A Successful Whole Body Therapeutic Hypothermia for Hypoxic Ischemic Encephalopathy During an ECMO Run in a Newborn


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OKULU E., ERDEVE Ö., Pekcici B. B., Kendirli T., EYİLETEN Z., Atasay B., ...More

FRONTIERS IN PEDIATRICS, vol.7, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 7
  • Publication Date: 2019
  • Doi Number: 10.3389/fped.2019.00095
  • Journal Name: FRONTIERS IN PEDIATRICS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Keywords: newborn, extracorporeal membrane oxygenation, hypoxic ischemic encephalopathy, therapeutic hypothermia, outcome, EXTRACORPOREAL MEMBRANE-OXYGENATION, NEONATAL ENCEPHALOPATHY, SYSTEMIC HYPOTHERMIA, OUTCOMES
  • Ankara University Affiliated: Yes

Abstract

Data regarding the safety of using therapeutic hypothermia (TH) with extracorporeal membrane oxygenation (ECMO) in neonates with both hypoxic ischemic encephalopathy (HIE), and respiratory failure are lacking. TH is not associated with an increased incidence of hemostatic complications, but hypothermia may impair coagulation. Herein, we report a case of a newborn who had meconium aspiration syndrome and HIE and underwent both TH and ECMO. He did not have any bleeding or circuit complications, and mortality as short-term outcome along with well-neurodevelopmental outcome.