Therapeutic hypothermia (TH) has been shown to improve the outcome following perinatal asphyxia. To obtain the maximum benefit, therapeutic hypothermia should be initiated as soon as possible within 6 hr after birth. In Japan, it is important to develop effective and safe protocols to control the temperature during transport.

To evaluate the efficacy and safety of continuous monitoring of rectal temperatures during transport of infants with/without asphyxia in order to control body temperature properly and to induce passive cooling for infants with mild to severe Hypoxic-ischemic-encephalopathy (HIE) safely.

Skin and rectal temperatures during transport were prospectively collected from transported newborns between August 2012 and August 2014 at three regional cooling centers. In the case of infants without asphyxia, the transport team controlled the temperature of the transport incubator 33 ± 2°C to maintain a target rectal temperature at as close to 36.0-36.5°C as possible. While in the case of infants with asphyxia, the transport team controlled the temperature of the transport incubator between 31 and 32°C to maintain a target rectal temperature at as close to 35.0°C as possible. The rectal and skin temperatures were monitored continuously and recorded by the bedside monitor for later analysis.