Abstract

SILVERA, Fernando et al. Scenarios for the diagnosis of hypoxic-ischemic encephalopathy and initiation of therapeutic hypothermia treatment in newborns with perinatal asphyxia. Arch. Pediatr. Urug. [online]. 2024, vol.95, n.1, e203.  Epub June 01, 2024. ISSN 0004-0584.  https://doi.org/10.31134/ap.95.1.3.

Perinatal hypoxic ischemia and its most feared complication, hypoxic ischemic encephalopathy, remain one of the main reasons for admission to neonatal care. Controlled hypothermia is currently the recommended treatment for patients with moderate to severe encephalopathy, given its neuroprotective nature against hypoxic-ischemic brain injury. Although the inclusion criteria for this therapy have been well established, there are still difficulties both in the early identification of those who may benefit, and in making decisions regarding situations of controversy between the available evidence and that being developing in ongoing studies. This paper aims at providing tools so that clinicians can address different scenarios that arise during their daily practice.

Keywords : Asphyxia; Brain Hypoxia-Ischemia; Induced Hypothermia; Newborn.

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