Implementation in Buenos Aires City of a program to prevent neurological damage caused by hypoxic-ischemic encephalopathy: Therapeutic hypothermia
Arch Argent Pediatr. 2015 Oct;113(5):437-43.
doi: 10.5546/aap.2015.eng.437.
[Article in
English,
Spanish]
Authors
Mariana Valera
1
, Juan Pablo Berazategui
1
, Gladys Saa
1
, Carolina Olmo Herrera
1
, Teresa Sepúlveda
1
, María Fernanda Buraschi
1
, Sebastián Gacio
2
, Cristina Villalba
1
, Inés Beloso
3
, Graciela Basso
1
, Waldemar Carlo
4
, Jorge Tavosnanska
1
Affiliations
- 1 Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
- 2 Servicio de Pediatria, Hospital General de Agudos Juan A. Fernández.
- 3 Servicio de Fonoaudiologia, Hospital General de Agudos Juan A. Fernández, Ciudad Autónoma de Buenos Aires.
- 4 División de Neonatologia, Universidad de Alabama, Alabama, EE.UU.
Abstract
Therapeutic hypothermia is the standard of care for hypoxic-ischemic encephalopathy (HIE). This treatment was implemented at a regional level by the perinatal network of the City of Buenos Aires. The following are the objectives of this article: 1. To describe the implementation of the network's hypothermia treatment program; 2. To report treatment-associated complications, adverse events and mortality. The program was implemented in stages: 1) 2009-2010. Training and instruction on how to use the equipment. 2) 20102014. Treatment and follow-up of patients with moderate or severe HIE. Up to October 2014, 27 newborn infants received hypothermia treatment with moderate (n= 15) and severe (n= 12) HIE. None of the patients died during treatment. Three newborn infants were lost to follow-up. Among the 16 survivors older than one year old, three have severe neurological disability. Program implementation was plausible. It is imperative to train health care providers on how to identify patients with HIE.
MeSH terms
-
Argentina
-
Brain Diseases / prevention & control*
-
Humans
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Hypothermia, Induced* / adverse effects
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Hypoxia-Ischemia, Brain / complications*
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Hypoxia-Ischemia, Brain / therapy*
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Infant, Newborn
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Urban Health