Head cooling for neonatal encephalopathy: the state of the art
Head cooling for neonatal encephalopathy: the state of the art
The possibility that hypothermia started during or after resuscitation at birth might reduce brain damage and cerebral palsy has tantalized clinicians for a long time. The key insight was that transient severe hypoxia-ischemia can precipitate a complex biochemical cascade leading to delayed neuronal loss. There is now strong experimental and clinical evidence that mild to moderate cooling can interrupt this cascade, and improve the number of infants surviving without disability in the medium term. The key remaining issues are to finding better ways of identifying babies who are most likely to benefit, to define the optimal mode and conditions of hypothermia and to find ways to further improve the effectiveness of treatment.
636-651
Gunn, Alistair Jan
4fd799f5-c657-48ef-9a71-7a38d8d67f9f
Gluckman, Peter D.
ef2e8b92-0b76-4a12-bd7c-01b0674f94d3
September 2007
Gunn, Alistair Jan
4fd799f5-c657-48ef-9a71-7a38d8d67f9f
Gluckman, Peter D.
ef2e8b92-0b76-4a12-bd7c-01b0674f94d3
Gunn, Alistair Jan and Gluckman, Peter D.
(2007)
Head cooling for neonatal encephalopathy: the state of the art.
Clinical Obstetrics & Gynecology, 50 (3), .
Abstract
The possibility that hypothermia started during or after resuscitation at birth might reduce brain damage and cerebral palsy has tantalized clinicians for a long time. The key insight was that transient severe hypoxia-ischemia can precipitate a complex biochemical cascade leading to delayed neuronal loss. There is now strong experimental and clinical evidence that mild to moderate cooling can interrupt this cascade, and improve the number of infants surviving without disability in the medium term. The key remaining issues are to finding better ways of identifying babies who are most likely to benefit, to define the optimal mode and conditions of hypothermia and to find ways to further improve the effectiveness of treatment.
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Published date: September 2007
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Local EPrints ID: 61186
URI: http://eprints.soton.ac.uk/id/eprint/61186
ISSN: 0009-9201
PURE UUID: ceb92ee0-4657-4435-810d-5121b20e62bf
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Date deposited: 26 Sep 2008
Last modified: 08 Jan 2022 19:06
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Author:
Alistair Jan Gunn
Author:
Peter D. Gluckman
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