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Therapeutic Hypothermia in Asphyxiated Neonates: Experience from Neonatal Intensive Care Unit of University Hospital of Marrakech

INTRODUCTION: Therapeutic hypothermia (TH) is now recommended for the treatment neonates with hypoxic-ischemic encephalopathy (HIE). This treatment protocol is applied in our department since June 2012. The aim of this study is to report the first experience with head cooling in asphyxiated neonates...

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Autores principales: Maoulainine, F. M. R., Elbaz, M., Elfaiq, S., Boufrioua, G., Elalouani, F. Z., Barkane, M., El Idrissi Slitine, Nadia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5439062/
https://www.ncbi.nlm.nih.gov/pubmed/28567061
http://dx.doi.org/10.1155/2017/3674140
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author Maoulainine, F. M. R.
Elbaz, M.
Elfaiq, S.
Boufrioua, G.
Elalouani, F. Z.
Barkane, M.
El Idrissi Slitine, Nadia
author_facet Maoulainine, F. M. R.
Elbaz, M.
Elfaiq, S.
Boufrioua, G.
Elalouani, F. Z.
Barkane, M.
El Idrissi Slitine, Nadia
author_sort Maoulainine, F. M. R.
collection PubMed
description INTRODUCTION: Therapeutic hypothermia (TH) is now recommended for the treatment neonates with hypoxic-ischemic encephalopathy (HIE). This treatment protocol is applied in our department since June 2012. The aim of this study is to report the first experience with head cooling in asphyxiated neonates in Morocco. PATIENTS AND METHODS: Prospective study of newborns admitted for HIE from July 18, 2012, to May 15, 2014, in Neonatal Intensive Care Unit (NICU) of Mohamed VI University Hospital. The results were studied by comparing a newborn group who received hypothermia to a control group. RESULTS: Seventy-two cases of neonates with perinatal asphyxia were admitted in the unit. According to inclusion criteria thirty-eight cases were eligible for the study. Only 19 cases have received the hypothermia protocol for different reason; the arrival beyond six hours of life was the main cause accounting for 41%. Complications of asphyxia were comparable in both groups with greater pulmonary hypertension recorded in the control group. The long-term follow-up of protocol group was normal in almost half of cases. CONCLUSION: Our first experience with the controlled TH supports its beneficial effect in newborns with HIE. This treatment must be available in all the centers involved in the neonatal care in Morocco.
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spelling pubmed-54390622017-05-31 Therapeutic Hypothermia in Asphyxiated Neonates: Experience from Neonatal Intensive Care Unit of University Hospital of Marrakech Maoulainine, F. M. R. Elbaz, M. Elfaiq, S. Boufrioua, G. Elalouani, F. Z. Barkane, M. El Idrissi Slitine, Nadia Int J Pediatr Clinical Study INTRODUCTION: Therapeutic hypothermia (TH) is now recommended for the treatment neonates with hypoxic-ischemic encephalopathy (HIE). This treatment protocol is applied in our department since June 2012. The aim of this study is to report the first experience with head cooling in asphyxiated neonates in Morocco. PATIENTS AND METHODS: Prospective study of newborns admitted for HIE from July 18, 2012, to May 15, 2014, in Neonatal Intensive Care Unit (NICU) of Mohamed VI University Hospital. The results were studied by comparing a newborn group who received hypothermia to a control group. RESULTS: Seventy-two cases of neonates with perinatal asphyxia were admitted in the unit. According to inclusion criteria thirty-eight cases were eligible for the study. Only 19 cases have received the hypothermia protocol for different reason; the arrival beyond six hours of life was the main cause accounting for 41%. Complications of asphyxia were comparable in both groups with greater pulmonary hypertension recorded in the control group. The long-term follow-up of protocol group was normal in almost half of cases. CONCLUSION: Our first experience with the controlled TH supports its beneficial effect in newborns with HIE. This treatment must be available in all the centers involved in the neonatal care in Morocco. Hindawi 2017 2017-05-08 /pmc/articles/PMC5439062/ /pubmed/28567061 http://dx.doi.org/10.1155/2017/3674140 Text en Copyright © 2017 F. M. R. Maoulainine et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Maoulainine, F. M. R.
Elbaz, M.
Elfaiq, S.
Boufrioua, G.
Elalouani, F. Z.
Barkane, M.
El Idrissi Slitine, Nadia
Therapeutic Hypothermia in Asphyxiated Neonates: Experience from Neonatal Intensive Care Unit of University Hospital of Marrakech
title Therapeutic Hypothermia in Asphyxiated Neonates: Experience from Neonatal Intensive Care Unit of University Hospital of Marrakech
title_full Therapeutic Hypothermia in Asphyxiated Neonates: Experience from Neonatal Intensive Care Unit of University Hospital of Marrakech
title_fullStr Therapeutic Hypothermia in Asphyxiated Neonates: Experience from Neonatal Intensive Care Unit of University Hospital of Marrakech
title_full_unstemmed Therapeutic Hypothermia in Asphyxiated Neonates: Experience from Neonatal Intensive Care Unit of University Hospital of Marrakech
title_short Therapeutic Hypothermia in Asphyxiated Neonates: Experience from Neonatal Intensive Care Unit of University Hospital of Marrakech
title_sort therapeutic hypothermia in asphyxiated neonates: experience from neonatal intensive care unit of university hospital of marrakech
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5439062/
https://www.ncbi.nlm.nih.gov/pubmed/28567061
http://dx.doi.org/10.1155/2017/3674140
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