Hi everybody!

Our nurses got recommendations for nursing preterms - even extreme little ones - in an open cod. They say, that the movement of the air through the Arm-Holes is cooling the babies too much, if the cod is closed, and with an open cod, the heater keeps the baby warm enough.

When we tried now open-cod-nursing temperature was not a problem (it wasn‘t before either), but what we noticed, was, that the extreme preemies needed a LOT more daily fluids than in the times of closed cod nursing. 
At least, this was a noticeable coincidence - and one, that supported our skepticism, as an open cod looses all the humidity.

So right now we are in discussion, what is best for the little ones.

 

Do you have similar experiences? Other thoughts?

 

thanks,

best wishes, Bernhard

Hi! How do you notice this increase in the daily fluids ? More hypernatremias and larger weight losses? We live in the sauna land (well, at least neighbouring 🇫🇮) but stick to closed incubators and high humidity  

Manly very high sodium und hyperchloraemic acidosis. But also oliguria. We ended up with fluid rates of 210-250ml/kg/day.

sauna is the way to go! 
thank you!

Hello! Interesting issue!

My experience would be the same as @Stefan Johansson with closed incubators and high humidity.  Not required volumes that high!