title: Provision of servo-controlled cooling during neonatal transport.
abstract: BACKGROUND
  Therapeutic hypothermia is a time critical intervention for infants who have experienced a hypoxic-ischaemic event. Previously reported methods of cooling during transport do not demonstrate the same stability achieved in the neonatal unit. The authors developed a system which allowed provision of servo-controlled cooling throughout transport, and present their first year's experience.
  
  
  METHODS
  Retrospective review of routinely collected patient data.
  
  
  RESULTS
  14 out-born infants were referred for cooling during a 12-month period. Nine infants were managed with the servo-controlled system during transport. Cooling was commenced in all infants before 6 h of life. Median time from team arrival to the infant having a temperature in the target range (33-34°C) was 45 min. Median temperature during transfer was 33.5°C (range 33-34°C). Temperature on arrival at the cooling centre ranged from 33.4°C to 33.8°C.
  
  
  CONCLUSIONS
  Servo-controlled cooling during transport is feasible and provides an optimal level of thermal control.
authors.affiliation: Neonatal Unit, Simpson Centre for Reproductive Health, Royal Infirmary, Old Dalkeith Road, Edinburgh EH16 4SA, UK. ewen.johnston@luht.scot.nhs.uk
authors.forename: Ewen D
authors.initials: ED
authors.lastname: Johnston
authors.forename: Julie-Clare
authors.initials: JC
authors.lastname: Becher
authors.forename: Anne P
authors.initials: AP
authors.lastname: Mitchell
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Stenson
mesh_terms: D006801:Humans; D007036:Hypothermia, Induced / Q000295:instrumentation / Q000379:methods*; D020925:Hypoxia-Ischemia, Brain / Q000628:therapy*; D007231:Infant, Newborn; D008297:Male; D010360:Patient Transfer; D012189:Retrospective Studies