Challenges in the application of non-servocontrolled therapeutic hypothermia during neonatal transport in Catalonia

Monmany, Nuria Torre; Gallego, Sara Maya; Giménez, Teresa Esclapés; Sánchez, Marta Sardà; Losada, Olalla Rodríguez; Planas, A. Martínez; Fradera, Olga Oller; Alarcón, Ana; Esteban, Elisabeth

doi:10.1016/j.anpede.2021.07.005

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…In their prospective observational study, Torre Monmany et al 53 concluded that servo‐controlled devices in neonatal transport are superior to gel packs, even when rectal temperature is closely monitored throughout the transport. In their systematic review on the use of servo‐controlled devices versus no device in neonatal transport, Hagan et al 54 concluded that a servo‐controlled blanket is more likely to achieve and maintain body temperature within the target range on arrival at a reference centre.…”

Section: Discussionmentioning

confidence: 99%

Cooling strategies during neonatal transport for hypoxic‐ischaemic encephalopathy

et al. 2022

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Aim:We reviewed the literature on cooling methods during transport of newborn infants with hypoxic-ischaemic encephalopathy (HIE) born in a non-tertiary centre and transferred to a neonatal intensive care unit for therapeutic hypothermia. Methods:The electronic databases CENTRAL, MEDLINE, Embase, CINAHL, and Scopus were searched from inception up to 8 March 2022 for studies comparing cooling versus no cooling, active versus passive cooling, and servo-controlled versus non-servo-controlled cooling. Odds ratio and confidence of interval were calculated for dichotomous outcomes and mean difference and confidence interval for continuous outcomes. Results:The final analysis included 14 studies, 1 randomised and 13 non-randomised, involving 1098 newborn infants. Compared with the other cooling methods, servocontrolled active cooling was more likely to maintain body temperature within the target range of 33°C-34°C on arrival at a neonatal intensive care unit: odds ratio 13.58, 95% confidence interval 4.32-42.66, risk difference 0.33, 95% confidence interval 0.19-0.46; 224 participants; three studies; I 2 0%. The certainty of evidence was low. Only five studies reported mortality rates. Conclusion:Servo-controlled active cooling may be the preferred method during transport of newborn infants with HIE. A future area of focus should be long-term neurodevelopmental outcomes after servo-controlled active cooling.

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Section: Discussionmentioning

confidence: 99%