RT journal article
T1 Ten years since the introduction of therapeutic hypothermia in neonates with perinatal hypoxic-ischaemic encephalopathy in Spain
T2 Una década después de la implantación en España de la hipotermia terapéutica en el recién nacido con encefalopatía hipóxico-isquémica perinatal
A1 García Alix, A.
A1 Arnaez, J.
A1 Herranz Rubia, N.
A1 Alarcón, A.
A1 Arca, G.
A1 Valverde, E.
A1 Blanco, D.
A1 Lubián López, Simón Pedro
A2 Materno-Infantil y Radiología
K1 Perinatal asphyxia
K1 Hypoxic-ischaemic encephalopathy
K1 Neonatal encephalopathy
K1 Therapeutic hypothermia
K1 Neuroprotection
K1 Neonate
K1 Neurocritical care
AB Introduction: More than a decade has passed since therapeutic hypothermia (TH) was introduced in Spain; this is the only neuroprotective intervention that has become standard practice in the treatment of perinatal hypoxic-ischaemic encephalopathy (HIE). This article aims to provide a current picture of the technique and to address the controversies surrounding its use. Development: In the last 10 years, TH has been successfully implemented in the vast majority of tertiary hospitals in Spain, and more than 85% of newborns with moderate or severe HIE currently receive the treatment. The factors that can improve the efficacy of TH include early treatment onset (first 6 hours of life) and the control of comorbid factors associated with perinatal asphyxia. In patients with moderate HIE, treatment onset after 6 hours seems to have some neuroprotective efficacy. TH duration longer than 72 hours or deeper hypothermia do not offer greater neuroprotective efficacy, but instead increase the risk of adverse effects. Unclarified aspects are the sedation of patients during TH, the application of the treatment in infants with mild HIE, and its application in other scenarios. Prognostic information and time frame are one of the most challenging aspects.
PB Elsevier
SN 1578-1968
YR 2020
FD 2020-09-26
LK http://hdl.handle.net/10498/32160
UL http://hdl.handle.net/10498/32160
LA spa
DS Repositorio Institucional de la Universidad de Cádiz
RD 25-may-2026