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Related Experiment Videos

Euthermia in Stable Preterm Babies: 'Cocooning' for Warmth! - A Randomized Controlled Trial.

Shobha Vijayan1, Femitha Pournami1, Jyothi Prabhakar1

  • 1Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum 695029, Kerala.

Journal of Tropical Pediatrics
|April 30, 2019
PubMed
Summary

The Cocoon warmer (CW) and servo-controlled Radiant warmer (RW) showed similar thermoregulation for stable preterm infants. Both warming methods effectively supported infant euthermia, with comparable weight gain and temperature stability.

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Area of Science:

  • Neonatal intensive care
  • Thermoregulation in preterm infants
  • Infant warming technologies

Background:

  • Maintaining euthermia is crucial for stable preterm infants after initial intensive support.
  • Intermittent kangaroo mother care requires effective warming solutions between sessions.
  • Preterm infants (29-32 weeks) require careful temperature management in the NICU.

Purpose of the Study:

  • To compare the efficacy of Cocoon warmer (CW) versus servo-controlled Radiant warmer (RW) in maintaining euthermia for stable preterm infants.
  • To assess the incidence of hypothermia or hyperthermia episodes (HHE) and physiological instability.
  • To evaluate weight gain in preterm infants nursed in CW versus RW between kangaroo mother care sessions.

Main Methods:

  • A randomized controlled trial comparing CW and RW in stable preterm infants (29-32 weeks).
Keywords:
phase change materialpretermthermoregulation

Related Experiment Videos

  • Data collected included temperature recordings, HHE, physiological instability events, and daily weight gain.
  • Sixty-six infants were assigned to CW and 59 to RW.

    • Main Results:

    • Hypothermia or hyperthermia episodes (HHE) were comparable between CW (5.15%) and RW (4.64%) (p=0.6).
    • Combined incidence of physiological instability events was lower in the CW group (RR 0.49, p=0.06).
    • Mean daily weight gain was similar in both groups (CW: 13.4 g/day, RW: 12.8 g/day, p=0.55).

    Conclusions:

    • Cocoon warmer (CW) is comparable to servo-controlled Radiant warmer (RW) for thermoregulation in hospitalized stable preterm infants.
    • CW may offer a potential benefit in reducing physiological instability events.
    • Both warming methods support adequate weight gain in this vulnerable population.