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April/May 2001, Volume 21, Number 3, Pages 167-173 |
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Original Article |
Thermal Stability and Transition Studies With a Hybrid Warming Device for Neonates† |
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| Jay S Greenspan MD1, Aaron B Cullen MD, PhD candidate2, Suzanne M Touch MD1, Marla R Wolfson PhD2 and Thomas H Shaffer PhD2 |
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1Thomas Jefferson University Hospital (J. S. G., S. M. T.), Thomas Jefferson University, Philadelphia, PA
2Temple University School of Medicine (A. B. C., M. R. W., T. H. S.), Philadelphia, PA
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Correspondence to: Jay S. Greenspan, Thomas Jefferson University, 700 College Building, 1025 Walnut Street, Philadelphia, PA 19107
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†Supported in part by the Infant Care Initiative grant from Hill-Rom Air-Shields.
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Abstract |
| OBJECTIVE: The use of both warmer beds and incubators is common in neonatal intensive care units (NICU), and transferring between these two warming devices is a routine and necessary event. This study was designed to evaluate the efficacy of a new hybrid-warming device, the VersaletÔ, in transitioning a preterm animal from a warmer bed to an incubator mode and back. STUDY DESIGN: Nine premature lambs were randomized, following delivery, to receive thermal support from a conventional warming bed and an incubator (control group), or from the VersaletÔ (study group) in the warmer bed and incubator modes. Core and various surface temperatures, as well as physiological parameters were measured first during warming in the radiant warmer bed mode, VersaletÔ or ResuscitaireÔ and then during transition to the incubator mode, VersaletÔ or IsoletteÔ, and then back to the warmer bed mode. RESULTS: The animals remained stable during all the transitions. Despite careful planning, adverse events occurred in the control group during transfers. There were no significant differences in the temperature or physiologic profiles during any of the transitions in either group. CONCLUSION: Compared with the standard warming technique used in NICUs (separate warmer bed and incubator), the Versalet provides similar thermal and cardiovascular stability without adverse events during transition to different modes of warming. The degree to which this device would contribute to ease of management and improved outcomes in humans needs to be evaluated in a clinical trial. Journal of Perinatology 2001; 21:167-173. |
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Received 20 July 2000; accepted 26 December 2000 |
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April/May 2001, Volume 21, Number 3, Pages 167-173 |
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