BACKGROUND AND OBJECTIVE Therapeutic hypothermia is now the standard of care for hypoxic-ischemic encephalopathy. Treatment should be started early, and it is often necessary to transfer the infant to a regional NICU for ongoing care. There are no large studies reporting outcomes from infants cooled passively compared with active (servo-controlled) cooling during transfer. Our goal was to revie...

Legal problems are more numbered even in Neonatology. Hospital policy should establish strategies to limit systematic, environmental and human errors, including solutions to optimize organization and increase knowledge [1].Staff retraining by means of simulation could be a precious instrument. Simulation works through mechanisms that are proper of our brain for decision-making (i.e. simulated m...

This study reports for the first time the use of a respiratory function monitor in a prospective observational cohort of ventilated babies during transport. All 17 babies achieved target transcutaneous carbon dioxide tension within 15 minutes. Fifteen babies had improved ventilation with changes guided by the respiratory function monitor. The monitor was easy to use and useful.

Although in utero transfer is the safest option,1 2 provided the mother's condition allows, many newborn infants are still transferred from their hospital of birth to another hospital to receive intensive care. There have been audits of the transfer of both adults34 and older children5 to intensive care units in the United Kingdom but there has been no published audit of the work of a neonatal ...

Communication The communication gold standard is the implementation of advanced technologiesas establishment of arealtime telepresence clinical network that allows online collaboration between primary care physicians working in community hospitals and critical care transport teams on moving vehicles. These participants will be able to work in collaborationduring the evaluation, stabilization an...