neohelpTM
Where?
Paramedics
Emergency physicians
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?
Unplanned delivery
Higher rates of […] hypothermia require attention for neonates born out of the hospital 2
We have to improve temperature management in the out-of-hospital field […] to optimize newborns management in the prehospital area. 3
The transport incubator used to limit heat loss can be cumbersome and difficult to obtain. It may be « replaced » by […] a transparent polyethylene bag wrapping whilst the baby is still wet. This greatly reduces the risk of hypothermia. 4
The implementation of Velcro-closure polyethylene wrap (Neo-HeLP, Vygon, Lansdale, PA) was a helpful adjunctive tool that allowed a higher coverage of body surface area […]. 1
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. Pasternak Y, Wintner EM, Shechter-Maor G, Pasternak Y, Miller N, Biron-Shental T. Perinatal outcomes of unplanned out-of-hospital deliveries: a case-control study. Arch Gynecol Obstet. 2018 Apr;297(4):871-875. doi: 10.1007/s00404-017-4634-z. Epub 2018 Jan 13. PMID: 29332220.
3. Javaudin F, Hamel V, Legrand A, Goddet S, Templier F, Potiron C, Pes P, Bagou G, Montassier E. Unplanned out-of-hospital birth and risk factors of adverse perinatal outcome: findings from a prospective cohort. Scand J Trauma Resusc Emerg Med. 2019 Mar 2;27(1):26. doi: 10.1186/s13049-019-0600-z. PMID: 30825876; PMCID: PMC6397745.
4. J.F. Diependaele, A. Fily. Management of a newborn baby – 51st congress of French Society of Anesthesia and Intensive Care2009