What happens to my baby during the 72 hours of cooling treatment?
During the 72-hour cooling period, your baby is cared for in the NICU on a specially designed cooling blanket or mattress that maintains their core temperature precisely at around 33.5 degrees Celsius. This requires careful and continuous monitoring. Sedation is given as needed to keep your baby comfortable during the cooling period. Continuous amplitude-integrated EEG monitors brain electrical activity throughout, giving the neonatal team real-time information about how the brain is responding. Feeding is usually given through a nasogastric tube rather than by breastfeeding during cooling. After 72 hours, your baby is rewarmed gradually over several hours under careful monitoring. This slow, controlled rewarming is as important as the cooling itself, and the team will monitor closely for any changes during this transition. Most families find it helpful to be present and to be kept informed of how the monitoring is progressing at each stage.
Written by Dr. Kabir Nanda, MD Paediatrics, Fellowship in Neonatology (NNF Accredited), Pediatrician and Neonatologist, Sukhmani Hospital, Safdarjung Enclave, New Delhi, and Westend Hospital, Tilak Nagar, New Delhi. Phone: +91 8076178418.