Document Detail


Passive cooling during transport of asphyxiated term newborns.
MedLine Citation:
PMID:  23154670     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the efficacy and safety of passive cooling during transport of asphyxiated newborns.
STUDY DESIGN: Retrospective medical record review of newborns with perinatal asphyxia transported for hypothermia between July 2007 and June 2010.
RESULT: Of 43 newborns transported, 27 were passively cooled without significant adverse events. Twenty (74%) passively cooled newborns arrived with temperature between 32.5 and 34.5 °C. One newborn arrived with a temperature <32.5, and 6 (22%) had temperatures >34.5 °C. Time from birth to hypothermia was significantly shorter among passively cooled newborns compared with newborns not cooled (215 vs 327 min, P<0.01), even though time from birth to admission to Boston Children's Hospital was similar (252 vs 259 min, P=0.77). Time from birth to admission was the only significant predictor of increased time to reach target temperature (P=0.001).
CONCLUSION: Exclusive passive cooling achieves significantly earlier initiation of effective hypothermia for asphyxiated newborns but should not delay transport for active cooling.
Authors:
D O'Reilly; M Labrecque; M O'Melia; J Bacic; A Hansen; J S Soul
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-11-15
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  33     ISSN:  1476-5543     ISO Abbreviation:  J Perinatol     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-05-30     Completed Date:  2014-02-24     Revised Date:  2014-08-21    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  435-40     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Asphyxia Neonatorum / diagnosis,  therapy*
Birth Weight
Body Temperature
Electroencephalography
Female
Gestational Age
Humans
Hypothermia, Induced / methods*
Hypoxia-Ischemia, Brain / prevention & control
Infant, Newborn
Intensive Care Units, Neonatal
Male
Neurologic Examination
Patient Outcome Assessment
Prognosis
Retrospective Studies
Transportation of Patients*
Grant Support
ID/Acronym/Agency:
P30 HD018655/HD/NICHD NIH HHS; R01 NS066929/NS/NINDS NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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