| Initiation of Therapeutic Hypothermia with a Cooling Fan for an Asphyxiated Newborn. |
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Seung Hyun Lee, Woo Jung Jang, Hye Jung Cho, Kang Ho Cho, So Yeon Shim, Dong Woo Son |
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Department of Pediatrics, Graduate School of Medicine, Gachon University, Incheon, Korea. sondw@gilhospital.com |
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| Abstract |
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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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