| Passive cooling during transport of asphyxiated term newborns. | |
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MedLine Citation:
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PMID: 23154670 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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.Journal of Perinatology advance online publication, 15 November 2012; doi:10.1038/jp.2012.138. |
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Authors:
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D O'Reilly; M Labrecque; M O'Melia; J Bacic; A Hansen; J S Soul |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-11-15 |
Journal Detail:
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Title: Journal of perinatology : official journal of the California Perinatal Association Volume: - ISSN: 1476-5543 ISO Abbreviation: J Perinatol Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-11-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Pediatrics, Division of Newborn Medicine, Boston Children's Hospital, Boston, MA, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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