neohelpTM
Where?
Paramedics
Emergency physicians
Neonatologist
Nurse
Transport
neohelpTM, the solution to prevent newborns’ hypothermia
There are specific challenges to thermoregulation in the transport setting such as changing environment and limited ability to monitor and intervene. 1
What does the literature say?
From
delivery room to NICU
From hospital-to -hospital
Thermoregulation guideline included […] wrapping the infant in a polyethylene sheet […] and ensuring the infant was wrapped during transport and throughout the entire admission process in the NICU to maintain the thermal environment. 2
Placing VLBW infants in polyethylene plastic bags during transport reduces the occurrence of hypothermia […] 3
Incidence of hypothermia in neonates during transportation4 7% 33%
By using the Velcro Plastic Wraps (VPW) during hospital to hospital transportation of preterm infants, the percentage of hypothermic neonates has reduced by 26% 4
References
1. Glenn T, Price R, Culbertson L, Yalcinkaya G. Improving thermoregulation in transported preterm infants: a quality improvement initiative. J Perinatol. 2021 Feb;41(2):339-345. doi: 10.1038/s41372-020-0732-z. Epub 2020 Jul 16. PMID: 32678317; PMCID: PMC7860135.
2. Singh TS, Skelton H, Baird J, Padernia AM, Maheshwari R, Shah DM, D’Cruz D, Luig M, Jani P. Improvement in thermoregulation outcomes following the implementation of a thermoregulation bundle for preterm infants. J Paediatr Child Health. 2022 Jul;58(7):1201-1208. doi: 10.1111/jpc.15949. Epub 2022 Mar 30. PMID: 35353411; PMCID: PMC9310766.
3. Hu XJ, Wang L, Zheng RY, Lv TC, Zhang YX, Cao Y, Huang GY. Using polyethylene plastic bag to prevent moderate hypothermia during transport in very low birth weight infants: a randomized trial. J Perinatol. 2018 Apr;38(4):332-336. doi: 10.1038/s41372017-0028-0. Epub 2017 Dec 27. PMID: 29282354.
4. Mrs Demi Bird, Mrs Catherine Edwards, Dr Helen Jarvis, Dr Alex Philpott. Improving thermoregulation for preterm babies weighing <1kg during hospital-to-hospital transportation, a novel use of delivery room equipment. KIDSNTS – Presented in 2023 at BAPM