S254 – Bone Conduction Noise Exposure via Ventilators in the NICU
Objectives To demonstrate that neonatal ventilators produce high noise levels through bone conduction (BC) via endotracheal tubes, as well as air conduction (AC) from ambient noise. Methods A sound level meter was used to measure the noise levels 4 feet from the ventilator and in direct contact at the end of a balloon attached to the ETT to simulate the noise presented to the infant. 3 commonly used neonatal ventilators (Sensormedics 3100A, VIP Bird and Bunnell Jet) were examined. Results Noise levels were significantly higher (6 – 14 dB) at the end of the ETT than 4 ft from the ventilator for all ventilators studied. Conclusions Previous studies have shown high ambient noise levels in NICUs, but have failed to address the actual noise presented to the infant. ETT transmission of noise as a direct bone stimulus through the skull has been overlooked. This study has shown that high noise intensities are being presented not only as AC, but as BC to the infants though the ETT. This study demonstrates, therefore, that ear protection alone will not save these at-risk infants from hearing damage. More must be done to decrease noise exposure and develop quieter machines.