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Table 3 PCM cooling mattresses offer relative advantage compared to existing cooling devices

From: Review of a frugal cooling mattress to induce therapeutic hypothermia for treatment of hypoxic-ischaemic encephalopathy in the UK NHS

Feature

PCM cooling mattresses

High-tech cooling devices

Low-tech cooling devices

Cooling induction time

Rapid

Rapid

Slow

Temperature fluctuations

No

No

Yes

Slow and controlled rewarming

Slow and controlled

Slow and controlled

Hard to control

Cost

~£1800

~£20,000-30,000

Low cost but higher risks of complications

Portable

Yes

Not always

Yes

Recurring expenses

No

Yes (e.g. disposable cooling blankets for Blanketrol II)

Yes (e.g. ice packs)

Staff input for device monitoring

Moderate

Low

High

Training

Low

High

Low

Affected by environmental temperature

No

No

Yes

Risk of adverse events

Minimal

Minimal

High