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Neonatal Med > Volume 19(4); 2012 > Article
Journal of the Korean Society of Neonatology 2012;19(4):269-274.
DOI: https://doi.org/10.5385/jksn.2012.19.4.269    Published online December 25, 2012.
Initiation of Therapeutic Hypothermia with a Cooling Fan for an Asphyxiated Newborn.
Seung Hyun Lee, Woo Jung Jang, Hye Jung Cho, Kang Ho Cho, So Yeon Shim, Dong Woo Son
Department of Pediatrics, Graduate School of Medicine, Gachon University, Incheon, Korea. sondw@gilhospital.com
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.
Key Words: Asphyxia neonatorum/therapy, Combined modality therapy, Electroencephalography, Guideline adherence, Heart rate, Humans, Hypothermia/therapy


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