Skip Navigation LinksHome > December 2013 - Volume 13 - Issue 6 > While Waiting: Early Recognition and Initial Management of N...
Advances in Neonatal Care:
doi: 10.1097/ANC.0000000000000028
Neonatal Transport

While Waiting: Early Recognition and Initial Management of Neonatal Hypoxic-Ischemic Encephalopathy

Sussman, Craig B. MD; Weiss, Michael D. MD

Continued Education
Collapse Box

Abstract

Hypoxic-ischemic encephalopathy (HIE) occurring during the perinatal period is one of the primary causes of severe, long-term neurological deficits in children. Initial systemic supportive therapy remains a critical aspect of HIE management. In addition to support therapy, the widespread use of hypothermia has demonstrated a reduction in death and neurodevelopmental disability in infants with moderate to severe HIE. Neonates with HIE born outside of tertiary care centers must be rapidly identified as hypothermia candidates and have emergent transport arranged. While waiting for the transport team to arrive, these neonates often require intensive stabilization, including meticulous temperature management. This article examines the need for HIE outreach teaching programs, assists in the identification of a neonate for hypothermia therapy, and supplies evidence-based recommendations for the initial stabilization and care of neonates delivered at nontertiary care facilities. The guidelines and materials supplied represent the outreach model used by our regional hypothermia center and disseminated to the surrounding referral hospitals.

© 2013 by the National Association of Neonatal Nurses.

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.