Initiation of Therapeutic Hypothermia with a Cooling Fan for an Asphyxiated Newborn.
10.5385/jksn.2012.19.4.269
- Author:
Seung Hyun LEE
1
;
Woo Jung JANG
;
Hye Jung CHO
;
Kang Ho CHO
;
So Yeon SHIM
;
Dong Woo SON
Author Information
1. Department of Pediatrics, Graduate School of Medicine, Gachon University, Incheon, Korea. sondw@gilhospital.com
- Publication Type:Case Report
- Keywords:
Asphyxia neonatorum/therapy;
Combined modality therapy;
Electroencephalography;
Guideline adherence;
Heart rate;
Humans;
Hypothermia/therapy;
Hypoxia-ischemia brain/therapy;
Induced hypothermia;
Infant newborn
- MeSH:
Brain;
Butylated Hydroxytoluene;
Combined Modality Therapy;
Electroencephalography;
Guideline Adherence;
Heart Rate;
Humans;
Hypothermia;
Hypothermia, Induced;
Hypoxia-Ischemia, Brain;
Infant, Newborn
- From:Journal of the Korean Society of Neonatology
2012;19(4):269-274
- CountryRepublic of Korea
- Language:English
-
Abstract:
Induced hypothermia for newborns with hypoxic-ischemic encephalopathy results in a significant decrease in mortality and neurodevelopmental disability. For optimal neuroprotection following perinatal hypoxia-ischemia (HI), therapy should begin within 6 hrs of the insult and continue for > or =72 hrs. We report on a baby with HI who underwent therapeutic hypothermia that was initiated with a cooling fan, as the whole-body cooling machine was in use for another patient. Although overcooling occurred, the method was successful. For effective and safe brain hypothermic therapy (BHT), a purpose-built cooling machine is recommended. The adherence to standard protocol is required for every BHT, as clearly defined by protocols similar to those used in published trials.
