Cap Fitting

Scalp cooling is not restricted by age. Suitability for scalp cooling is down to the cancer type, specifically whether the cancer is a solid tumor or not. As most paediatric/young children’s cancers are blood related most children would not be able to use scalp cooling. However, scalp cooling has been used occasionally by young patients.

The only thing that you can do to achieve the best possible results from scalp cooling is to ensure that you have the best cap fit possible. We do know that scalp cooling is not successful for everyone, but we don’t always know why. We would encourage you to give scalp cooling a go, as you have a lot of hair to retain and potentially a lot to lose.
Making sure that you care for your hair effectively during scalp cooling won’t effect your hair retention levels, but it will ensure that the hair that you do retain is in the best possible condition going for once you complete your chemotherapy.

Have you watched our cap fitting tutorial videos? A small amount of cover bulging isn’t too much of a problem, the cap cover doesn’t need to be flawlessly smooth. Remember the cap cover is there to make sure that the bungee cords can do their job properly and ensure a tight for your cap. If you are concerned, please contact us and we can connect you with one of our training team. Call 855-5PAXMAN (855-572-9626) or email patient@paxmanusa.com

No, the temperature of the cap is not cold enough to cause burning, however, we would recommend the use of disposable theatre/scrub cap to protect any exposed areas. It may also be worth reassessing the cap size you are using if patches have occurred. Speak to your clinician for more advice.

Covering any exposed scalp to prevent direct contact with the cooling cap is something we would advise as it will make your scalp cooling experience much more comfortable. You can also try rearranging any retained hair you have over the exposed areas of the scalp, you can try gauze cut to size, or if you have lots of thinning or larger areas of exposed scalp a disposable theatre/scrub cap can be a good idea. You will find more guidance in our cap tutorial videos.

You most certainly can. Please either use the cleaning wipes that are supplied with your cap kit, or rinse your cap with luke-warm soapy water after your treatment.

You will be responsible for fitting your cap before you start your treatment. This is why it is really important that you are as familiar as possible with the right cap fit before you arrive for your first treatment. Please watch our cap fitting tutorial videos, and make sure that you practice at least three times or however many times you think is necessary fro you to feel comfortable and capable with your cooling cap.

Stage 1 is the pre-cooling stage before your chemotherapy and lasts 30 minutes

  • For patients with thicker hair may wish to extend their pre-cooling time by 15 minutes to 45 minutes.
  • It is not recommended for the patient to disconnect from the system during this stage, if they do, the pre-cooling stage must be started again from the beginning

Stage 2 is the infusion cooling stage during chemo

  • The time varies depending on chemotherapy duration, but this stage will last for the whole length of the infusion of alopecia inducing chemotherapy drugs

Stage 3 is the post-infusion cooling stage

    • The post-infusion cooling time varies depending on your drug regimen, but for the majority of regimens including any chemo drugs taken in combination, the post-infusion cooling time will be 90 minutes and you may be moved away from the infusion area to a post cooling area
    • For single agent docetaxel/taxotere, you will require 20 minutes post-infusion cooling
    • For single agent paclitaxel/taxol, you will require 60 minutes post-infusion cooling

Once all three stages are completed, wait 10 to 15 minutes to allow the cap to acclimatise to room temperature, then removal of the cap should be easy. If you can rock the cap from side to side, you can lift it off slowly.

One of your clinical team will help you to fit your cap before you start your treatment. Despite this, it is really important that you are as familiar as possible with the right cap fit. Please watch our cap fitting tutorial videos as many times you think is necessary for you to feel comfortable with how a good cap fit should look and feel.

Have you watched our cap fitting tutorial videos? A small amount of cover bulging isn’t too much of a problem, the cap cover doesn’t need to be flawlessly smooth. Remember the cap cover is there to make sure that the bungee cords can do their job properly and ensure a tight for your cap. If you are concerned, please speak with your clinical team, who will be able to give you guidance or contact us on info@paxmanscalpcooling.com

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