Post-resuscitation management of asphyxiated neonates

被引：15

作者：

Aggarwal R. ^{[1
]}

Deorari A.K. ^{[1
]}

Paul V.K. ^{[1
,2
]}

机构：

[1] Division of Neonatology, Department of Pediatrics, All India Inst. of Medical Sciences, Ansari Nagar, New Delhi

[2] Department of Pediatrics, All India Inst. of Medical Sciences, Ansari Nagar

来源：

The Indian Journal of Pediatrics | 2001年 / 68卷 / 12期

关键词：

Asphyxia; Central nervous system; Neonates;

D O I：

10.1007/BF02722933

中图分类号：

学科分类号：

摘要：

Perinatal asphyxia is one of the common causes of neonatal mortality. Data from National Neonatal Perinatal database suggest that perinatal asphyxia contributes to almost 20% of neonatal deaths in India. Failure to initiate or sustain respiration after birth has been defined as criteria for the diagnosis of asphyxia by WHO. Perinatal asphyxia results in hypoxic injury to various organs including kidneys, lungs and liver but the most serious effects are seen on the central nervous system. Levene's classification is a useful clinical tool for grading the severity of hypoxic ischemic encephalopathy. Good supportive care is essential in the first 48 hours after asphyxia to prevent ongoing brain injury in the penumbra region. Strict monitoring and prompt correction is needed for common problems including temperature maintenance, blood sugars, blood pressure and oxygenation. Phenobarbitone is the drug of choice for the treatment of convulsions.

引用

页码：1149 / 1153

页数：4

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