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Servo-controlled thermoregulation in extreme preterm and Extremely low birth weight infants during neonatal transport
  1. Neha Sharma1,
  2. Igor Fierens1,
  3. Syed Mohinuddin1,
  4. Nandiran Ratnavel1,
  5. Stephen Terence Kempley2,
  6. Pankaj Sakhuja1
  1. 1Neonatal Transfer Service, Barts Health NHS Trust, London, UK
  2. 2Blizard Institute, Barts and The London School of Medicine and Dentistry Postgraduate Studies, London, UK
  1. Correspondence to Dr Pankaj Sakhuja, London Neonatal Transfer Service, Royal London Hospital, Barts Health NHS trust, London E11FR, UK; pankaj.sakhuja{at}nhs.net

https://doi.org/10.1136/archdischild-2019-318329

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    Extremely preterm and extremely low birth weight (ELBW) infants are prone to severe hypothermia and standard practices may not be adequate for thermoregulation during interhospital transfer.1 Transwarmer mattresses carry a risk of serious burns,2 and a safety warning has also been recently issued by British Association of Perinatal Medicine (BAPM) about their use. The servo-controlled device with mattress (SCDM) is conventionally used for cooling in term infants with hypoxic-ischaemic encephalopathy.3 There is no literature on its use for thermoregulation in ELBW infants. The theoretical risks associated with use of the SCDM and rectal probes include rectal perforation, rectal bleeding, skin damage from probe dressings and burns from the mattress.4

    The aim of our quality improvement (QI) project was to look at the feasibility and effectiveness of the SCDM for thermoregulation during transport of infants born at ≤28 weeks …

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    Footnotes

    • Contributors NS: Acquisition of data, drafting the article, and final approval of the article to be published. IF: Conception and design, acquisition of data, final approval of the article to be published. SM: Conception and design, drafting the article, revising it critically for important intellectual content and final approval of the version to be published. NR: Conception and design, revising the article critically for important intellectual content and final approval of the version to be published. STK: Analysis and interpretation of data, revising the article critically for important intellectual content and final approval of the version to be published. PS: Acquisition of data, analysis and interpretation of data, redrafting the article, revising it critically for important intellectual content and final approval of the version to be published.

    • 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.