Challenges in the application of non-servocontrolled therapeutic hypothermia during neonatal transport in Catalonia
Copyright © 2021 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved..
INTRODUCTION: Therapeutic hypothermia (TH) improves survival and neurological prognosis in hypoxic-ischemic encephalopathic (HIE) babies, being better the sooner TH is implemented. HIE babies are born more frequently in a non-cooling centre and need to be referred.
METHODS: Prospective-observational study (April 18 2018 - November 19 2019). Newborns (≥34 weeks of gestational age (GA) and >1800 g) with moderate/severe HIE on non-servocontrolled therapeutic hypothermia by the two neonatal transport teams in Catalonia.
RESULTS: 51 newborns. The median stabilisation and transport time were 68 min (p25-75, 45-85 min) and 30 min (p25-75, 15-45 min), respectively. The mean age at arrival at the receiving unit was 4 h and 18 min (SD 96.6). The incubator was set off in 43 (84%), iced-packs 11 (21.5%) and both (11, 21.5%). Target temperature was reached in 19 (37.3%) babies. There were no differences in the overcooling in relation to the measures applied. The transport duration was not related with temperature stabilisation or target temperature reachiness.
CONCLUSIONS: Rectal temperature monitorisation is compulsory for the stabilisation and the application of non-servocontrolled hypothermia during transport. There is still time for improving in the administration of this treatment during transport. Servo-controlled hypothermia would be a better alternative to improve the management of HIE babies.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:95 |
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| Enthalten in: |
Anales de pediatria - 95(2021), 6 vom: 05. Dez., Seite 459-466 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Torre Monmany, Nuria [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 14.12.2021 Date Revised 14.12.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.anpede.2021.07.005 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM333819225 |
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| 245 | 1 | 0 | |a Challenges in the application of non-servocontrolled therapeutic hypothermia during neonatal transport in Catalonia |
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| 500 | |a Date Revised 14.12.2021 | ||
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a INTRODUCTION: Therapeutic hypothermia (TH) improves survival and neurological prognosis in hypoxic-ischemic encephalopathic (HIE) babies, being better the sooner TH is implemented. HIE babies are born more frequently in a non-cooling centre and need to be referred | ||
| 520 | |a METHODS: Prospective-observational study (April 18 2018 - November 19 2019). Newborns (≥34 weeks of gestational age (GA) and >1800 g) with moderate/severe HIE on non-servocontrolled therapeutic hypothermia by the two neonatal transport teams in Catalonia | ||
| 520 | |a RESULTS: 51 newborns. The median stabilisation and transport time were 68 min (p25-75, 45-85 min) and 30 min (p25-75, 15-45 min), respectively. The mean age at arrival at the receiving unit was 4 h and 18 min (SD 96.6). The incubator was set off in 43 (84%), iced-packs 11 (21.5%) and both (11, 21.5%). Target temperature was reached in 19 (37.3%) babies. There were no differences in the overcooling in relation to the measures applied. The transport duration was not related with temperature stabilisation or target temperature reachiness | ||
| 520 | |a CONCLUSIONS: Rectal temperature monitorisation is compulsory for the stabilisation and the application of non-servocontrolled hypothermia during transport. There is still time for improving in the administration of this treatment during transport. Servo-controlled hypothermia would be a better alternative to improve the management of HIE babies | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Asfixia neonatal | |
| 650 | 4 | |a Asphyxia neonatorum | |
| 650 | 4 | |a Encefalopatía hipoxico-isquémica | |
| 650 | 4 | |a Hipotermia pasiva | |
| 650 | 4 | |a Hipotermia servo-controlada | |
| 650 | 4 | |a Hipotermia terapéutica | |
| 650 | 4 | |a Hypoxic-ischemic encephalopathy | |
| 650 | 4 | |a Neonatal transport | |
| 650 | 4 | |a Passive cooling | |
| 650 | 4 | |a Servo-controlled cooling | |
| 650 | 4 | |a Therapeutic hypothermia | |
| 650 | 4 | |a Transporte neonatal | |
| 700 | 1 | |a Maya Gallego, Sara |e verfasserin |4 aut | |
| 700 | 1 | |a Esclapés Giménez, Teresa |e verfasserin |4 aut | |
| 700 | 1 | |a Sardà Sánchez, Marta |e verfasserin |4 aut | |
| 700 | 1 | |a Rodríguez Losada, Olalla |e verfasserin |4 aut | |
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| 700 | 1 | |a Oller Fradera, Olga |e verfasserin |4 aut | |
| 700 | 1 | |a Alarcón, Ana |e verfasserin |4 aut | |
| 700 | 1 | |a Esteban, Elisabeth |e verfasserin |4 aut | |
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