Evidence-based care pathway for newborns supports emergency resuscitation and family-centered care
For preterm newborns, the Golden Minute through the Golden Hour (first 60 minutes following birth), is a critical time for clinicians to apply evidence-based interventions, including thermoregulation, respiratory support, and family-centered care. These steps can lead to fewer complications and better long-term outcomes, especially among newborns that are: significantly premature, and at extremely low and very low birth weights.1
Dräger is dedicated to lowering morbidity and mortality rates from the first minute of life to discharge — all while reducing stress for newborns, their families, and clinical staff. In addition, as hospitals struggle with staffing shortages, they look for additional ways to standardize workflows, reduce variability and deliver effective care. These objectives drive Dräger to develop reliable, standardized solutions to improve critical care in labor and delivery (L&D) and the neonatal intensive care unit (NICU).
Enter the new Dräger Babyroo® TN300 configurable open care warmer. Its design supports the NICU team as they make regular clinical assessments of the preterm newborn. It offers an intuitive 12 O’clock concept to simplify and standardize set up and an optional transport M540 monitor complete with SpO2 and ECG to align with the latest NRP guidelines, a built-in scale with automatic weight adjustments and the ability to weigh the patient while the mattress is tilted. Babyroo’s bed tilt indicator can support protocols related to intraventricular hemorrhage (IVH), feeding and development. The Babyroo respiratory support interface requires minimal set up and may help standardize protocols and support resuscitation guidelines for newborns.
Patient support aligned with standardized pathways
To better illustrate how the Babyroo TN300’s multiple capabilities function with other advanced Dräger neonatal care solutions, the following is a hypothetical example of preterm care — from the delivery room to the NICU to final discharge.
Example situation: A L&D team is preparing to deliver a baby at 33 weeks gestation. The team will use specialized features of the Dräger Babyroo to assign APGAR scores, manage the newborn’s body temperature and airway as needed while our M540 monitor can provide real-time data to assess SpO2 and ECG.
Point of care | Babyroo feature | Care path | Action |
| Prebirth preparation | Pre-warm function, Intuitive 12 O’clock resuscitation concept | Support maintaining a constant core body temperature.2 Provides standardized set up to achieve starting PIP 20, PEEP 5 and FIO2 of 21%. | Turn on pre-warm function for rapid, safe and effective warming, to help ensure the bed is adequately warmed when newborn arrives. |
| Immediately after birth | Radiant warmer, with or without optional heated gel mattress | Keep temperature stable and minimize heat loss. | Combine these heat sources to deliver uniform heat distribution evenly across entire mattress, even when bed is tilted. |
| Immediately after birth | Large, graphic display panel with configurable screen view for L&D. Includes, APGAR Timer, Stopwatch, Integrated Target Pre-Ductal SpO2 chart | Initiate APGAR timer to synchronize with Target SpO2 chart, quickly assess skin temperature, and utilize Infinity M540 monitor for ECG HR and SpO2 values. | Initiate PPV resuscitation, if necessary, use T-piece circuit or manual resuscitation bag to deliver PPV as indicated by the latest NRP guidelines. Utilize Stopwatch to tag events during resuscitation. These can later be accessed to insure accurate documentation. |
| Immediately after birth | Resuscitation module, with optional AutoBreath functionality | Maintain all preset ventilation parameters (FiO2, PIP, PEEP) to deliver desired breaths per minute. | Provide transitional PPV by delivering precise pressures and intervals when using (optional) AutoBreath feature. |
| Post-stabilization | Kangaroo Mode | When indicated, maintain observation of newborn’s status during skin-to-skin contact with mom, enabled by continual monitoring and on-screen display of baby’s temperature. | Record session time, suppress nuisance alarms and maintain temperature settings until baby returns to warmer. |
Abbreviations: FiO2 = fractional concentration of inspired oxygen, IVH = intraventricular hemorrhage, NRP = Neonatal Resuscitation Program, PEEP = positive end-expiratory pressure, PIP = peak inspiratory pressure, SpO2 = oxygen saturation
In the NICU, the Golden Minute through the Golden Hour can present clinical care team challenges, including ensuring optimal preemie care to improve long-term outcomes, finding care efficiencies when minutes matter and teams face understaffing. Dräger technology, especially the Babyroo TN300, helps the care team provide more standardized, efficient, and patient-focused care.
References
1 Sharma D. Golden 60 minutes of newborn’s life: Part 1: preterm neonate. J Matern Fetal Neonatal Med. 2017 Nov;30(22):2716-2727. doi: 10.1080/14767058.2016.1261398. Epub 2016 Dec 1.
2 Pereira CB, Heimann K, Czaplik M, Blazek V, Venema B, Leonhardt S. Thermoregulation in premature infants: a mathematical model. J Therm Biol. 2016 Dec;62(Pt B):159-169. doi: 10.1016/j.jtherbio.2016.06.021. Epub 2016 Jul 5. PMID: 27888930.
About Draeger
Dräger Inc. helps create a safe and nurturing environment for babies, family, and staff. We provide neonatal support, thermoregulation therapies, jaundice management, intra and inter-hospital transport solutions and ergonomic workplace design and planning. Our goal is to provide the most effective solutions that allow caregivers to work efficiently, parents to nurture, and infants to thrive.
The material presented in this blog represents the opinion of the author(s) and not necessarily the views of Synova Associates. Synova Associates does not endorse any specific products or organizations but strives to connect its industry partners with leaders interested in product/educational innovation.
