title: Noise levels in neonatal intensive care unit and use of sound absorbing panel in the isolette.
abstract: OBJECTIVE
  The purposes of this study were to measure the noise level of a busy neonatal intensive care unit (NICU) and to determine the effect of sound absorbing panel (SAP) on the level of noise inside the isolette.
  
  
  METHODS
  The sound pressure levels (SPL) of background noise, baby crying, alarms and closing of isolette's door/portholes were measured by a 2235-Brüel&Kjaer Sound Level Meter. Readings were repeated after applying SAP (3D pyramidal shaped open cell polyurethane foam) to the three lateral walls and ceiling of the isolette.
  
  
  RESULTS
  The median SPL of background noise inside the NICU was 56dBA and it decreased to 47dBA inside the isolette. The median SPL of monitor alarms and baby crying inside the isolette were not different than SPL measured under radiant warmer (p>0.05). With SAP, the median SPL of temperature alarm inside the isolette decreased significantly from 82 to 72dBA, monitor alarm from 64 to 56dBA, porthole closing from 81 to 74dBA, and isolette door closing from 80 to 68dBA (p<0.01). There was a significant reduction in the noise produced by baby crying when SAP was used in the isolette (79dBA vs 69dBA, respectively) (p<0.0001). There was also significant attenuation effect of panel on the environmental noise.
  
  
  CONCLUSIONS
  The noise level in our NICU is significantly above the universally recommended levels. Being inside the isolette protects infants from noise sources produced outside the isolette. However, very high noises are produced inside the isolette as well. Sound absorbing panel can be a simple solution and it attenuated the noise levels inside the isolette.
authors.affiliation: Department of Pediatrics, Division of Neonatology Unit, Marmara University School of Medicine, Turkey. emelkayrak@yahoo.com
authors.forename: E
authors.initials: E
authors.lastname: Altuncu
authors.forename: I
authors.initials: I
authors.lastname: Akman
authors.forename: S
authors.initials: S
authors.lastname: Kulekci
authors.forename: F
authors.initials: F
authors.lastname: Akdas
authors.forename: H
authors.initials: H
authors.lastname: Bilgen
authors.forename: E
authors.initials: E
authors.lastname: Ozek
mesh_terms: D004867:Equipment Design; D006801:Humans; D007186:Incubators, Infant; D007363:Intensive Care Units, Neonatal; D009622:Noise / Q000517:prevention & control*