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.
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.
Authors: Ewen D Johnston; Julie-Clare Becher; Anne P Mitchell; Benjamin J Stenson Journal: Arch Dis Child Fetal Neonatal Ed Date: 2012-09 Impact factor: 5.747
Authors: S C Roth; J Baudin; E Cady; K Johal; J P Townsend; J S Wyatt; E O Reynolds; A L Stewart Journal: Dev Med Child Neurol Date: 1997-11 Impact factor: 5.449
Authors: Stephanie Redpath; Heather Moore; Ewa Sucha; Amisha Agarwal; Nicholas Barrowman; Brigitte Lemyre; Louise St Germain Journal: Pediatr Qual Saf Date: 2022-06-14
Authors: Brigitte Lemyre; Linh Ly; Vann Chau; Anil Chacko; Nicholas Barrowman; Hilary Whyte; Steven P Miller Journal: Paediatr Child Health Date: 2017-05-23 Impact factor: 2.253