신생아 가사에서 선풍기로 유도한 저체온요법 1례Initiation of Therapeutic Hypothermia with a Cooling Fan for an Asphyxiated Newborn
- Other Titles
- Initiation of Therapeutic Hypothermia with a Cooling Fan for an Asphyxiated Newborn
- Authors
- 이승현; 장우정; 조혜정; 조강호; 심소연; 손동우
- Issue Date
- 2012
- Publisher
- 대한신생아학회
- Keywords
- Asphyxia neonatorum/therapy; Combined modality therapy; Electroencephalography; Guideline adherence; Heart rate; Humans; Hypothermia/therapy; Hypoxia-ischemia brain/therapy; Induced hypothermia; Infant newborn
- Citation
- Neonatal medicine, v.19, no.4, pp.269 - 274
- Journal Title
- Neonatal medicine
- Volume
- 19
- Number
- 4
- Start Page
- 269
- End Page
- 274
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/17418
- ISSN
- 2287-9412
- Abstract
- 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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