Servo‐controlled cooling during neonatal transport for babies with hypoxic‐ischaemic encephalopathy is practical and beneficial : Experience from a large UK neonatal transport service
Aim Servo‐controlled therapeutic hypothermia is a routine therapy for babies with hypoxic‐ischaemic encephalopathy in the neonatal unit and is delivered in designated cooling centres. It is increasingly being used during neonatal transport in the UK to deliver this therapy in a timelier manner for babies not born in a cooling centre. Prior to the implementation of this treatment, passive cooling alone was used in transport. Comparison of passive and servo‐controlled cooling during neonatal transfers with reference to: (i) the proportion of babies in the therapeutic range (33–34°C) at three time points during the transport mission (arrival of the team at the referring unit, departure of the team from the referring unit and at the completion of transport); (ii) the proportion of babies overcooled at any point once the transport team was present (<33°C); and (iii) duration of phases of the transfer to evaluate the impact of active cooling on how long it takes to undertake transfer. Methods This was a retrospective observational study comparing babies with passive and servo‐controlled hypothermia (January 2015 to May 2016) following introduction of the servo‐controlled cooling mattress. Results A total of 48 patients were treated with hypothermia in transit (29 passive, 19 servo‐controlled). The median gestational age (GA) was 40 weeks (interquartile range: 39–41) and mean birthweight (BW) 3420 g (standard deviation 600 g); there was no differences in GA, BW and clinical characteristics between the groups. There was a statistically significant difference in the temperature at the end of the transport, where 94% ( n= 18) of babies who received servo‐controlled cooling were in the target temperature in comparison with only 65% ( n= 19) of the passive cooling group babies ( P= 0.045). In addition, none of the babies in the servo‐controlled group were warm (>34°C) at the end of the transfer. Babies who underwent servo‐controlled cooling are more likely to maintain a target temperature (33–34°C) (17 (89%) vs. 17 (58%), P= 0.021); in particular, there is less overcooling (<33°C) in this group (2 (10%) vs. 15 (51%), P= 0.004). Total mission time was not significantly different. Conclusion The use of servo‐controlled cooling devices during neonatal transport improves the ability to maintain the baby's temperature within the target range (33–34°C) with less overcooling..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2019 |
|---|---|
| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:55 |
|---|---|
| Enthalten in: |
Journal of Paediatrics and Child Health - 55(2019), 5, Seite 518-522 |
| Beteiligte Personen: |
Torre Monmany, Nuria [VerfasserIn] |
|---|
| BKL: |
|---|
| Anmerkungen: |
© 2019 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) |
|---|
| Umfang: |
5 |
|---|
| doi: |
10.1111/jpc.14232 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
WLY009323775 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | WLY009323775 | ||
| 003 | DE-627 | ||
| 005 | 20230307185132.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 230217s2019 xx |||||o 00| ||und c | ||
| 024 | 7 | |a 10.1111/jpc.14232 |2 doi | |
| 028 | 5 | 2 | |a JPC_JPC14232.xml |
| 035 | |a (DE-627)WLY009323775 | ||
| 035 | |a (WILEY)JPC14232 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 082 | 0 | 4 | |a 610 |q ASE |
| 084 | |a 44.67 |2 bkl | ||
| 100 | 1 | |a Torre Monmany, Nuria |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Servo‐controlled cooling during neonatal transport for babies with hypoxic‐ischaemic encephalopathy is practical and beneficial |b Experience from a large UK neonatal transport service |
| 264 | 1 | |c 2019 | |
| 300 | |a 5 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a © 2019 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) | ||
| 520 | |a Aim Servo‐controlled therapeutic hypothermia is a routine therapy for babies with hypoxic‐ischaemic encephalopathy in the neonatal unit and is delivered in designated cooling centres. It is increasingly being used during neonatal transport in the UK to deliver this therapy in a timelier manner for babies not born in a cooling centre. Prior to the implementation of this treatment, passive cooling alone was used in transport. Comparison of passive and servo‐controlled cooling during neonatal transfers with reference to: (i) the proportion of babies in the therapeutic range (33–34°C) at three time points during the transport mission (arrival of the team at the referring unit, departure of the team from the referring unit and at the completion of transport); (ii) the proportion of babies overcooled at any point once the transport team was present (<33°C); and (iii) duration of phases of the transfer to evaluate the impact of active cooling on how long it takes to undertake transfer. Methods This was a retrospective observational study comparing babies with passive and servo‐controlled hypothermia (January 2015 to May 2016) following introduction of the servo‐controlled cooling mattress. Results A total of 48 patients were treated with hypothermia in transit (29 passive, 19 servo‐controlled). The median gestational age (GA) was 40 weeks (interquartile range: 39–41) and mean birthweight (BW) 3420 g (standard deviation 600 g); there was no differences in GA, BW and clinical characteristics between the groups. There was a statistically significant difference in the temperature at the end of the transport, where 94% ( n= 18) of babies who received servo‐controlled cooling were in the target temperature in comparison with only 65% ( n= 19) of the passive cooling group babies ( P= 0.045). In addition, none of the babies in the servo‐controlled group were warm (>34°C) at the end of the transfer. Babies who underwent servo‐controlled cooling are more likely to maintain a target temperature (33–34°C) (17 (89%) vs. 17 (58%), P= 0.021); in particular, there is less overcooling (<33°C) in this group (2 (10%) vs. 15 (51%), P= 0.004). Total mission time was not significantly different. Conclusion The use of servo‐controlled cooling devices during neonatal transport improves the ability to maintain the baby's temperature within the target range (33–34°C) with less overcooling. | ||
| 700 | 1 | |a Behrsin, Joanna |4 aut | |
| 700 | 1 | |a Leslie, Andrew |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of Paediatrics and Child Health |g 55(2019), 5, Seite 518-522 |w (DE-627)WLY009321640 |x 14401754 |7 nnns |
| 773 | 1 | 8 | |g volume:55 |g year:2019 |g number:5 |g pages:518-522 |g extent:5 |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_WLY | ||
| 936 | b | k | |a 44.67 |q ASE |
| 951 | |a AR | ||
| 952 | |d 55 |j 2019 |e 5 |h 518-522 |g 5 | ||