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KMID : 0438520120190040269
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Journal of the Korean Society of Neonatology
2012 Volume.19 No. 4 p.269 ~ p.274
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Initiation of Therapeutic Hypothermia with a Cooling Fan for an Asphyxiated Newborn
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Lee Seung-Hyun
Jang Woo-Jung
Cho Hye-Jung
Cho Kang-Ho
Shim So-Yeon
Son Dong-Woo
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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 ≥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.
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KEYWORD
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Asphyxia neonatorum/therapy, Combined modality therapy, Electroencephalography, Guideline adherence, Heart rate, Humans, Hypothermia/therapy, Hypoxia-ischemia brain/therapy, Induced hypothermia, Infant newborn
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