Document Detail


The infant incubator in the neonatal intensive care unit: unresolved issues and future developments.
MedLine Citation:
PMID:  19591569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Since the 19th century, devices termed incubators were developed to maintain thermal stability in low birth weight (LBW) and sick newborns, thus improving their chances of survival. Remarkable progress has been made in the production of infant incubators, which are currently highly technological devices. However, they still need to be improved in many aspects. Regarding the temperature and humidity control, future incubators should minimize heat loss from the neonate and eddies around him/her. An unresolved issue is exposure to high noise levels in the Neonatal Intensive Care Unit (NICU). Strategies aimed at modifying the behavior of NICU personnel, along with structural improvements in incubator design, are required to reduce noise exposure. Light environment should be taken into consideration in designing new models of incubators. In fact, ambient NICU illumination may cause visual pathway sequelae or possibly retinopathy of prematurity (ROP), while premature exposure to continuous lighting may adversely affect the rest-activity patterns of the newborn. Accordingly, both the use of incubator covers and circadian lighting in the NICU might attenuate these effects. The impact of electromagnetic fields (EMFs) on infant health is still unclear. However, future incubators should be designed to minimize the EMF exposure of the newborn.
Authors:
Roberto Antonucci; Annalisa Porcella; Vassilios Fanos
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  37     ISSN:  1619-3997     ISO Abbreviation:  J Perinat Med     Publication Date:  2009  
Date Detail:
Created Date:  2009-11-13     Completed Date:  2010-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  587-98     Citation Subset:  IM    
Affiliation:
Neonatal Intensive Care Unit, Department of Pediatrics and Clinical Medicine, University of Cagliari, Cagliari, Italy. r.antonucci@unica.it
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MeSH Terms
Descriptor/Qualifier:
Body Temperature Regulation
Developing Countries
Electromagnetic Fields / adverse effects
Environment, Controlled
Equipment Design / trends
Humans
Humidity
Incubators, Infant* / adverse effects,  trends
Infant, Low Birth Weight
Infant, Newborn
Intensive Care Units, Neonatal* / trends
Lighting / adverse effects,  trends
Noise / adverse effects,  prevention & control
Temperament
Transportation of Patients

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