The impact of initial-setpoint prediction tool for neonatal temperature control by Adesina et al 2016:
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We have carried out many studies in partnership with the other collaboration
hospitals. We particularly anchored the investigation the tested the impact of
dedicated thermoneutral control on the success rate of neonates during the first
seven days of life. We have applied these techniques to expand our practice,
maintaining system operational consistency through our unbroken incubator failurepreventive
audit culture (FAC). Our functional incubator capacity has consistently
grown from only one in 2008 to 13 at the present. Our centre’s neonatal mortality
rate based on a 2014 analyses has dropped to 89/1000 presentation; 53/1000 when
neonates that die within 48 hours of presentation were excluded. These are far
below the national facility-based average of
250/1000, making our centre one of the best in the
country
We adopted a good number of the techniques that
have been validated in Professor Amadi’s Nigerian
consultancy. We are also very happy to confirm that
these have made great impact on our overall output
with lots of neonates being successfully discharged. Among the techniques that have
become part of our basic practice standards are:
(1) The power-banking (PBS) technique that has enabled us to maintain
uninterrupted neonatal incubation especially during grid power outages, which
is a common event in Nigeria. We presently operate one set of PBS capable
of supporting up to 10 incubators simultaneous. This has been in operation for
three years and we currently plan to add one more parallel system to
effectively cover all our incubators, resuscitaires and other supportive
appliances.
(2) Apnoea monitoring technique with the use of BM02 systems.
(3) The thermoneutral Handy-approach using the Amadi-Flowchart. This
technique has led to the survival of many extremely low birth weight neonates
in our centre. It has become our standard algorithm of neonatal thermoneutral
control.
