Incubators

Braun, Guenther; Hentschel, Roland

doi:10.1007/978-3-540-74658-4_71

Cited by 4 publications

(9 citation statements)

References 1 publication

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“…Whilst allowing easier access, open incubators do not offer a protective “bubble” around the infant. Moreover, they have high energy consumption requiring a constant and efficient electric energy supply ( 38 ).…”

Section: Introductionmentioning

confidence: 99%

“…Closed incubators are designed to provide a stable microclimate, offering an environment where temperature, humidity, and sometimes oxygen can be thoroughly regulated. In addition, the protected space guarantees some isolation from pathogens (through air filters) and noise of the surrounding environment, while still allowing access ( 38 ). The concomitant presence of all these operational features in one single device is fundamental considering the overlapping medical conditions newborns may display right after birth ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

“…Transport incubators are usually closed, small and minimalistic in their functionality, characterized by intuitive design and interfaces ( 38 ).…”

Section: Introductionmentioning

confidence: 99%

“…The incubator market is moderately competitive, as only a handful of major manufacturers, like GE Healthcare and Natus Medical Incorporated (US), Drägerwerk AG & Co. KGaA (Germany), Atom Medical Corporation (Japan), and Phoenix Medical Systems (Pvt) Ltd. (India) account for the most part of its share 4 . The cost of standard incubators varies considerably, spanning form 1,500 U$ (for some transport incubators) to 50,000 U$ (for some closed NICU incubators) ( 38 , 39 ).…”

Section: Introductionmentioning

confidence: 99%

“…For these reasons, most “western” incubators are not suitable for LMICs and SSA. Increased complexity often comes with technical faults alongside the need for additional qualified training, which overall further increase their market price ( 38 ).…”

Section: Introductionmentioning

confidence: 99%

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Ending Neonatal Deaths From Hypothermia in Sub-Saharan Africa: Call for Essential Technologies Tailored to the Context

Pisoni

Gaulis

Suter

et al. 2022

Front. Public Health

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Neonatal death represents a major burden in Sub-Saharan Africa (SSA), where the main conditions triggering mortality, such as prematurity, labor complications, infections, and respiratory distress syndrome, are frequently worsened by hypothermia, which dramatically scales up the risk of death. In SSA, the lack of awareness on the procedures to prevent hypothermia and the shortage of essential infant devices to treat it are hampering the reduction of neonatal deaths associated to hypothermia. Here, we offer a snapshot on the current available medical solutions to prevent and treat hypothermia in SSA, with a focus on Kenya. We aim to provide a picture that underlines the essential need for infant incubators in SSA. Specifically, given the inappropriateness of the incubators currently on the market, we point out the need for reinterpretation of research in the field, calling for technology-based solutions tailored to the SSA context, the need, and the end-user.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Transport incubators are usually closed, small and minimalistic in their functionality, characterized by intuitive design and interfaces ( 38 ).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ending Neonatal Deaths From Hypothermia in Sub-Saharan Africa: Call for Essential Technologies Tailored to the Context

Pisoni

Gaulis

Suter

et al. 2022

Front. Public Health

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Design and Implementation of Cost-efficient Prototype Neonatal Intensive Care Unit (NICU) for Premature Born Babies

Hasan,

Majumder,

Hossain

2023

Jmeditec

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A baby incubator is a device created to give premature infants a safe, regulated environment to live in while their important organs grow. Babies who are born prematurely do so under uncommon conditions, such as when the gestational age is fewer than nine months or the newborn weighs less than the average range of 2500 to 4000 grams. Hypothermia after birth can cause premature newborns' body temperatures to decrease sharply and considerably. Premature deaths are currently more likely to be connected to exogenous socio-environmental causes. The baby incubator is a great solution to this problem. However, the cost of the infant incubator is an issue. According to a study, preterm babies are more likely to die in low-income countries. Premature babies' survival rates in low-income nations are 30% for those born between 28 and 32 weeks and 1% for those born before 28 weeks, compared to 95% for those born between 28 and 32 weeks and 60% for those born before 28 weeks in high-income nations. This is because the infant incubator is too expensive to be employed in low-income nations. In order to solve this issue, we created a low-cost incubator for premature infants. Using an Arduino UNO with sensors: 1. A temperature and humidity sensor; 2. A gas sensor, the low-cost incubator being created can measure the temperature, relative humidity, and carbon dioxide levels in the baby's environment. Then it will utilize a temperature control fan, a humidity control fan, and a gas level control fan to automatically regulate the environment. These affordable incubators can be produced and used in these low-income countries, giving prematurely born babies an opportunity to use them and live.

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Neonatal warming devices: What can be recommended for low-resource settings when skin-to-skin care is not feasible?

2023

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Hypothermia occurs frequently among clinically unstable neonates who are not suitable to place in skin-to-skin care. This study aims to explore the existing evidence on the effectiveness, usability, and affordability of neonatal warming devices when skin-to-skin care is not feasible in low-resource settings. To explore existing data, we searched for (1) systematic reviews as well as randomised and quasi-randomised controlled trials comparing the effectiveness of radiant warmers, conductive warmers, or incubators among neonates, (2) neonatal thermal care guidelines for the use of warming devices in low-resource settings and (3) technical specification and resource requirement of warming devices which are available in the market and certified medical device by the US Food and Drug Administration or with a CE marking. Seven studies met the inclusion criteria, two were systematic reviews comparing radiant warmers vs. incubators and heated water-filled mattresses vs. incubators, and five were randomised controlled trials comparing conductive thermal mattresses with phase-change materials vs. radiant warmers and low-cost cardboard incubator vs. standard incubator. There was no significant difference in effectiveness between devices except radiant warmers caused a statistically significant increase in insensible water loss. Seven guidelines covering the use of neonatal warming devices show no consensus about the choice of warming methods for clinically unstable neonates. The main warming devices currently available and intended for low-resource settings are radiant warmers, incubators, and conductive warmers with advantages and limitations in terms of characteristics and resource requirements. Some devices require consumables which need to be considered when making a purchase decision. As effectiveness is comparable between devices, specific requirements according to patients' characteristics, technical specification, and context suitability must play a primary role in the selection and purchasing decision of warming devices. In the delivery room, a radiant warmer allows fast access during a short period and will benefit numerous neonates. In the neonatal unit, warming mattresses are low-cost, effective, and low-electricity consumption devices. Finally, incubators are required for very premature infants to control insensible water losses, mainly during the first one to two weeks of life, mostly in referral centres.

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Incubators

Cited by 4 publications

References 1 publication

Ending Neonatal Deaths From Hypothermia in Sub-Saharan Africa: Call for Essential Technologies Tailored to the Context

Ending Neonatal Deaths From Hypothermia in Sub-Saharan Africa: Call for Essential Technologies Tailored to the Context

Design and Implementation of Cost-efficient Prototype Neonatal Intensive Care Unit (NICU) for Premature Born Babies

Neonatal warming devices: What can be recommended for low-resource settings when skin-to-skin care is not feasible?

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