ECMO-/ECLS

(Marcin) #1
· Best for neonates weaning to open crib
 Manual control
· Temperature is manually adjusted in response to intermittent
measurement of skin temperature or air temperature.
· Seldom used for neonates.

Weaning to Open Crib
 Generally thermal competence is achieved between 1500 to 2000 grams.
 Done gradually
 Infant is
 Fully dressed
 Wrapped in blankets
 Incubator portholes are kept open
 Temperature of incubator is allowed to drop
 If infant’s temperature remains stable, infant is transferred to a bassinet.


Fever
 An infrequent sign of sepsis
 Less than 10% of febrile infants have culture-proven sepsis.
 Nonetheless, sepsis is most feared cause of neonatal fever.
 Septic infants most commonly present with hypothermia.
 Mechanism of neonatal fever is poorly understood.

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