RT Journal Article SR Electronic 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 FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP F388 OP F390 DO 10.1136/archdischild-2017-313320 VO 103 IS 4 A1 Vânia Oliveira A1 Dev Prya Singhvi A1 Paolo Montaldo A1 Peter J Lally A1 Josephine Mendoza A1 Swati Manerkar A1 Seetha Shankaran A1 Sudhin Thayyil YR 2018 UL http://fn.bmj.com/content/103/4/F388.abstract AB 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.