Noise: A Hazard for the Fetus and Newborn

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doi:10.1542/peds.100.4.724

Cited by 435 publications

(53 citation statements)

References 47 publications

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“…The device was also significantly noisier than the Fisher & Paykel device (p = 0.0063). All devices' noise levels were above current recommendations of 45 dB(A) [1]. Exact measurement values for HFNC flows are displayed in table 1 and figure 1, measurements for CPAP pressures are shown in table 2.…”

Section: Resultsmentioning

confidence: 81%

“…Continuing exposure to excessive ambient noise levels is potentially detrimental to very preterm infants in the neonatal intensive care unit (NICU) [1]. Noise in the NICU can cause immediate physiological changes such as increase in heart rate and blood pressure or decrease in respiratory rate and oxygen saturation in preterm infants [2,3,4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Noise in the NICU can cause immediate physiological changes such as increase in heart rate and blood pressure or decrease in respiratory rate and oxygen saturation in preterm infants [2,3,4,5]. The American Academy of Pediatrics recommends an ambient noise level not exceeding 45 dB(A) to avoid potentially adverse effects [1]. This goal is rarely achieved.…”

Section: Introductionmentioning

confidence: 99%

“…Continuous positive airway pressure (CPAP) has become the preferred mode of respiratory support in this population, however CPAP devices generate noise levels significantly above current recommendations [1,8,9,10]. In recent years, the use of high-flow nasal cannula (HFNC) devices gained increased popularity in NICUs as an alternative non-invasive ventilation (NIV) modality post-extubation, as primary treatment of apnea of prematurity and respiratory distress syndrome, or to wean neonates from CPAP, despite a lack of supporting data from large prospective trials [11,12].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Noise Levels of Neonatal High-Flow Nasal Cannula Devices - An in-vitro Study

König¹,

Stock²,

Jarvis³

2013

Neonatology

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Background: Excessive ambient noise levels have been identified as a potential risk factor for adverse outcome in very preterm infants. Noise level measurements for continuous positive airway pressure (CPAP) devices demonstrated that these constantly exceed current recommendations. The use of high-flow nasal cannula (HFNC) as an alternative non-invasive ventilation modality has become more popular in recent years in neonatal care. Objective: To study noise levels of two HFNC devices commonly used in newborns. As a comparison, noise levels of a continuous flow CPAP device were also studied. Methods: In-vitro study. The noise levels of two contemporary HFNC devices (Fisher & Paykel NHF™ and Vapotherm Precision Flow®) and one CPAP device (Dräger Babylog® 8000 plus) were measured in the oral cavity of a newborn manikin in an incubator in a quiet environment. HFNC flows of 4-8 l/min and CPAP pressures of 4-8 cm H₂O were applied. The CPAP flow was set at 8 l/min as per unit practice. Results: Vapotherm HFNC generated the highest noise levels, measuring 81.2-91.4 dB(A) with increasing flow. Fisher & Paykel HFNC noise levels were between 78.8 and 81.2 dB(A). The CPAP device generated the lowest noise levels between 73.9 and 77.4 dB(A). Conclusions: Both HFNC devices generated higher noise levels than the CPAP device. All noise levels were far above current recommendations of the American Academy of Pediatrics. In light of the long duration of non-invasive respiratory support of very preterm infants, less noisy devices are required to prevent the potentially adverse effects of continuing excessive noise exposure in the neonatal intensive care unit.

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Section: Resultsmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Noise Levels of Neonatal High-Flow Nasal Cannula Devices - An in-vitro Study

König¹,

Stock²,

Jarvis³

2013

Neonatology

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show abstract

“…The scale used for an 8-hour shift (dB-A) is different from the ones used for peaks (dB).] [4, 5]. The human fetus can react to noise from around the 24 to 26th week, and the maturation of the hearing system continues during the postnatal period.…”

Section: Physical Risksmentioning

confidence: 99%

Physical and Chemical Factors in the Home and Workplace before and during Pregnancy

Robert-Gnansia

Saillenfait

2002

Public Health Genomics

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Objective: To present and discuss current knowledge about the relationship between physical and chemical factors in the home and workplace and adverse reproductive outcomes in the offspring. Design and Methods: Critical review of the scientific literature, focusing mostly on epidemiological research. Reviews and original papers involving human occupational and home exposures to physical and chemical agents and their relation to adverse reproductive outcomes were screened and commented upon. Results: Only a small proportion of the several thousands of occupational/home exposures have been adequately assessed for reproductive or developmental toxicity. This is reflected in the difficulties of identifying causal associations in humans and in the lack of data. Conclusion: According to present knowledge, very few authors confirmed that reproductive hazards exist in environmental agents, but increased surveillance of occupational exposures in relation to workers’ reproductive health is highly desirable in order to assess moderate risks.

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Magnetic Resonance Imaging for Stage IV Melanoma During Pregnancy

Campbell¹,

Campbell²

2006

Arch Dermatol

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Noise: A Hazard for the Fetus and Newborn

Cited by 435 publications

References 47 publications

Noise Levels of Neonatal High-Flow Nasal Cannula Devices - An in-vitro Study

Noise Levels of Neonatal High-Flow Nasal Cannula Devices - An in-vitro Study

Physical and Chemical Factors in the Home and Workplace before and during Pregnancy

Magnetic Resonance Imaging for Stage IV Melanoma During Pregnancy

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