Dynamic thermal responses of five commercially available infant radiant warmer systems.

Five commercially available infant radiant warmer systems were characterized through radiant-energy measurements at the mattress surface under identical environmental conditions. Average irradiance levels for each warmer were then calculated. In addition, all systems were thermally evaluated for warm-up time using the International IEC standard black anodized aluminum disk simulator. Warm-up time and radiant-energy bed mapping tests were conducted in manual mode. To assess thermal performance under dynamic conditions, skin and core temperatures were measured using a patient simulator test-load device. Dynamic patient simulator response-time data and side-wall temperature data are provided. The radiative heat contribution from the warmer side walls on patient simulator core and skin temperatures was demonstrated. Extreme differences in warmer performances and energy to the mattress surface are documented. Differences in infant radiant warmer performances are principally due to heater-element composition, reflector design, and heater-to-mattress distance.