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Temperature fluctuations in term infants receiving therapeutic hypothermia prior to and during neonatal transport
  1. M Samantha Edwards,
  2. Nandiran Ratnavel,
  3. Pankaj Sakhuja
  1. London Neonatal Transfer Service, Barts Health NHS Trust, London, UK
  1. Correspondence to Dr M Samantha Edwards, NICU, Ashford and Saint Peter's Hospitals NHS Trust, Chertsey KT16 0PZ, UK; sam.edwards8{at}nhs.net

https://doi.org/10.1136/archdischild-2020-318862

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    Hypoxic ischaemic encephalopathy (HIE) is a major cause of neonatal mortality worldwide. It can lead to severe adverse neurodevelopmental outcomes among survivors. Therapeutic hypothermia is neuroprotective and is a standard of care.1 Active cooling via servo control is superior to passive cooling in achieving target temperature during neonatal transport in infants with HIE.2 These transfers are considered time critical transfers in London, in order to achieve a target temperature of 33–34°C within 6 hours of birth. Some local neonatal units within London have access to cooling machines and are therefore able to attain target temperature prior to transport team arrival. It was noted that where infants had already …

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    Footnotes

    • Twitter @samthebabydoc

    • Contributors MSE conducted the data collection and analysis, and drafted the manuscript. NR and PS contributed to analysis and preparation.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

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