Peter Odion Ubuane Posted September 7, 2020 Share Posted September 7, 2020 Hi everyone. What are the possible options for providing therapeutic hypothermia to newborns with moderate-to-severe hypoxic ischaemic encephalopathy? Any idea from other centres with no standard cooling devices? 1 Link to comment Share on other sites More sharing options...
Stefan Johansson Posted September 8, 2020 Share Posted September 8, 2020 @Peter Odion Ubuane The cooling trial in Australia was done with a low-tech solution, they used regular cooling "gel packs". If I remember correctly from a lecture long ago, they sometimes also used a table fan bedside, if they had problems to reach the target temp. I found this photo below and local trial info on the web here: https://www.bettersafercare.vic.gov.au/resources/clinical-guidance/maternity-and-newborn-clinical-network/therapeutic-hypothermia-for-hypoxic-ischaemic-encephalopathy-initiation-in-special-care-nurseries The trial publication is available free in full-text here: https://jamanetwork.com/journals/jamapediatrics/fullarticle/1107569 1 Link to comment Share on other sites More sharing options...
Mohan Posted September 22, 2020 Share Posted September 22, 2020 I am practicing on an exclusive mother and child care hospital in a resource poor setting in Western Odisha India where we get a lot of babies with birth asphyxia. For the last 4 yrs we have been using a low cost device called Mira Cradle which uses phase change material in a a polyurethane cradle. We have found it to be very effective in maintaining the requisite temperature for 72 hrs without use of electricity. This has resulted in favorable out comes especially in babies with moderate encephalopathy 3 Link to comment Share on other sites More sharing options...
PRAKASH KABBUR Posted September 27, 2020 Share Posted September 27, 2020 I agree with Dr. Mohan. We have started cooling in India in a resource poor set up. We were able to overcome many challenges with lots of training and infrastructure changes. The process is going smooth. There are cheaper options for cooling babies. 1 Link to comment Share on other sites More sharing options...
Mohan Posted September 30, 2020 Share Posted September 30, 2020 Kindly attached a photograph of baby on Mira Cradle in our hospital 1 Link to comment Share on other sites More sharing options...
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