Variations in incubator temperature and humidity management: a survey of current practice

Deguines, C.; Décima, Pauline; Pelletier, Amandine; Dégrugilliers, Loïc; Ghyselen, L.; Tourneux, P.

doi:10.1111/j.1651-2227.2011.02492.x

Cited by 30 publications

(21 citation statements)

References 23 publications

(31 reference statements)

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“…In preterm babies in incubators the use of a servo-controlled skin temperature at 36.5 ° C decreases neonatal mortality [122] . Preterm babies should be nursed in incubators with high relative humidity (60-80%) to reduce insensible water loss, although there is a paucity of data from clinical trials and a wide variation in practice amongst units [123] . Increasingly, skin-to-skin contact and kangaroo care are being utilized as a means of maintaining temperature to maximize the maternal-infant bonding experience, even in babies on MV [124,125] .…”

Section: Temperature Fluid and Nutritional Managementmentioning

confidence: 99%

European Consensus Guidelines on the Management of Neonatal Respiratory Distress Syndrome in Preterm Infants - 2013 Update

et al. 2013

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Despite recent advances in the perinatal management of neonatal respiratory distress syndrome (RDS), controversies still exist. We report updated recommendations of a European Panel of expert neonatologists who developed consensus guidelines after critical examination of the most up-to-date evidence in 2007 and 2010. This second update of the guidelines is based upon published evidence up to the end of 2012. Strong evidence exists for the role of antenatal steroids in RDS prevention, but it is still not clear if the benefit of repeated courses on respiratory outcomes outweighs the risk of adverse outcomes in the short and long term. Many practices involved in preterm neonatal stabilization at birth are not evidence based, including oxygen administration and positive pressure lung inflation, and they may at times be harmful. Surfactant replacement therapy is crucial in the management of RDS but the best preparation, optimal dose and timing of administration at different gestations is not completely clear. In addition, use of very early continuous positive airway pressure (CPAP) has altered the indications for prophylactic surfactant administration. Respiratory support in the form of mechanical ventilation may be lifesaving but can cause lung injury, and protocols should be directed at avoiding mechanical ventilation where possible by using non-invasive respiratory support such as CPAP. For babies with RDS to have best outcomes, it is essential that they have optimal supportive care, including maintenance of normal body temperature, proper fluid management, good nutritional support, appropriate management of the ductus arteriosus and support of the circulation to maintain adequate tissue perfusion.

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Section: Temperature Fluid and Nutritional Managementmentioning

confidence: 99%

European Consensus Guidelines on the Management of Neonatal Respiratory Distress Syndrome in Preterm Infants - 2013 Update

et al. 2013

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“…As for the language of publication, ten articles [7][8][9][10][11][12][13][14][15][16] were available in English and eight 6,[17][18][19][20][21][22][23] Regarding the NB skin, all authors [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] highlight the fragility and immaturity of its layers, especially the epidermis and its outermost layer, the stratum corneum, with concordance between the studies on the importance of preserving the integrity of integument, in order to promote safe care to hospitalized newborns.…”

Section: Resultsmentioning

confidence: 99%

Skin care of the newborn: the state of art

Santos¹,

Costa²

2015

R. pesq. cuid. fundam. online

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Objective: Recognizing the state of art regarding care for the skin of newborns. Method: It is an integrative literature review. The search for studies was performed in the Medline, Lilacs and BDENF databases, and 18 studies published between 2009 and 2013 were selected. Results: It indicated a variety of orientations, which may be used by health professionals in the care for the skin of newborns. The most frequently addressed topics were: causes for lesions, nursing care in the prevention of lesions, appropriate handling of the newborn infant, assessment of the skin, prevention of transepidermal water loss, body temperature regulation, use of emollients and antiseptics, bath, dressings, fixation of devices, prevention of pressure ulcers, care measures toward punctures and treatment of lesions. Conclusion: The study allowed updating the subject, enabling a humanized, individualized and qualified care that ensures the safety of the neonatal patient

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“…(13) In another study conducted with 186 health units in France, temperature control through skin mode was more commonly used for premature babies born before 28 weeks of gestation. (14) A low number of nursing technicians/aides and nurses reported having committed errors when handling neonatal incubators. No literature was found with data on this type of occurrence, whether with professionals or with patients.…”

Section: Discussionmentioning

confidence: 99%

Conhecimentos e práticas de manuseio de incubadoras neonatais por profissionais de enfermagem

2017

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Objectives: To compare knowledge and practices regarding the handling of neonatal incubators among nurses and nursing technicians/aides. Methods: This was a cross-sectional study conducted at the neonatal unit of a reference hospital, with data obtained via a questionnaire about the professionals' knowledge and direct, structured and nonparticipant observation of nursing team practices when handling incubators. The researchers developed a score to represent the adequateness of the practices observed. Results: No difference was observed between the two studied groups in terms of knowledge in handling incubators, except for knowledge about the benefit of humidification, cited mostly by nurses (p=0.040). No differences were observed when comparing practice scores obtained individually and the overall score (p=0.723). The incubator practices of nursing technicians/aides and nurses were 70% adequate, which is a low percentage considering the hospital's high complexity. Conclusion: In general, there was no difference between the nursing team members with regards to the studied knowledge and practices. ResumoObjetivos: Comparar conhecimentos e práticas de manuseio de incubadoras neonatais por enfermeiras e técnicas/auxiliares de enfermagem. Métodos: Estudo transversal, realizado em unidade neonatal de hospital de referência, com dados obtidos por questionário sobre conhecimentos e observação direta, estruturada e não participante, das práticas da equipe de enfermagem no manuseio de incubadoras. Criou-se escore de adequação de práticas realizadas. Resultados: Não houve diferença entre os dois grupos estudados, quanto aos conhecimentos sobre manuseio de incubadoras, exceto para o benefício de umidificação, mais citado entre enfermeiras (p=0,040). Comparando-se escores de práticas obtidos isoladamente e considerando o escore total, também não se constatou diferença (p=0,723). Técnicas/auxiliares de enfermagem e enfermeiras realizaram 70% de práticas adequadas ao manusearem a incubadora, proporção baixa, visto tratar-se de hospital de alta complexidade. Conclusão: Em geral, não houve diferença entre os componentes da equipe de enfermagem com relação aos conhecimentos e práticas estudadas.

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Variations in incubator temperature and humidity management: a survey of current practice

Abstract: We observed large variations in incubator temperature and humidity management approaches from one neonatal care unit to another. There is a need for more evidence to better inform practice. A task force should be formed to guide clinical practice.

Cited by 30 publications

References 23 publications

European Consensus Guidelines on the Management of Neonatal Respiratory Distress Syndrome in Preterm Infants - 2013 Update

European Consensus Guidelines on the Management of Neonatal Respiratory Distress Syndrome in Preterm Infants - 2013 Update

Skin care of the newborn: the state of art

Conhecimentos e práticas de manuseio de incubadoras neonatais por profissionais de enfermagem

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