Cot-nursing versus incubator care for preterm infants

Gray, Peter; Flenady, Vicki

doi:10.1002/14651858.cd003062.pub2

Cited by 14 publications

(14 citation statements)

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“…The baseline characteristics including mean age of the neonates at admission, mean gestational age during delivery, mean age at the start of phototherapy, male-female ratio, mean weight of the neonates at admission in both groups showed no significant difference ( Table-I (Table-). There is no available data for the outcome measures of episodes of cold stress or hypothermia 5 . So, data on temperature showed no significant difference between the two groups.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Light Emitting Diodes (LED) versus Conventional Phototherapy for Neonatal Jaundice

Khairuzzaman

Ferdous

et al. 2018

Bangladesh J Child Health

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Background: Phototherapy is crucially an important aspect for the management of most neonatal jaundice. Neonates are prone to develop bilirubin encephalopathy (kernicterus). LED phototherapy is a new option of managing neonatal jaundice. The objective of this study is to compare the efficacy and safety of LEDs with fluorescent phototherapy in the treatment of indirect hyperbilirubinemia. Method:The study was Experimental research design, prospective study. The Study was conducted at Neonatal unit of Shaheed Suhrawardy Medical College Hospital, Dhaka. Total sample size of the study was one hundred neonates. Fifty for conventional phototherapy and fifty for LED phototherapy. Purposive sampling method was used for the study. The data collection tool of the study was pretested structured questionnaire. The modes of presentation, the clinical examination and investigation findings at admission and during daily follow up were recorded for individual patient.Result: The rate of fall of S. bilirubin was more in those neonates who have had LED phototherapy. As a result, duration of phototherapy as well as hospital stay was less in LED group. Furthermore, higher number of neonates developed rashes in LED group than in conventional group with statistically significant difference. Of course, variables regarding other adverse events did not show any statistically significant difference between two groups.Conclusion: Management of neonatal jaundice may be more effective in LED phototherapy than conventional phototherapy. LED device require shorter duration of phototherapy, thus, shorter hospital stay.

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Section: Resultsmentioning

confidence: 99%

“…LED phototherapy provides excellent clinical outcomes. The uniformity, intensity and wavelength of emitted light results in a 28% increase in bilirubin breakdown [5][6][7][8] .…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Light Emitting Diodes (LED) versus Conventional Phototherapy for Neonatal Jaundice

Khairuzzaman

Ferdous

et al. 2018

Bangladesh J Child Health

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“…Despite innovation and an explosion in new technology in the last 3 to 4 decades, the original concept has not changed much in the last 100 years. Old and well-known problems have also not been resolved, including the spatial limitations of treating a sick newborn inside of an enclosed environment, the changes in temperature and humidity when an incubator is opened, the difficulty in achieving contact for the mother, and a lower capacity to maintain temperature compared with a newer type of unit, the radiant warmer 2. In incubators, temperature is regulated by convection.…”

Section: Introductionmentioning

confidence: 99%

“…This is a problem because warmth through radiation may lead to a high water loss, particularly in premature newborns 10. A meta-analysis trial comparing incubator and radiant warmer2 in 2009 confirmed the higher water loss associated with the latter but did not find definitive answers on which one was the superior equipment.…”

