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Provision of servo-controlled cooling during neonatal transport
  1. Ewen D Johnston1,2,
  2. Julie-Clare Becher1,
  3. Anne P Mitchell2,
  4. Benjamin J Stenson1,2
  1. 1Neonatal Unit, Simpson Centre for Reproductive Health, Royal Infirmary, Edinburgh, UK
  2. 2Scottish Neonatal Transport Service (South East Team), Simpson Centre for Reproductive Health, Royal Infirmary, Edinburgh, UK
  1. Correspondence to Dr Ewen D Johnston, Neonatal Unit, Simpson Centre for Reproductive Health, Royal Infirmary, Old Dalkeith Road, Edinburgh EH16 4SA, UK; ewen.johnston{at}luht.scot.nhs.uk

Abstract

Introduction Therapeutic hypothermia is a time critical intervention for infants who have experienced a hypoxic–ischaemic event. Previously reported methods of cooling during transport do not demonstrate the same stability achieved in the neonatal unit. The authors developed a system which allowed provision of servo-controlled cooling throughout transport, and present their first year's experience.

Methods Retrospective review of routinely collected patient data.

Results 14 out-born infants were referred for cooling during a 12-month period. Nine infants were managed with the servo-controlled system during transport. Cooling was commenced in all infants before 6 h of life. Median time from team arrival to the infant having a temperature in the target range (33–34°C) was 45 min. Median temperature during transfer was 33.5°C (range 33–34°C). Temperature on arrival at the cooling centre ranged from 33.4°C to 33.8°C.

Conclusion Servo-controlled cooling during transport is feasible and provides an optimal level of thermal control.

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Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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