i. Main hose support (Fig. 45.4)

j. Spiked fill tube (Fig. 45.3)

k. Cap tube support (optional) (Fig. 45.4)

l. Disposable module clips

m. Temperature sensor module (TSM) (Fig. 45.4)

n. Temperature probes: To monitor rectal, scalp, and

skin temperature, Tempheart shields (Fig. 45.4)

o. DuoDERM/Tegaderm or comparable dressing

p. Adhesive tape

q. Rectal lubricant

r. Optional sensors: Yellow Springs Instrument Co.

(YSI)-compatible temperature sensors, esophageal,

nasopharyngeal

Chapter 45 ■ Brain and Whole Body Cooling 327

Fig. 45.3. CoolCap (Olympic) system—

rear side showing control and cooling unit.

Fig. 45.4. Infant preparation for

CoolCap. Infant placed in a radiant

warmer bed with core, skin, radiant

warmer, and scalp temperature sensor connected to the infant and the

temperature sensor module.

328 Section IX ■ Miscellaneous Procedures

Technique

1. Place infant in open crib with appropriate cardiorespiratory support and diaper removed (Fig. 45.4).

2. Place the radiant warmer bed in a flat horizontal position (Fig. 45.4), with the warmer turned off.

3. Lock the caster brakes on the cooling unit.

4. Plug in the power cord, and press the power switch to

the on position.

5. Touch set up in the control unit (Fig. 45.3).

6. Enter Patient information for the setup wizard displays.

a. Required infant data: Weight and gestational age.

b. Optional data (can be entered during treatment):

Patient name, ID, date and time of birth, clinical

data and names of the optional sensors in use (see

Equipment, above).

c. Touch Next.

7. Connect Temperature sensors, for the setup wizard

displays.

a. Connect the TSM to the control unit aligning the

red dots, then attach the TSM to the infant’s bedding using the TSM clip (Figs. 45.3 and 45.4).

b. Connect the rectal temperature sensor to the module.

c. Secure rectal temperature sensor (see E).

d. Connect the scalp temperature sensor to the TSM

(Fig. 45.4).

e. Position the tip of the sensor lateral to the anterior

fontanel to allow cerebral ultrasound.

f. Apply DuoDERM/Tegaderm over the sensor.

g. Apply Tempheart shield (supplied with Cool-Cap

equipment), with the tip pointing toward the back of

infant’s head. Any generic sensor shield can be used.

h. Plug the skin temperature sensor into the TSM (Fig.

45.4).

i. Position the tip of the skin sensor over the liver on

the anterior abdominal wall.