Document Detail


Therapeutic Hypothermia During Neonatal Transport.
MedLine Citation:
PMID:  21362040     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  To compare the effectiveness of different cooling methods used during neonatal transport in maintaining target temperature. Methods:  Retrospective review of transport data for all infants centralised for therapeutic hypothermia between April 2008 and October 2009. Results:  46 infants were retrieved for therapeutic hypothermia during the study period. During transport 10 infants were passively cooled; 17 infants were actively cooled with adjuncts and 19 infants were actively cooled with a purpose built cooling machine. On arrival at the tertiary unit 84% of infants who were actively cooled with a purpose built cooling machine had temperatures within the therapeutic range compared with 47% of infants who were actively cooled with adjuncts and 20% of infants who were passively cooled. Conclusion:  Passive cooling and cooling with adjuncts often fail to achieve temperatures within the desired therapeutic range. Therapeutic hypothermia during transport can be reliably achieved using a purpose built cooling machine. We recommend that cooling during transport should only be undertaken using a purpose built cooling machine.
Authors:
Kathleen M O'Reilly; James Tooley; Annp Sharon Winterbottom
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-1
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Acta Paediatrica © 2011 Foundation Acta Paediatrica.
Affiliation:
St Michael's Hospital, BristolSt Michael's Hospital, BristolSt Michael's Hospital.
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