title: Transporting neonates with hypoxic-ischemic encephalopathy utilizing active hypothermia.
abstract: OBJECTIVE
  The objective of this report was to evaluate a servo-controlled active hypothermia device used during the transport of neonates with HIE.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Servo-controlled hypothermia enables rapid attainment of targeted temperatures and maintains the temperature throughout the transport process in both ground and air transport.
authors.affiliation: Department of Pediatrics, University of Florida, Gainesville, FL, USA ShandsCair Flight Program, University of Florida, Gainesville, FL, USA.
authors.forename: M D
authors.initials: MD
authors.lastname: Weiss
authors.affiliation: ShandsCair Flight Program, University of Florida, Gainesville, FL, USA.
authors.forename: A
authors.initials: A
authors.lastname: Tang
authors.affiliation: Department of Statistics, University of Florida, Gainesville, FL, USA.
authors.forename: L
authors.initials: L
authors.lastname: Young
authors.affiliation: ShandsCair Flight Program, University of Florida, Gainesville, FL, USA.
authors.forename: L
authors.initials: L
authors.lastname: Irwin
authors.affiliation: ShandsCair Flight Program, University of Florida, Gainesville, FL, USA.
authors.forename: C
authors.initials: C
authors.lastname: Brophy
authors.affiliation: ShandsCair Flight Program, University of Florida, Gainesville, FL, USA.
authors.forename: V
authors.initials: V
authors.lastname: Larsen
authors.affiliation: ShandsCair Flight Program, University of Florida, Gainesville, FL, USA.
authors.forename: J
authors.initials: J
authors.lastname: Howard
authors.affiliation: Department of Pediatrics, University of Florida, Gainesville, FL, USA.
authors.forename: C
authors.initials: C
authors.lastname: Miller
authors.affiliation: Department of Pediatrics, University of Florida, Gainesville, FL, USA.
authors.forename: M
authors.initials: M
authors.lastname: Douglas-Escobar
mesh_terms: D001831:Body Temperature; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced / Q000295:instrumentation* / Q000379:methods; D020925:Hypoxia-Ischemia, Brain / Q000628:therapy*; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000628:therapy*; D015931:Intensive Care, Neonatal / Q000379:methods*; D016014:Linear Models; D008297:Male; D012189:Retrospective Studies; D014187:Transportation of Patients / Q000379:methods*; D016896:Treatment Outcome
keywords: Active hypothermia; encephalopathy; hypoxic-ischemic; neonates; transport