Use of Hypothermia in the Asphyxiated Infant
نویسندگان
چکیده
A 32 year old primiparous woman presented with decreased fetal movements and her cardiotocograph (CTG) showed sinusoidal trace. She was taken up for emergency Cesarean section. A 39 weeks female baby was delivered. She was pale; there was no spontaneous breathing and the heart rate was less than 100/min. She was dried and wrapped, intubated and CPR was commenced. Venous cord pH was 6.9, base deficit 23 mmol/L and pCO2 72 mmHg; arterial cord pH was 7.01, base deficit 16 mmol/L and pCO2 50mmHg. Introduction Hypothermia Eligibility Criteria Management in the Delivery Suite Initiation of Therapeutic Hypothermia Intensive Care During Hypothermia Hypothermia in Low Resourced Settings Future of Neuroprotection in Asphyxiated Infants References
منابع مشابه
Study of Neurodevelopmental Outcomes at 10-14 Months of Age Using Bayley Scale of Infant and Toddler Development in Asphyxiated Newborns with Hypoxic Ischemic Encephalopathy Treated with and without Therapeutic Hypothermia
Background: Therapeutic hypothermia has become an established protocol for all neonates with moderate to severe Hypoxic Ischaemic Encephalopathy (HIE). There are very few studies comparing the neurodevelopmental outcomes in asphyxiated neonates who received therapeutic hypothermia or did not. This study aimed to assess the neurodevelopmental outcomes of asphyxiated neonates with features of HIE...
متن کاملBrain perfusion in asphyxiated newborns treated with therapeutic hypothermia.
BACKGROUND AND PURPOSE Induced hypothermia is thought to work partly by mitigating reperfusion injury in asphyxiated term neonates. The purpose of this study was to assess brain perfusion in the first week of life in these neonates. MATERIALS AND METHODS In this prospective cohort study, MR imaging and ASL-PI were used to assess brain perfusion in these neonates. We measured regional CBF valu...
متن کاملEvolution of Apparent Diffusion Coefficient and Fractional Anisotropy in the Cerebrum of Asphyxiated Newborns Treated with Hypothermia over the First Month of Life
The objective of this study was to assess the evolution of diffusion-weighted imaging (DWI) and diffusion-tensor imaging (DTI) over the first month of life in asphyxiated newborns treated with hypothermia and to compare it with that of healthy newborns. Asphyxiated newborns treated with hypothermia were enrolled prospectively; and the presence and extent of brain injury were scored on each MRI....
متن کاملIntraventricular hemorrhage in asphyxiated newborns treated with hypothermia: a look into incidence, timing and risk factors
BACKGROUND Intraventricular hemorrhage (IVH) is uncommon in term newborns. Asphyxia and hypothermia have been mentioned separately as possible risk factors of IVH, since they might cause fluctuations of cerebral blood flow. The aim of this study was to assess the incidence, the timing, and the risk factors of intraventricular hemorrhage (IVH) in term asphyxiated newborns treated with hypothermi...
متن کاملSecondary Increase of Lactate Levels in Asphyxiated Newborns during Hypothermia Treatment: Reflect of Suboptimal Hemodynamics (A Case Series and Review of the Literature)
Objective To evaluate whether a secondary increase of serum lactate levels in asphyxiated newborns during hypothermia treatment may reflect suboptimal dynamics. Methods-Retrospective case series and review of the literature. We present the clinical course of four asphyxiated newborns treated with hypothermia who presented with hypotension requiring inotropic support, and who displayed a seconda...
متن کامل