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利用亚低温转运缺氧缺血性脑病新生儿。

Transporting neonates with hypoxic-ischemic encephalopathy utilizing active hypothermia.

作者信息

Weiss M D, Tang A, Young L, Irwin L, Brophy C, Larsen V, Howard J, Miller C, Douglas-Escobar M

机构信息

Department of Pediatrics, University of Florida, Gainesville, FL, USA ShandsCair Flight Program, University of Florida, Gainesville, FL, USA.

ShandsCair Flight Program, University of Florida, Gainesville, FL, USA.

出版信息

J Neonatal Perinatal Med. 2014 Jan 1;7(3):173-8. doi: 10.3233/NPM-14814018.

DOI:10.3233/NPM-14814018
PMID:25318630
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.

摘要

目的

本报告的目的是评估一种用于新生儿缺氧缺血性脑病(HIE)转运期间的伺服控制主动降温设备。

研究设计

回顾性分析2009年至2013年在一家单一的地区转诊新生儿重症监护病房中使用伺服控制设备进行被动和主动治疗性低温的所有病例。

结果

28例接受主动降温的新生儿通过救护车(43%)、固定翼飞机(25%)或直升机(32%)转运。伺服控制设备记录了所有28例新生儿的核心温度,产生了2985分钟的数据。所有新生儿在转运33分钟内核心温度达到33 - 34°C。一旦新生儿达到核心温度,转运剩余时间的平均温度为33 ± 0.2°C。无论转运车辆类型如何,新生儿均能维持核心温度。

结论

伺服控制低温能够在地面和空中转运过程中快速达到目标温度并在整个转运过程中维持该温度。

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引用本文的文献

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Passive hypothermia (≥35 - <36°C) during transport of newborns with hypoxic-ischaemic encephalopathy.对患有缺氧缺血性脑病的新生儿进行转运期间的被动低温治疗(体温≥35 - <36°C)。
PLoS One. 2017 Mar 9;12(3):e0170100. doi: 10.1371/journal.pone.0170100. eCollection 2017.
2
Provision of Therapeutic Hypothermia in Neonatal Transport: A Longitudinal Study and Review of Literature.新生儿转运中治疗性低温的提供:一项纵向研究及文献综述
Cureus. 2015 May 26;7(5):e270. doi: 10.7759/cureus.270. eCollection 2015 May.