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Provision of servo-controlled cooling during neonatal transport.
MedLine Citation:
PMID:  21378397     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Introduction Therapeutic hypothermia is a time critical intervention for infants who have experienced a hypoxic-ischaemic event. Previously reported methods of cooling during transport do not demonstrate the same stability achieved in the neonatal unit. The authors developed a system which allowed provision of servo-controlled cooling throughout transport, and present their first year's experience. Methods Retrospective review of routinely collected patient data. Results 14 out-born infants were referred for cooling during a 12-month period. Nine infants were managed with the servo-controlled system during transport. Cooling was commenced in all infants before 6 h of life. Median time from team arrival to the infant having a temperature in the target range (33-34°C) was 45 min. Median temperature during transfer was 33.5°C (range 33-34°C). Temperature on arrival at the cooling centre ranged from 33.4°C to 33.8°C. Conclusion Servo-controlled cooling during transport is feasible and provides an optimal level of thermal control.
Authors:
Ewen D Johnston; Julie-Clare Becher; Anne P Mitchell; Benjamin J Stenson
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-6
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  -     ISSN:  1468-2052     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Neonatal Unit, Simpson Centre for Reproductive Health, Royal Infirmary, Edinburgh, UK.
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