TY - JOUR T1 - Therapeutic hypothermia in mild neonatal encephalopathy: a national survey of practice in the UK JF - Archives of Disease in Childhood - Fetal and Neonatal Edition JO - Arch Dis Child Fetal Neonatal Ed SP - F388 LP - F390 DO - 10.1136/archdischild-2017-313320 VL - 103 IS - 4 AU - Vânia Oliveira AU - Dev Prya Singhvi AU - Paolo Montaldo AU - Peter J Lally AU - Josephine Mendoza AU - Swati Manerkar AU - Seetha Shankaran AU - Sudhin Thayyil Y1 - 2018/07/01 UR - http://fn.bmj.com/content/103/4/F388.abstract N2 - Although major cooling trials (and subsequent guidelines) excluded babies with mild encephalopathy, anecdotal evidence suggests that cooling is often offered to these infants. We report a national survey on current cooling practices for babies with mild encephalopathy in the UK. From 74 neonatal units contacted, 68 were cooling centres. We received 54 responses (79%) and included 48 (five excluded due to incomplete data and one found later not to offer cooling). Of these, 36 centres (75%) offered cooling to infants with mild encephalopathy. Although most of the participating units reported targeting 33–34°C core temperature, seven (19%) considered initiating cooling beyond 6 hours of age and 13 (36%) discontinued cooling prior to 72 hours. Babies were ventilated for cooling in two (6%) units and 13 (36%) sedated all cooled babies. Enteral feeding was withheld in 15 (42%) units and reduced below 25% of requirements in eight (22%) units. MRI and neurodevelopmental outcome evaluation were offered to all cooled babies in 29 (80%) and 27 (75%) units, respectively. Further research is necessary to ensure optimal neuroprotection in mild encephalopathy. ER -