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Mild total body hypothermia, induced by cooling a baby to 33-34°C for three days after birth, is nowadays a standardized treatment after moderate to severe hypoxic ischemic encephalopathy in full-term and near to fullterm neonates.
Currently, neonatal encephalopathy is treated using hypothermia therapy. [16] This has been shown to reduce brain damage, reduce future disability, and improve survival. [17] Hypothermia therapy is also sometimes termed hypothermic neural rescue therapy.
Hypothermia therapy for neonatal encephalopathy has been proven to improve outcomes for newborn infants affected by perinatal hypoxia-ischemia, hypoxic ischemic encephalopathy or birth asphyxia. A 2013 Cochrane review found that it is useful in full term babies with encephalopathy. [13]
A hypothermia cap (also referred to as cold cap or cooling cap) is a therapeutic device used to cool the human scalp.Its most prominent medical applications are in preventing or reducing alopecia in chemotherapy, and for preventing cerebral palsy in babies born with neonatal encephalopathy caused by hypoxic-ischemic encephalopathy (HIE).
Whitelaw's research has focused on the prevention and treatment of hypoxic-ischaemic injury in full-term newborns. He has been a pioneer in developing and testing mild cooling as a therapeutic approach for neonatal hypoxic-ischaemic encephalopathy. This intervention, known as therapeutic hypothermia, has been shown to improve the chances of ...
Treatment of infants with birth asphyxia by lowering the core body temperature is now known to be an effective therapy to reduce mortality and improve neurological outcome in survivors, and hypothermia therapy for neonatal encephalopathy begun within 6 hours of birth significantly increases the chance of normal survival in affected infants. [28]
One of Daytop’s founders, a Roman Catholic priest named William O’Brien, thought of addicts as needy infants — another sentiment borrowed from Synanon. “You don’t have a drug problem, you have a B-A-B-Y problem,” he explained in Addicts Who Survived: An Oral History of Narcotic Use In America, 1923-1965, published in 1989. “You ...
For newborn infants starved of oxygen during birth there is now evidence that hypothermia therapy for neonatal encephalopathy applied within 6 hours of cerebral hypoxia effectively improves survival and neurological outcome. [25] [26] In adults, however, the evidence is less convincing and the first goal of treatment is to restore oxygen to the ...