Medela BiliBed Manual De Instrucciones página 10

Therapy
VIII
10 EN
8.1 Preparing the baby
In order to achieve the best therapeutical effect, the baby should wear small diapers.
If necessary, roll down the top of the diaper below baby's naval so that the maxi-
mum amount of bare skin will be exposed to the therapeutic light.
8.2 Dressing the baby in the Bilicombi therapy blanket
Note
The BiliBed is designed for use with the Medela Bilicombi therapy blanket only. The
Bilicombi keeps the baby warm and correctly positioned for effective phototherapy.
The therapeutical effect of the BiliBed can only be guaranteed if the Medela
Bilicombi is used. The Bilicombi protects its surroundings from disturbing blue light.
When the Bilicombi is positioned incorrectly, leaking blue light may cause nausea or
headaches of blue-light sensitive nursing staff.
• Check the Bilicombi before each use. The light-permeable fabric must be without
damages and soft to the touch. The Velcro fasteners should guarantee a tight
attachment to the baby support. If this is not the case, replace with a new Bilicombi.
• Attach the Bilicombi blanket to the baby support.
• Unzip the Washable Bilicombi blanket or unfasten the Velcro on the jacket of the
Disposable Bilicombi.
• Place the baby in the blanket either on its back or its front. The arms of the baby
must be put in the sleeves of the blanket, to avoid a possible moving of the child.
Warning
We recommend to place the baby on its back. If the baby is restless and active this
will prevent any abrasions on its knees. As the BiliBed has a high irradiance, the
therapeutical effect would not be diminished by treating the baby in supine position
only. If the baby is placed in prone position, it is necessary to make sure that the
baby's knees are not red. If necessary, treat the baby on its back.
• Put the arms of the baby into the sleeves of the Bilicombi blanket.
• Zip/Fasten Velcro on the Bilicombi blanket. Close the Velcro fastener under the
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baby's chin.
Caution
Frequently check on the baby during phototherapy treatment. If the baby seems too
warm, make sure that the air circulation is guaranteed, i.e.:
• the ventilation slots in the device are not covered by pillows or covers.
• there is enough room around the BiliBed (especially at the foot and head end) for air
to circulate (at least 1 cm).
If the ambient temperature of the room is very high, fold the flaps of the Bilicombi under
the plastic surface of the Baby support to increase air circulation.
The Bilicombi blanket helps keep the baby warm. If additional warmth is necessary, a
blanket can be placed over the Bilicombi.
When using a blanket, you must take care to guarantee the air circulation around the
BiliBed. Monitor the baby regularly.
Make sure the baby is lying on the baby support correctly. Check the foil of the baby
support before each use. If this is no longer stretched and sags, a new foil should be
used. The foil can carry a weight of up to 10 kg. For heavier babies we recommend
using the Medela Phototherapy Lamp.