Scalp cooling keeps patients in the chemotherapy chair for up to two hours longer, which limits how many people a unit can treat. Shorter cooling after the drip and portable coolers could free the chair without losing hair protection.
A 2025 review of scalp cooling reports post-infusion times from 15 minutes to 4 hours, names chair time and equipment as barriers, and notes that cooling stations outside the infusion chair have been proposed. A randomised trial with weekly paclitaxel found 20 minutes as effective as 45 and 90 minutes, and the Dutch registry of 4,680 patients found no added benefit beyond about 85 minutes. A portable cooler is FDA-cleared for home use (Amma, K211526), and a cost model of a cordless cap assumed it frees the chair. The proposal is to adopt evidence-based shorter post-infusion times by regimen and to move the remainder of cooling to a lounge or home where a portable device allows.
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