Hypoxic-ischaemic encephalopathy code: A systematic review for resource-limited settings.

Autor:	Garcia-Alix A; Neurología Neonatal, NeNe Foundation, Madrid, Spain; Neonatología, Ibero-American Society of Neonatology (SIBEN), New Jersey, USA. Electronic address: alfredoalix@gmail.com., Arnaez J; Neurología Neonatal, NeNe Foundation, Madrid, Spain; Neonatología, Ibero-American Society of Neonatology (SIBEN), New Jersey, USA; Unidad Neonatal, Complejo Asistencial Universitario de Burgos, Burgos, Spain., Arca G; Neurología Neonatal, NeNe Foundation, Madrid, Spain; Departamento de Neonatología, Hospital Clínic, IDIBAPS, Barcelona, Spain., Martinez-Biarge M; Department of Paediatrics, Imperial College Healthcare NHS Trust, Londres, United Kingdom.
Jazyk:	angličtina
Zdroj:	Anales de pediatria [An Pediatr (Engl Ed)] 2024 Apr; Vol. 100 (4), pp. 275-286. Date of Electronic Publication: 2024 Apr 12.
DOI:	10.1016/j.anpede.2024.04.001
Abstrakt:	It is estimated that 96% of infants with hypoxic-ischaemic encephalopathy (HIE) are born in resource-limited settings with no capacity to provide the standard of care that has been established for nearly 15 years in high-resource countries, which includes therapeutic hypothermia (TH), continuous electroencephalographic monitoring and magnetic resonance imaging (MRI) in addition to close vital signs and haemodynamic monitoring. This situation does not seem to be changing; however, even with these limitations, currently available knowledge can help improve the care of HIE patients in resource-limited settings. The purpose of this systematic review was to provide, under the term "HIE Code", evidence-based recommendations for feasible care practices to optimise the care of infants with HIE and potentially help reduce the risks associated with comorbidity and improve neurodevelopmental outcomes. The content of the HIE code was grouped under 9 headings: (1) prevention of HIE, (2) resuscitation, (3) first 6h post birth, (4) identification and grading of encephalopathy, (5) seizure management, (6) other therapeutic interventions, (7) multiple organ dysfunction, (8) diagnostic tests and (9) family care. (Copyright © 2024 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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