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RADIANT WARMERS AND INCUBATORS
BIJAYLAXMI BEHERA
RADIANT WARMERS
(OPEN CARE SYSTEM)
• Intense source of radiant heat
energy
• Over head quartz heating
element produces infra red
radiation energy
• Reduces conductive heat loss
by providing warm
microenvironment
Skin servo control
• If the temperature probe is placed over brown
fat deposit areas, the probe will be reading a
core body temperature and not a skin
temperature.
• Core temperature is higher than the skin
temp., the warming device will cool the
environment.
• The infant will then need to burn fat and
calories to stay warm
RADIANT WARMER :
• 2 modes-servo and manual.
• SERVO MODE :
• Commonly used
• Microprocessor automatically increase
heater output if skin temperature of
infant is less than set temperature.
• Alarm is activated for every 0.5oc rise in
skin temperature.
• MANUAL MODE :
• Heater output is modified manually
• Used for initial preparation of bed for
the baby or for rapid warming
• Axillary temperature has to be
measured every 30 min till desired
temperature is reached and then every
2 hrly.
• More chances of over heating
RADIANT WARMER :
• Warmer to be prewarmed in
manual mode for 20 minutes
before use
• Use cling wrap to decrease
insensibile heat loss esp for
VLBW infants
Skin temperature Probes
• Do Not lay infant on skin probe
• Do not place over:
– Bony prominences
– Areas of brown fat deposits
– Poorly vascular areas
– Excoriated areas
– Keep probe exposed to heat source
– Keep probe securely attached
RADIANT WARMER
ADVANTAGES :
- Open care system / easy accessibility
- Better monitoring of baby
- Lesser risk of infection compared to closed
incubators
- Can be used as resuscitation trolley in labor rooms
DISADVANTAGES :
- More insensible water loss
- Not uniform heating
- More risk of hypothermia / hyperthermia
INCUBATORS
• Closed system with heating element underneath
• Reduces conductive and radiation heat loses by
reducing exposure to air currents and by providing
warm environment
• Reduces evaporative losses by maintaining high
humidity in the incubator
• Radiation loses curtailed by hood
INCUBATORS
NICU INCUBATOR
INCUBATORS
TRANSPORT - INCUBATOR
INCUBATORS
ADVANTAGES:
- Reduces insensible water loss
- For transporting babies
- Used as barrier nursing for isolating an infected
baby
- Incubator with rocking bed attachment provides
stimulation to an apnoeic baby
DISAVANTAGES :
- Costlier
- Less accessibility
- Increase risk of infection
HAZARDS OF TEMPERATURE
CONTROL METHODS
• HYPERTHERMIA
• UNDETECTED INFECTIONS
• VOLUME DEPLETION
• HYPERNATREMIA
Radiant Warmers and Incubators
Radiant Warmers and Incubators
Radiant Warmers and Incubators
Radiant Warmers and Incubators

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Radiant Warmers and Incubators

  • 1. RADIANT WARMERS AND INCUBATORS BIJAYLAXMI BEHERA
  • 2. RADIANT WARMERS (OPEN CARE SYSTEM) • Intense source of radiant heat energy • Over head quartz heating element produces infra red radiation energy • Reduces conductive heat loss by providing warm microenvironment
  • 3. Skin servo control • If the temperature probe is placed over brown fat deposit areas, the probe will be reading a core body temperature and not a skin temperature. • Core temperature is higher than the skin temp., the warming device will cool the environment. • The infant will then need to burn fat and calories to stay warm
  • 4. RADIANT WARMER : • 2 modes-servo and manual. • SERVO MODE : • Commonly used • Microprocessor automatically increase heater output if skin temperature of infant is less than set temperature. • Alarm is activated for every 0.5oc rise in skin temperature. • MANUAL MODE : • Heater output is modified manually • Used for initial preparation of bed for the baby or for rapid warming • Axillary temperature has to be measured every 30 min till desired temperature is reached and then every 2 hrly. • More chances of over heating
  • 5. RADIANT WARMER : • Warmer to be prewarmed in manual mode for 20 minutes before use • Use cling wrap to decrease insensibile heat loss esp for VLBW infants
  • 6. Skin temperature Probes • Do Not lay infant on skin probe • Do not place over: – Bony prominences – Areas of brown fat deposits – Poorly vascular areas – Excoriated areas – Keep probe exposed to heat source – Keep probe securely attached
  • 7. RADIANT WARMER ADVANTAGES : - Open care system / easy accessibility - Better monitoring of baby - Lesser risk of infection compared to closed incubators - Can be used as resuscitation trolley in labor rooms DISADVANTAGES : - More insensible water loss - Not uniform heating - More risk of hypothermia / hyperthermia
  • 8. INCUBATORS • Closed system with heating element underneath • Reduces conductive and radiation heat loses by reducing exposure to air currents and by providing warm environment • Reduces evaporative losses by maintaining high humidity in the incubator • Radiation loses curtailed by hood
  • 11. INCUBATORS ADVANTAGES: - Reduces insensible water loss - For transporting babies - Used as barrier nursing for isolating an infected baby - Incubator with rocking bed attachment provides stimulation to an apnoeic baby DISAVANTAGES : - Costlier - Less accessibility - Increase risk of infection
  • 12. HAZARDS OF TEMPERATURE CONTROL METHODS • HYPERTHERMIA • UNDETECTED INFECTIONS • VOLUME DEPLETION • HYPERNATREMIA