West Midlands Transfer ServiceCooling Figures

Oct 11 – Mar 12

Transport User GroupApril 2012

Referrals for Cooling 12 transfer requests

1 transfer cancelled by referring unit;Referring consultant cancelled transfer as baby already receiving active

treatment on cooling mattress.

1 transfer cancelled by NTS; Referral from CENTRAL network to transfer into SWM network, NTS on ITU

job therefore transfer performed by CENTrE.

Transfer Request Demographics

SWMNN = 8 (80%)

SSBCNN = 2 (20%)

0

1

2

3

Cooling Centre Demographics

Cancelled transfer by NNU = Heartlands

Cancelled transfer by NTS = Heartlands

Heartlands

Oxford

UHNS

New Cross

Babies Age at Time of Referral

Cancelled by NNU = >12hrs

Cancelled by NTS = ?

0

1

2

3

<1hr1-2hrs

2-3hrs

3-4hrs

4-5hrs

>12hrs

NTS Response Time

From time of referral call to NTS arrival

on referring neonatal unit

Within 2 hours = 6 (60%)

2 – 3 hours = 2 (20%)

4 hours + = 2 (20%)

Babies Age at Cooling Centre

Case A & B = Transfer referral @ >12hrs old, babies already receiving active cooling therapy. Transfers due to cot management.

0

1

2

3

Babies Age when Therapeutic Hypothermia

Achieved (33-34º)

6 babies achieved therapeutic range

within 6 hours.

1 baby achieved therapeutic range within

8 hours.

2 babies never achieved therapeutic

range during transfer process.

Passive vs Active

Most common techniques; Cool water gloves (20%)

Cold transwarmer (30%)

50% Passive Cooling

50% Active Cooling

Modes of Ventilation

Inotropes used in 2 cases

Phenobarbital used in 5 cases

Morphine used in 16 cases

SVIA

NPO2

IMV

Plans For The Future

Training and education; Delivery Room/Initial management Rectal temp monitoring Documentation

New transport cooling mattress.

New transport cooling guidelines.

Thank - You