Implementation of a Hypothermia Treatment Program for Hypoxic Ischemic Encephalopathy- SCVMC NICU Experience Implementation of this program would not have been possible without extreme dedication of SCVMC NICU staff and families, and support from Santa Clara County First Five and Valley Medical Center Foundation.
8
Embed
Implementation of a Hypothermia Treatment Program for Hypoxic Ischemic Encephalopathy- SCVMC NICU Experience Implementation of this program would not have.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Implementation of a Hypothermia Treatment Program for
Hypoxic Ischemic Encephalopathy- SCVMC NICU Experience
Implementation of this program would not have been possible without extreme dedication of SCVMC NICU staff and families, and support from Santa Clara County First Five and Valley Medical Center Foundation.
HI
Primary cell death
Cytotoxic mechanisms
Delayed neuronal death
6 hours Days
Repair mechanisms
Hypothermia Hypothermia 72 hrs72 hrs
Brain injury evolves over time Brain injury evolves over time following hypoxic-ischemic insultfollowing hypoxic-ischemic insult
Epo and other Epo and other interventionintervention
-
+
INCLUSION: ≥36wks GA and ≥ 1800gms AND meet both Physiologic and Neurological CriteriaEXCLUSION: 1) Lethal Chromosomal or Congenital anomalies, 2) Active bleeding, 3) Severely injured - comfort care
A Major Perinatal Event1. FHR decals, cord prolapse, abruption, uterine rapture, 2. Maternal trauma, hemorrhage3. Infant CPR in DR ANDApgar ≤ 5 at 10 min or PPV ≥ 10 min