scholarly journals Comparative Study of Newborns with Respiratory Pathologies, Preterm Limitrophe and Term in Use of Intensive Care Incubators and the Neonatal Laminar Flow Unit

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Intensive Care ◽  
Laminar Flow ◽  
Magnetic Fields ◽  
Comparative Study ◽  
Therapeutic Hypothermia ◽  
Newborn Infants ◽  
Flow Unit

The use of incubators in the management of newborn infants dates to more than one hundred years of history, however, even today there are limitations to its use, such as poor isolation, difficulty in accessing and managing the newborn, noises and high levels of magnetic fields [1-5]. The neonatal laminar flow unit was created and developed in Brazil in 2004, and its concepts and studies have already been published for its use in therapeutic hypothermia [6-8].

scholarly journals Insufficient Humidification of Respiratory Gases in Patients Who Are Undergoing Therapeutic Hypothermia at a Paediatric and Adult Intensive Care Unit

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Yukari Tanaka ◽  
Sachiko Iwata ◽  
Masahiro Kinoshita ◽  
Kennosuke Tsuda ◽  
Shoichiro Tanaka ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Therapeutic Hypothermia ◽  
Newborn Infants ◽  
Absolute Humidity ◽  
Optimal Level ◽  
Gas Temperature ◽  
Adult Intensive Care Unit ◽  
Respiratory Gases ◽  
Default Setting

For cooled newborn infants, humidifier settings for normothermic condition provide excessive gas humidity because absolute humidity at saturation is temperature-dependent. To assess humidification of respiratory gases in patients who underwent moderate therapeutic hypothermia at a paediatric/adult intensive care unit, 6 patients were studied over 9 times. Three humidifier settings, 37-default (chamber-outlet, 37°C; Y-piece, 40°C), 33.5-theoretical (chamber-outlet, 33.5°C; Y-piece, 36.5°C), and 33.5-adjusted (optimised setting to achieve saturated vapour at 33.5°C using feedback from a thermohygrometer), were tested. Y-piece gas temperature/humidity and the incidence of high (>40.6 mg/L) and low (<32.9 mg/L) humidity relative to the target level (36.6 mg/L) were assessed. Y-piece gas humidity was 32.0 (26.8–37.3), 22.7 (16.9–28.6), and 36.9 (35.5–38.3) mg/L {mean (95% confidence interval)} for 37-default setting, 33.5-theoretical setting, and 33.5-adjusted setting, respectively. High humidity was observed in 1 patient with 37-default setting, whereas low humidity was seen in 5 patients with 37-default setting and 8 patients with 33.5-theoretical setting. With 33.5-adjusted setting, inadequate Y-piece humidity was not observed. Potential risks of the default humidifier setting for insufficient respiratory gas humidification were highlighted in patients cooled at a paediatric/adult intensive care unit. Y-piece gas conditions can be controlled to the theoretically optimal level by adjusting the setting guided by Y-piece gas temperature/humidity.

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

2013 ◽  
pp. 163 ◽  
Author(s):  
Augusto Sola ◽  
Jose Perez ◽  
Sergio Golombek ◽  
Carlos Fajardo
Keyword(s):  
Laminar Flow ◽  
Critically Ill ◽  
Newborn Infants ◽  
Flow Unit

BACTERIAL COLONIZATION OF NEWBORN INFANTS IN A NEONATAL INTENSIVE CARE UNIT

1982 ◽  
Vol 71 (5) ◽  
pp. 779-783 ◽  
Author(s):  
M. ERIKSSON ◽  
B. MELÉN ◽  
K.-E. MYRBÄCK ◽  
B. WINBLADH ◽  
R. ZETTERSTRÖM
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Bacterial Colonization ◽  
Newborn Infants

Safety in Incubators: A Hazard Now Corrected

PEDIATRICS ◽  
1971 ◽  
Vol 48 (1) ◽  
pp. 165-165
Author(s):  
Margery Franklin ◽  
Ruth M. Heyn ◽  
Dietric W. Roloff
Keyword(s):  
Intensive Care ◽  
Newborn Infants ◽  
Recent Experience ◽  
Potential Hazard ◽  
Care Model ◽  
Change Position

A recent experience made us aware of a potential hazard from equipment used in the care of newborn infants. A newborn boy who weighed 1,585 gm after 36 weeks' gestation and thus was small for date, was cared for in an Air-Shields C-86 Isolette, Intensive Care Model. He became very active and was able to change position inside the incubator. On several occasions he was seen with his head or feet pressed against the sides of the incubator.

A method for measurement of oxygen uptake in neonates

1979 ◽  
Vol 46 (6) ◽  
pp. 1200-1204 ◽  
Author(s):  
D. B. Raemer ◽  
D. R. Westenskow ◽  
D. K. Gehmlich ◽  
C. P. Richardson ◽  
W. S. Jordan
Keyword(s):  
Intensive Care ◽  
Oxygen Uptake ◽  
Positive Airway Pressure ◽  
Animal Experiments ◽  
Newborn Infants ◽  
Positive End Expiratory Pressure ◽  
Newborn Intensive Care Unit ◽  
Frequent Use ◽  
Newborn Intensive Care

The frequent use of continuous positive airway pressure and positive end-expiratory pressure in newborn infants with pulmonary disease has prevented the use of conventional methods for measuring oxygen uptake (VO2) in intensive-care units. A feed-back replenishment technique for the determination of the oxygen uptake of these newborn infants has been developed. An instrument utilizing this method has been designed and built permitting continuous VO2 monitoring without interfering in the routine ventilatory therapy of the critically ill infant. Theoretical, bench, and animal experiments using room air as an inspired gas indicate instrument accuracies as a percentage of full scale of 2.4, 2.8, and 7.3, respectively. Preliminary trials on infants demonstrate that the instrument functions satisfactorily in the newborn intensive-care unit.

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