC-05. Based on the test results and module measurements that have been made, in 5 different patients using a pulse oxymeter comparator on the Max 30100 sensor a difference of 1% was obtained in each patient's result, in the neonatal fingertip sensor also obtained a difference of 1% in each - each patient. In distance testing, this tool is able to monitor the condition of 2 patients simultaneously with a maximum distance of 3.5 meters. The results of this study can be implemented in a monitoring system in the NICU room to help reduce the workload of medical personnel and to improve the effectiveness of hospital services.

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A Survey on Neonatal Incubator Monitoring System

Cited by 15 publications

References 1 publication

The neonatal assessment manual score (NAME) for improving the clinical management of infants: a perspective validity study

The neonatal assessment manual score (NAME) for improving the clinical management of infants: a perspective validity study

Heart Rate Variability in the Perinatal Period: A Critical and Conceptual Review

Pengembangan Pusat Pemantauan Central SpO2 untuk Ruang Neonate denga Sistem Wireless

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