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SARAN BLANKET SIGNIFICANTLY REDUCES OXYGEN CONSUMPTION, INSENSIBLE WATER LOSS, AND RADIANT HEAT DEMAND IN PREMATURE NEONATES UNDER RADIANT WARMERS

Radiant warmer beds offer the advantages of increased accessibility and visibility for the intensive care of critically ill infants. Two problems associated with radiant warming are increased insensible water loss (IWL) and oxygen consumption (VO2). Covering babies with a Saran plastic blanket has been suggested to alleviate these problems. Eight premature neonates (wt 1.11 ± .05 SEM kg, EGA 30 ± 1 wks, age 9 ± 2 days) were studied for 90 minutes each both naked and covered by a Saran blanket while nursed supine under servocontrolled (36.1°C) radiant warmers. VO2 was measured by computer assisted open circuit method, IWL was measured by Potter Scale, and radiant power demand from the heater (RPD) was measured by wattmeter and thermopile. Vital signs and temperatures were also measured. Results (mean ± SEM) show:A Saran blanket has proven to be an effective and therapeutic adjunct in the thermal regulation of the very low birthweight premature infant nursed under a radiant warmer in our nursery.