Royal Womens Hospital Melbourne Australia Keeping cool improving perinatal mortality and outcomes of survivors Outcomes at 18 months Outcomes at 67 years Metaanalysis 10 studies ID: 775069
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Jeanie CheongNeonatologistRoyal Women’s Hospital, Melbourne, Australia
“Keeping cool”:
improving perinatal mortality (and outcomes of survivors)
Slide2Outcomes at 18 monthsOutcomes at 6-7 yearsMeta-analysis 10 studiesEdwards BMJ 2010NICHDShankaran NEJM 2012RR (NNT)RRDeath0.78 (14)0.66Death or severe disability0.81 (9)0.72Severe disability in survivors0.71 (9)0.83
Hypothermia in HIE
Only therapeutic intervention that improves outcome in HIE
Slide3EducationPrompt recognition of eligibilityEarly commencement of coolingCooling in transportAccess to equipmentaEEGCooling devices (Ice packs!! if desperate)Ongoing supportClear support network from tertiary neonatal units
How do we achieve this?
Slide4Neonatal resuscitationEarly detection of maternal complications that potentially result in asphyxia-related outcome
Other aspects to consider