Warmed IV Fluids to Neonates

Ha, Giang Le; Kwon, Lois; Lubin, Jeffrey

doi:10.1016/j.amj.2021.08.022

Cited by 3 publications

(3 citation statements)

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“…Providing cool or room temperature intravenous fluids may lead to inadvertent cooling of neonates, resulting in an increased chance of hypothermia. Although there are many interventions that have been studied to provide improved thermal care to LBW neonates, intravenous fluid warmers have not received the attention it deserves, particularly in EP-ELBW infants, during NICU admission and transport [40 ▪ ].…”

Section: Review Of Golden Hour Components and Evidencementioning

confidence: 99%

Neonatal Golden Hour: a review of current best practices and available evidence

Lamary

Bertoni

Schwabenbauer

et al. 2023

Current Opinion in Pediatrics

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Purpose of reviewRecommendations made by several scientific bodies advocate for adoption of evidence-based interventions during the first 60 min of postnatal life, also known as the ‘Golden Hour’, to better support the fetal-to-neonatal transition. Implementation of a Golden Hour protocol leads to improved short-term and long-term outcomes, especially in extremely premature and extreme low-birth-weight (ELBW) neonates. Unfortunately, several recent surveys have highlighted persistent variability in the care provided to this vulnerable population in the first hour of life.Recent findingsSince its first adoption in the neonatal ICU (NICU) in 2009, published literature shows a consistent benefit in establishing a Golden Hour protocol. Improved short-term outcomes are reported, including reductions in hypothermia and hypoglycemia, efficiency in establishing intravenous access, and timely initiation of fluids and medications. Additionally, long-term outcomes report decreased risk for bronchopulmonary dysplasia (BPD), intraventricular hemorrhage (IVH) and retinopathy of prematurity (ROP).SummaryCritical to the success and sustainability of any Golden Hour initiative is recognition of the continuous educational process involving multidisciplinary team collaboration to ensure coordination between providers in the delivery room and beyond. Standardization of practices in the care of extremely premature neonates during the first hour of life leads to improved outcomes.Video Abstracthttp://links.lww.com/MOP/A68.

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Section: Review Of Golden Hour Components and Evidencementioning

confidence: 99%

Neonatal Golden Hour: a review of current best practices and available evidence

Lamary

Bertoni

Schwabenbauer

et al. 2023

Current Opinion in Pediatrics

View full text Add to dashboard Cite

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“…Figures (7) and (8) show that the whole circuitry is enclosed inside a closed system, and the procedure to wrap the jacket over the IV fluid container. The buttons enable convenient setup, while the temperature sensor monitors heat regulation.…”

Section: Design and Developmentmentioning

confidence: 99%

“…It may be employed in military situations when a reliable power supply is unavailable. In the research comparing commercially available IV fluid warmers enFLOWTM and buddy liteTM, Giang Le Ha MTM et al [8] found that enFLOWTM is more consistent than buddy liteTM. It was observed that most of the warmers were based on heating the disposable component to heat the fluid, which may generate a significant amount of disposable trash.…”

Section: Introductionmentioning

confidence: 99%

Design and development of IV fluid warming system using TRIZ methodology

2023

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In intravenous (IV) tube infusion therapy, various fluids, such as saline, glucose, blood, and others, are infused into the body via the veins leading to the heart, causing the fluids to circulate throughout the body. The IV fluid is packaged in a flexible plastic-based container, and during therapy, the container is kept in an open environment that could either cool or warm the fluid. The body’s core temperature, which is usually 37 °C, catastrophic drops when this cool intravenous fluid is combined with blood, resulting in hypothermia and other health complications. It can be life-threatening for young newborns, severe patients, and elderly individuals. Nearly 14% of hospitalized patients are hypothermic upon arrival. In this study, a portable IV fluid warming system was made that warms the intravenous fluids before they reach the human body, preventing hypothermia by maintaining the required temperature. The solution was formulated using the TRIZ contradiction matrix. Various processes involved in resolving the conflict via the TRIZ matrix were investigated in depth, and the device was subsequently made employing the ideas. The device consists of an encased heating jacket that can be wrapped all around the IV fluid container to heat the fluid without direct contact, thereby eliminating the risk of contamination. It works on a feedback control system & simplifies temperature regulation desired by the physician. The design was validated via thermal analysis in software, and via experimentation, both the results were within a close tolerance of each other, which proves the design successful. Later, the equipment was certified by an ISO 13485-accredited facility, and currently, testing is ongoing in hospitals under supervision. The developed IV fluid warmer is cost-effective, recyclable, and ergonomically designed for user comfort compared to conventional commercial warmers.

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