Newborn developed fat necrosis during therapeutic hypothermia.It is unclear if this is related to the newer artic sun devices which are being investigated and reported to medsun as applicable, or positioning.A z blanket (gel pads) is also being used during cooling and this too may be a cause.The necrotic area includes posterior neck, shoulder, back and buttocks with significant hardening and bruising/dark purple areas.It was believed that the rigidness of the foam cooling blanket, coupled with the firmness of the z foam matt caused pressure points resulting in the degree of injury noted.
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