title: Cellular biology of end organ injury and strategies for prevention of injury.
abstract: The interruption of placental blood flow induces circulatory responses to maintain cerebral, cardiac, and adrenal blood flow with reduced renal, hepatic, intestinal, and skin blood flow. If placental compromise is prolonged and/or severe, total circulatory failure is likely with cerebral hypoperfusion and resultant hypoxic ischemic cerebral injury with collateral renal, cardiac, and hepatic injury. Management strategies should be targeted at restoring cerebral perfusion and oxygen delivery and minimizing the extent of secondary injury. Specifically, the focus should include the judicious use of supplemental oxygen, avoidance of hypoglycemia and elevated temperature in the delivery room, and the early administration of therapeutic hypothermia to high-risk infants.
authors.affiliation: Division of Newborn Medicine, Department of Pediatrics, Weill Cornell Medical College, 525 East 68th Street, Suite N-506, New York, NY 10065, USA. Jmp2007@med.cornell.edu
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Perlman
mesh_terms: D016923:Cell Death; D005260:Female; D005311:Fetal Hypoxia / Q000209:etiology / Q000503:physiopathology* / Q000517:prevention & control*; D005333:Fetus / Q000098:blood supply*; D006801:Humans; D021041:Placental Circulation / Q000502:physiology*; D011247:Pregnancy