Lifestart

LIFESTART

Compact, versatile resuscitation system

Inditherm have established themselves as experts in heating and warming solutions for a wide range of industries and applications. Their innovative, world-leading patient warming technology is widely used for patient care in surgery, neonatal and other critical care situations. Compact, versatile resuscitation system LifeStart Following delivery, provided the umbilical cord is not clamped, there is a process of blood transfer from the placenta to the baby, known as placental transfusion. Despite the clear evidence of the benefit of delayed cord clamping, most guidelines state that priority should be given to resuscitation of the baby. The LifeStart unit now enables both of these to be achieved at the same time by making it practical to resuscitate with the cord intact. The LifeStart system has been designed with comprehensive input from experienced paediatricians, midwives and obstetricians to ensure that it meets the demanding clinical needs. The key feature of the design is enabling the baby to be placed in a stable, warmed position without the need to cut the umbilical cord and still allow all the clinical staff the necessary access. Provision is made to add the user’s own preferred resuscitation devices to give a complete solution. An increasing number of national and international guidelines now recommend delayed cord clamping10-12. However cardiorespiratory resuscitation and good early thermal management often remain a priority and thus prevent the practice of DCC in sick babies who are not considered suitable for “skin-to-skin” care. Preterm babies are likely to benefit most if clamping of the umbilical cord is delayed, yet these are the patients most likely to need resuscitation, making the provision of facilities to allow both these goals to be achieved together an important clinical need. In summary, there are very significant benefits for the newborn if delayed cord clamping is practised, particularly in pre-term babies, with an ideal delay of at least 3 minutes, and the advantages extend well beyond the immediate post delivery period. It has been established that there is no disadvantage for the mother in this approach which in reality exactly matches nature’s own way.

THE PRODUCT

The key feature of the LifeStart design is enabling the baby to be placed in the right position for delayed cord clamping for all types of

birth and still allowing clinical staff to have the necessary access and equipment for resuscitation of the baby. The CosyTherm neonatal warming system is already the leading product in many markets for warming young babies in neonatal units, nurseries and delivery suites. The high performance, even with very small babies, and similarity with skin-to-skin nursing make it ideal for the immediate post-natal period. It warms from under the patient and so allows complete access to the baby, ensuring that there is no impediment to clinical treatment. The in-built timer, with bright, clear, backlit display allows staff to easily track the time period with the cord intact and gives a clear alert after each of the first three minutes following delivery. This helps to optimise treatment by giving a clear reference of the clamping delay so that accrued benefit to the baby can be estimated, particularly in difficult situations.

The electrically operated raising and lowering mechanism allows the nursing platform to be easily positioned at the optimal height for each individual situation and adjusted as necessary. Foot pedal operation ensures that hands are free and aseptic techniques are not compromised. The compact wheelbase and ergonomic design mean that the LifeStart unit, with all the resuscitation equipment, can be positioned close for types of delivery: natural; assisted; or Caesarean section. This ensures that all needed facilities can be

accessible with the umbilical cord intact, giving the baby all the benefits of delayed cord clamping without compromising safety.

The standard equipment mounting rails allow the user to integrate resuscitation devices such as suction, blender and PEEP resuscitator. Inditherm can offer devices that are both compact and well suited for these functions or the user can fit their own choice of products if they prefer. Auxiliary mains power outlets are provided in case there is a need to add any extra equipment such as a pulse oximeter.

10. Richmond S, Wyllie J. European Resuscitation Council guidelines for resuscitation 2010. Resuscitation 81; 2010; 1389-1399.

11. Royal College of Obstetricians and Gynaecologists, UK. Clamping of the umbilical cord and placental transfusion. 2009. Scientific Advisory Committee Opinion Paper 14.

12. World Health Organisation. Guidelines on basic newborn resuscitation 2012.

ISBN 978 92 4 150369 3.
 

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