Cause of Device-Related Incident*Not stated
Clinical Specialty or Hospital DepartmentCCU / ICU / NICU; Nursery
Device Factors*Not stated
External Factors*Not stated
Mechanism of Injury or DeathBurn (electrical, thermal, chemical); Hyperthermia
Support System Failures*Not stated
Tampering and/or Sabotage*Not stated
User Errors*Not stated
Infant Radiant Warmers Can Burn: Use with Care
Use the automatic (skin-temperature or servo) mode for continuous
thermal support—it is safer.
Use the manual mode for short-term warming only, and check infant
condition and temperature at least every 15 minutes.
Always place the sensor on the skin surface that is exposed to the
warmer, never beneath the infant. Always use the manufacturer's
recommended attachment method.
Never use a rectal temperature probe for warmer control. Skin can be
burned before normal core temperature is reached.
Check sensor attachment frequently. Poor skin contact can cause poor
Determine the cause of alarms—never just reset them.
Never use your hand to estimate the amount of heat reaching the
infant. Base any setpoint changes on serial rectal (or alternate)
temperatures and other related signs.
Be aware that extra fluid replacement may be required to compensate
for increased insensible water loss during radiant warmer use.
Prewarm heat shields before placing them over infants.
Avoid routine use of thermal blankets (e.g., plastic bubble wrap)
with radiant warmers as they may cause incorrect skin temperature
sensing and overheating.