Sökning: onr:"swepub:oai:DiVA.org:uu-433626" >
Hypothermic treatme...
Hypothermic treatment for neonatal asphyxia in low-resource settings using phase-changing material : An easy to use and low-cost method
-
- Tran, Hang T. T. (författare)
- Karolinska Institutet
-
- Le, Ha T. T. (författare)
- Vietnam Natl Childrens Hosp VNCH, Neonatal Intens Care Unit, Hanoi, Vietnam.
-
- Tran, Hanh T. P. (författare)
- Vietnam Natl Childrens Hosp VNCH, Neonatal Intens Care Unit, Hanoi, Vietnam.
-
visa fler...
-
- Khu, Dung T. K. (författare)
- Vietnam Natl Childrens Hosp VNCH, Neonatal Intens Care Unit, Hanoi, Vietnam.;Training & Res Acad Collaborat, Stockholm, Sweden.
-
- Lagercrantz, Hugo (författare)
- Karolinska Institutet
-
- Tran, Dien M. (författare)
- Res Inst Child Hlth, Hanoi, Vietnam.
-
- Winbladh, Birger (författare)
- Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.
-
- Hellström-Westas, Lena, 1954- (författare)
- Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning
-
- Alfven, Tobias (författare)
- Karolinska Institutet
-
- Olson, Linus (författare)
- Karolinska Institutet,Uppsala universitet,Institutionen för kvinnors och barns hälsa,Vietnam Natl Childrens Hosp VNCH, Neonatal Intens Care Unit, Hanoi, Vietnam.;Training & Res Acad Collaborat, Stockholm, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.;Karolinska Inst, Dept Clin Res & Educ, Sodersjukhuset, Stockholm, Sweden.
-
visa färre...
-
Karolinska Institutet Vietnam Natl Childrens Hosp VNCH, Neonatal Intens Care Unit, Hanoi, Vietnam (creator_code:org_t)
- 2020-05-12
- 2021
- Engelska.
-
Ingår i: Acta Paediatrica. - : CSIRO Publishing. - 0803-5253 .- 1651-2227. ; 110:1, s. 85-93
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://uu.diva-port... (primary) (Raw object)
-
https://onlinelibrar...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
http://kipublication...
-
visa färre...
Abstract
Ämnesord
Stäng
- Aim: To evaluate whether phase-changing material can be used for therapeutic hypothermia of asphyxiated newborns in low-resource settings.Methods: Prospective interventional study of asphyxiated term infants fulfilling criteria for hypothermia treatment at Vietnam National Children's Hospital from September 2014 to September 2016. Hypothermia was induced within 6 hours after birth and maintained for 72 hours by a phase-changing material mattress with melting point of 32 degrees C. Rectal temperature was continuously measured, and deviations from target temperature range 33.5-34.5 degrees C were recorded.Results: In total 52 infants (mean gestational age 39.3 1.1 weeks) included and cooled, the median temperature at initiation of cooling was 35.3 (IQR 34.5-35.9)degrees C. The median time to reach target temperature was 2.5 (IQR 2-3) hours. The mean temperature during the cooling phase was 33.95 +/- 0.2 degrees C. Throughout the cooling phase, the target temperature range (33.5-34.5 degrees C) was maintained more than 80% of the time. Rate of rewarming was 0.5 +/- 0.14 degrees C/hour.Conclusion: Phase-changing material can be used as an effective cooling method. Though not a servo-controlled system, it is easy to induce hypothermia, maintain target temperature and rewarm infants in a slow and controlled manner without need for frequent changes and minimum risk of skin injury.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- asphyxia
- cooling
- encephalopathy
- low-income setting
- phase-changing materials
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas