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Article type: Research Article
Authors: Weiss, M.D.; | Tang, A. | Young, L. | Irwin, L. | Brophy, C. | Larsen, V. | Howard, J. | Miller, C. | Douglas-Escobar, M.
Affiliations: Department of Pediatrics, University of Florida, Gainesville, FL, USA | ShandsCair Flight Program, University of Florida, Gainesville, FL, USA | Department of Statistics, University of Florida, Gainesville, FL, USA
Note: [] Corresponding author: Dr. Michael D. Weiss, 1600 SW Archer Road Box 100296, Gainesville, FL 32610-0296, USA. Tel.: +1 352 273 8985; Fax: +1 352 273 9054; E-mail: mweiss@ufl.edu
Abstract: OBJECTIVE: The objective of this report was to evaluate a servo-controlled active hypothermia device used during the transport of neonates with HIE. STUDY DESIGN: Retrospective review of all cases of therapeutic hypothermia, both passive and active, using a servo-controlled device in a single regional referral neonatal intensive care unit from 2009-2013 RESULTS: An ambulance (43%), fixed wing aircraft (25%), or helicopter (32%) transported 28 neonates with active hypothermia. The servo-controlled device captured core temperatures in all 28 neonates, resulting in 2,985 minutes of data. All neonates attained a core temperature between 33-34 °C by 33 minutes of the transport. Once the neonates attained a core temperature, the average temperature for the remainder of the transport was 33 ± 0.2 °C. The neonates maintained the core temperature regardless of the type of transport vehicle. CONCLUSION: Servo-controlled hypothermia enables rapid attainment of targeted temperatures and maintains the temperature throughout the transport process in both ground and air transport.
Keywords: Active hypothermia, neonates, transport, hypoxic-ischemic, encephalopathy
DOI: 10.3233/NPM-14814018
Journal: Journal of Neonatal-Perinatal Medicine, vol. 7, no. 3, pp. 173-178, 2014
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