Age at initiation of cooling therapy | |
<6 hours | 29 (81%) |
<12 hours | 7 (19%) |
Duration of cooling | |
72 hours irrespective of clinical improvement | 22 (61%) |
Approximately 24 hours then rewarm if improvement noted | 3 (8%) |
Less than 24 hours then rewarm if improvement notes | 7 (19%) |
Varying duration—can stop any time | 3 (8%) |
Other* | 1 (3%) |
Sedation used | |
Morphine | 32 (89%) |
Chloral hydrate | 4 (11%) |
Other drugs (midazolam/phenobarbital) | 2 (6%) |
Enteral feeds during cooling | |
Withheld | 15 (42%) |
Reduced regimen <25% of requirements | 8 (22%) |
Reduced regimen 25% to 50% of requirements | 4 (11%) |
Reduced regimen >50% of requirements | 4 (11%) |
Other feeding practices—depending on baby’s cues/attending consultant | 5 (14%) |
MRI | |
Yes—all babies with mild NE | 3 (8%) |
Yes—if cooled | 29 (81%) |
No | 2 (6%) |
Other† | 2 (6%) |
Neurodevelopmental follow-up | |
Yes—all babies with mild NE | 2 (6%) |
Yes—if cooled | 27 (75%) |
Other‡ | 3 (8%) |
No | 4 (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.