Section: Introductionmentioning

confidence: 99%

A laminar flow unit for the care of critically ill newborn infants

Perez¹,

Golombek²,

Fajardo³

et al. 2013

MDER

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IntroductionMedical and nursing care of newborns is predicated on the delicate control and balance of several vital parameters. Closed incubators and open radiant warmers are the most widely used devices for the care of neonates in intensive care; however, several well-known limitations of these devises have not been resolved. The use of laminar flow is widely used in many fields of medicine, and may have applications in neonatal care.ObjectiveTo describe the neonatal laminar flow unit, a new equipment we designed for care of ill newborns.MethodsThe idea, design, and development of this device was completed in Sao Paulo, Brazil. The unit is an open mobile bed designed with the objective of maintaining the advantages of the incubator and radiant warmer, while overcoming some of their inherent shortcomings; these shortcomings include noise, magnetic fields and acrylic barriers in incubators, and lack of isolation and water loss through skin in radiant warmers. The unit has a pump that aspirates environmental air which is warmed by electrical resistance and decontaminated with High Efficiency Particulate Air Filter (HEPA) filters (laminar flow). The flow is directed by an air flow directioner. The unit has an embedded humidifier to increase humidity in the infant’s microenvironment and a servo control mechanism for regulation of skin temperature.ResultsThe laminar flow unit is open and facilitates access of care providers and family, which is not the case in incubators. It provides warming by convection at an air velocity of 0.45 m/s, much faster than an incubator (0.1 m/s). The system provides isolation 1000 class (less than 1,000 particles higher than 0.3 micron per cubic feet at all times). This is much more protection than an incubator provides and more than radiant warmers, which have no isolation whatsoever. Additionally, it provides humidification of the newborn’s microenvironment (about 60% relative humidity), which is impossible with a radiant warmer, which produces high water body loss. It has no mechanical barriers like acrylic walls, its magnetic field is lower than an incubator (0.25 μt versus 1.2 μt), and the noise is minimal compared to incubators. The unit is also able to provide controlled total body hypothermia, which is not possible with either of the other two units.ConclusionThe laminar flow unit for neonatal care is a novel device which we recently developed. The introduction of laminar flow technology represents a real innovation in the neonatal field. We have described the various components of the unit and the potential advantages for management of ill neonates. This will hopefully lead to improved clinical outcomes and more effective neonatal management and safety.

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“…As a result of evaporation, skin temperature can drop by 3˚C within a few minutes after birth. Evaporation is much higher in the case of premature newborns than that of mature babies, and may be larger than the total heat production [6]. Common causes of heat loss by preterm babies are as follows: n A high adverse relation of the body surface area to the weight in relation to the possibility of producing thermal energy, n Limited stocks of metabolic substrates, n A thin layer of subcutaneous fat as well as poorly developed muscles and other tissues involved in thermal insulation which do not provide an adequate barrier against heat loss, n The small diameter of the body makes that the volume of ambient air is less than for the diameter of an infant body born at the proper time, quantities of heat and ensures a proper body temperature, but in the case of premature babies this process is disrupted.…”

mentioning

confidence: 98%

Knitted Multi-Functional Clothing - the Main Part of a Textile Incubator for Premature Babies

Szałek

Mikołajczyk

2016

F&TinEE

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This publication presents an innovative concept for the construction of a textile incubator. A literature study was conducted concerning care for premature babies at neonatology intensive care units. Based on the physiological requirements of preterm infants, a textile incubator model was designed and manufactured. The incubator presented is composed of several layers of material. The primary function of the incubator is to maintain thermal, sensory and humidity comfort, to cool the newborn in case of programmed therapeutic hypothermia, as well as to maintain hospital sterilisation. In the first stage of work on the textile incubator we were focused on problems of the production and maintenance of heat inside the product and cooling the newborn. The most important element of the incubator construction is the heating-cooling-moistening mat, the aim of which is to deliver or receive heat from the premature baby, and to maintain adequate environmental moisture. Because the construction of the humidification mechanism is quite complicated, it is not presented in this publication. The assumed extreme values of temperatures of the functional mat are in the following ranges: for additional heating-such as stationary incubators T max = 39 °C, with a precision of 1 °C; in the case of cooling in the medical hypothermia planned T min = 29 °C, with a precision of 1 °C. The mat was made in the form of a 3D structure of three-layer weft knitted fabric with channels, manufactured on a cylindrical rib-knitting machine, needle gauge E20. Technological and structural parameters of the three-layer knitted mat manufactured were defined. A test stand for the analysis of heat transfer of the heating mat was designed and constructed.

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Cot-nursing versus incubator care for preterm infants

Abstract: Gray PH, Flenady V Gray PH, Flenady V.Cot-nursing versus incubator care for preterm infants.

Cited by 14 publications

References 20 publications

Effectiveness of Light Emitting Diodes (LED) versus Conventional Phototherapy for Neonatal Jaundice

Effectiveness of Light Emitting Diodes (LED) versus Conventional Phototherapy for Neonatal Jaundice

A laminar flow unit for the care of critically ill newborn infants

Knitted Multi-Functional Clothing - the Main Part of a Textile Incubator for Premature Babies

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