Product Training
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Medela Phototherapy Product Training, September 2010
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Product Training Medela Phototherapy
Agenda • • • • • • • •
Phototherapy in our Hospital Product Range Neonatal Jaundice General Information on Phototherapy BiliBed Phototherapy Lamp BiliBed vs. Phototherapy Lamp Competition Summary
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Product Training Medela Phototherapy
Hospital Product Overview
Phototherapy 24/08/2010
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Product Training Medela Phototherapy
What is Neonatal Jaundice (Hyperbilirubinemia)? • • • •
Newborns often have too many red blood cells Red blood cells are broken down by the spleen A by-product of this breakdown is bilirubin A newborn’s body is not able to excrete the bilirubin yellow skin
Neonatal jaundice is caused by the break down of the red blood cells and immature excretion ability.
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Product Training Medela Phototherapy
What is Neonatal Jaundice (Hyperbilirubinemia)? Two Types of Jaundice •
Physiological jaundice • • •
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Term babies: 60-75% Premature babies: almost all ≥ 10% need phototherapy treatment
Pathological jaundice • • •
Higher levels than with physiological jaundice Treatment in the majority of cases Kernicterus: Severe brain damage
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Product Training Medela Phototherapy
How to treat Jaundice? 1. Feeding 2. Sunshine & 3. Phototherapy
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Product Training Medela Phototherapy
+ Light 400 nm - 500 nm
What does Phototherapy do?
Bilirubin
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Bilirubin: now water soluble
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Product Training Medela Phototherapy
Which factors influence the therapeutic effect of phototherapy? According to the study from M. Jeffrey Maisels* the efficacy of phototherapy depends on 3 factors: - Spectrum of light delivered by the phototherapy unit. Because of
the optical properties of bilirubin and skin, the most effective wavelengths are in the blue-green spectrum between 425 – 475 nm. - Power output of the light. This also depends on the distance of the light from the infant. The lower the distance, the higher the efficacy. - Surface area of the infant exposed to phototherapy. The efficacy is higher when more skin is subjected to phototherapy. * (Pediatrics Vol. 98, No. 2, August 1996: Why use Homeopathic Doses of Phototherapy) 24/08/2010
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Product Training Medela Phototherapy
Which products includes the Medela Phototherapy? Phototherapy Lamp BiliBed
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Product Training Medela Phototherapy
When to use the Medela BiliBed?
For Phototherapy if no incubator or warming bed is necessary.
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Product Training Medela Phototherapy
Medela BiliBed – What Features does it have?
Baby support
Bilicombi
Light unit
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Product Training Medela Phototherapy
Medela BiliBed – What Features does it have?
Soft polyurethane mattress
Bilicombi
Aluminum frame
2 hour meters Transparent perspex plate 1 Blue light fluorescent tube Silent rotary fan
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Highly polished aluminum reflector
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Product Training Medela Phototherapy
What are the Hour Meters for? Two hour meters • “total h” measures total time in use, cannot be reset Helps to track time for Fluorescent tube change (every 1’500 hours) • “h” shows therapy time, can be reset by pressing the Start/Stop switch for 15 seconds
2 hour meters
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Product Training Medela Phototherapy
How to use the BiliBed? 1) Place light unit in baby’s cot instead of mattress 2) Insert power cord and Start/Stop switch cable 3) Place baby support on top of light unit 4) Fasten Bilicombi to the baby support 5) Ensure sufficient ventilation 6) Use small diapers for the baby 7) Place the baby in the Bilicombi 8) Connect cable to the power supply 9) Press Start/Stop switch
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Product Training Medela Phototherapy
What are the advantages of the Bilicombi?
• No eye protection needed baby friendly • No spread light good for parents and staff • Easy breastfeeding convenient for mother and baby
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Product Training Medela Phototherapy
What are the advantages of the BiliBed?
• Suitable for rooming-in better contact between mother and baby frees hospital staff • Can be fitted into most hospital cots space saving • Low distance between baby and light high efficacy • Only one fluorescent tube low follow-up costs 24/08/2010
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Product Training Medela Phototherapy
What is important to know about the BiliBed?
• The BiliBed cannot be used in incubators or warming beds • A rapidly rising bilirubin level may require a more intensive therapy
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Product Training Medela Phototherapy
When to use the Medela Phototherapy Lamp? • Treatment with incubator • Treatment with warming bed • For excessive serum-bilirubin treatment with more than one lamp
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Product Training Medela Phototherapy
Medela Phototherapy Lamp – What Features does it have? Lamp body
Mobile stand
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Product Training Medela Phototherapy
Medela Phototherapy Lamp – What Features does it have? On/off switches Handles LED warning light
4 compact fluorescent tubes
Mirrored grille Sensor Antistatic rollers with brakes
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Versatile swivelling and adjustment Rotation up to 90° © Medela
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