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• W4381887189 abstract "Introduction A critical care air and ground transport system located in eastern North Carolina has limited isolette access. Transport time for this transport system is about 2-4 hours (air/ground). This system uses BabyPod for infants less than 5kg but recently obtained NeoMate. This project aimed to compare two devices, determining if NeoMate could maintain temperature ranges comparable to BabyPod, rate of temperature change between two devices, and if temperature control could be achieved with NeoMate. Methods A comparative study was performed on three dates with environmental variations replicating common local conditions. Infants simulated using bags of saline with hats, continuous temperature monitoring, and Thermawarm mattresses. The NeoMate “baby” was enveloped by a survival blanket and BabyPod closed, secured to a transport stretcher. Temperatures obtained every 10 minutes for at least 2 hours. On Day 1, tested indoors for baseline, “babies” unheated. The temperature baseline was 71.4°F (21.9°C), cooling to 67.7°F (19.8°C) by end; a temperature stability challenge. On Day 2, the bags were warmed by heating pad for 5 hours to raise bag temperature closer to body temperature. Heating stopped with temperature plateau. Preparation completed inside vehicle to reduce environmental interference, then egressed. Baseline temperature was 59.4°F (15.2°C), 16mph winds, and a wind chill of 40°F (4.4°C). Wind chill dropped to 31°F (-0.6°C) at 1 hour and maintained. After 2 hours, temperature dropped to 42.4°F (5.8°C). The wind possibly interfered. Day 3 test adapted to improve temperature control realistic simulation of body temperature. Saline heated by isolette; test conducted in unheated ambulance blocking elements. Outside air was 55.6°F (13.2°C) and raised to 57.2°F (14.0°C) at end. Results Day 1 “baby” temperatures initially equal. Ambient temperature dropped, but both NeoMate and BabyPod “babies” warmed to around 80.2°F/81°F (26.8°C/27.2°C), respectively. The temperature spread between devices did not exceed 1.8°F (1°C). Day 2 “baby” data started unequal, initial temperatures for the NeoMate and BabyPod were 93.7°F/89.8°F (34.3°C/32.1°C), possibly due to unequal heating. Attempted to obtain consistency between the devices. Study started when temperatures plateaued. The outside temperature dropped significantly during assessment, winds unchanged, but the wind chill dropped. Initial temperature spike in both devices, likely due to location. The “babies” in both devices cooled during assessment, with final temperatures for the NeoMate and BabyPod of 81°F/83.8°F (27.2°C/28.8°C). The maximum temperature spread between the devices was at maximum 6.3°F (3.5°C) briefly, but was consistently no more than 2.8°F (1.6°C). Day 3 NeoMate and BabyPod initial temperatures were 94.6°F/95.8°F (34.9°C/35.1°C), unequal but warmer than other days. Open ambulance temperature, no wind, was 55.6°F (13.2°C) rising to 57.2°F (14°C). The temperature of the “babies” decreased over time. Final data for NeoMate 86°F (30°C) and BabyPod 87.3°F (30.7°C). The temperature spread between the devices was no more than 1.3°F (0.7°C), with the BabyPod ending slightly warmer than the NeoMate. Conclusions The data demonstrated NeoMate's ability to achieve thermoregulation with the survival blanket wrap. NeoMate warmed faster at room temperature, but BabyPod evened up. In the coldest, most uncontrolled ambient environments, BabyPod appeared to keep “baby” slightly warmer than NeoMate, but wind interference indeterminant. The Day 2 “babies” cooled with <2°F difference in the system's typical worst day. The Day 3 environment warmed slightly over time but “babies” temperatures decreased. Data collected testing devices only and do not reflect that humans generate heat. Considering that human babies generate heat, are transported in heated cabins, it was concluded that NeoMate thermoregulation was acceptable and comparable to BabyPod in transport environments for infants not requiring active warming." @default.
• W4381887189 created "2023-06-25" @default.
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• W4381887189 date "2023-07-01" @default.
• W4381887189 modified "2023-09-25" @default.
• W4381887189 title "Infant Thermoregulation During Interfacility Transport: A comparative study between NeoMate and BabyPod" @default.
• W4381887189 doi "https://doi.org/10.1016/j.amj.2023.05.012" @default.
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