Table 2

Clinical management practices of cooling in babies with mild NE

Age at initiation of cooling therapy
<6 hours29 (81%)
<12 hours7 (19%)
Duration of cooling
72 hours irrespective of clinical improvement22 (61%)
Approximately 24 hours then rewarm if improvement noted3 (8%)
Less than 24 hours then rewarm if improvement notes7 (19%)
Varying duration—can stop any time3 (8%)
Other*1 (3%)
Sedation used
Morphine32 (89%)
Chloral hydrate4 (11%)
Other drugs (midazolam/phenobarbital)2 (6%)
Enteral feeds during cooling
Withheld15 (42%)
Reduced regimen <25% of requirements8 (22%)
Reduced regimen 25% to 50% of requirements4 (11%)
Reduced regimen >50% of requirements4 (11%)
Other feeding practices—depending on baby’s cues/attending consultant5 (14%)
MRI
Yes—all babies with mild NE3 (8%)
Yes—if cooled29 (81%)
No2 (6%)
Other†2 (6%)
Neurodevelopmental follow-up
Yes—all babies with mild NE2 (6%)
Yes—if cooled27 (75%)
Other‡3 (8%)
No4 (11%)
  • *Other cooling duration: one unit (3%) gave unclear answer.

  • †One unit (3%) responded that MRI is offered depending on presentation and subsequent course and one unit (3%) responded that only babies who received 3 days of cooling therapy will be offered MRI.

  • ‡One unit (3%) provides follow-up to all babies in catchment area only; one unit (3%) only if baby received 3 days of cooling therapy) and one unit (3%) has no specific criteria.