Hypoxic Brain Injury & Elective Hypothermia... Who's doing it? - page 3
Hi all, We're getting ready to start trialing a new whole-body cooling system for hypoxic-brain injury term infants. I need to start researching protocols, etc for our new program. Is anyone using... Read More
Jul 15, '08The hospital I'm at does the cool cap, but we have yet to have a baby meet all the criteria.
Jul 17, '08I know that Phoenix Childrens does the head cooling thing.
I went to a delivery for a "bad strip" turned crash section once we got there. Baby was born with fixed and dilated pupils, barely a heart rate, and was stained with meconium. (no PNC of course) We got the kid intubated and just bagged the crap out of him. He took a few random breaths, but had no response whatsoever. His Apgars were 2, 4, 5. Thankfully he came around and we didn't have to use epi or compressions. I think his cord pH was 6.7.
The neo wanted to transport him, but he was on iNO and HFOV, so we couldn't. He's on low settings vent wise, but his EEG was flat lined with random bursts. I don't think he is going to be much of anything if they get him extubated, but I was told he has a gag. He has a repeat EEG in a couple days.
Jul 19, '08http://www.nicuniversity.org/downloa...ypothermia.pdf
These might be of interest to you.
Our unit uses full body cooling for newborns with HIE.
It is not a regular thing but every now and then.
We use a cooling blanket but have difficult as this drops too low and will take too long to rewarm to an acceptable level so we generally nurse with an overhead radiant warmer as well to be safe.
We have been involved in an Aus wide trial called the ICE trial.
There does seem to be some research out there which is easily found using a websearch. Goodluck
Royal Hobart Hospital
NPICU (level III)