Thermal management in closed incubators: New software for assessing the impact of humidity on the optimal incubator air temperature
Résumé
Background: Low-birth-weight (LBW) neonates are nursed in closed incubators to prevent transcutaneous water loss. The RH's impact on the optimal incubator air temperature setting has not been studied. Methods: On the basis of a clinical cohort study, we modelled all the ambient parameters influencing body heat losses and gains. The algorithm quantifies the change in RH on the air temperature, to maintain optimal thermal conditions in the incubator. Results: Twenty-three neonates (gestational age (GA): 30.0 [28.9-31.6] weeks) were included. A 20% increase and a 20% decrease in the RH induced a change in air temperature of between -1.51 and +1.85 degrees C for a simulated 650 g neonate (GA: 26 weeks), between -1.66 and +1.87 degrees C for a 1000 g neonate (GA: 31 weeks), and between -1.77 and +1.97 degrees C for a 2000 g neonate (GA: 33 weeks) (p < 0.001). According to regression analyses, the optimal incubator air temperature = a + b relative humidity +c age +d weight (p < 0.001). Conclusions: We have developed new mathematical equations for calculating the optimal temperature for the incubator air as a function of the latter's relative humidity. The software constitutes a decision support tool for improving patient care in routine clinical practice. (C) 2017 IPEM. Published by Elsevier Ltd. All rights reserved.