title: Implementation in Buenos Aires City of a program to prevent neurological damage caused by hypoxic-ischemic encephalopathy: Therapeutic hypothermia.
abstract: Therapeutic hypothermia is the standard of care for hypoxic-ischemic encephalopathy (HIE). This treatment was implemented at a regional level by the perinatal network of the City of Buenos Aires. The following are the objectives of this article: 1. To describe the implementation of the network's hypothermia treatment program; 2. To report treatment-associated complications, adverse events and mortality. The program was implemented in stages: 1) 2009-2010. Training and instruction on how to use the equipment. 2) 20102014. Treatment and follow-up of patients with moderate or severe HIE. Up to October 2014, 27 newborn infants received hypothermia treatment with moderate (n= 15) and severe (n= 12) HIE. None of the patients died during treatment. Three newborn infants were lost to follow-up. Among the 16 survivors older than one year old, three have severe neurological disability. Program implementation was plausible. It is imperative to train health care providers on how to identify patients with HIE.
authors: Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
authors: Mariana
authors: M
authors: Valera
authors: Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
authors: Juan Pablo
authors: JP
authors: Berazategui
authors: Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
authors: Gladys
authors: G
authors: Saa
authors: Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
authors: Carolina
authors: C
authors: Olmo Herrera
authors: Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
authors: Teresa
authors: T
authors: Sepúlveda
authors: Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
authors: María Fernanda
authors: MF
authors: Buraschi
authors: Servicio de Pediatria, Hospital General de Agudos Juan A. Fernández.
authors: Sebastián
authors: S
authors: Gacio
authors: Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
authors: Cristina
authors: C
authors: Villalba
authors: Servicio de Fonoaudiologia, Hospital General de Agudos Juan A. Fernández, Ciudad Autónoma de Buenos Aires.
authors: Inés
authors: I
authors: Beloso
authors: Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
authors: Graciela
authors: G
authors: Basso
authors: División de Neonatologia, Universidad de Alabama, Alabama, EE.UU.
authors: Waldemar
authors: W
authors: Carlo
authors: Servicio de Neonatologia, Hospital General de Agudos Juan A. Fernández.
authors: Jorge
authors: J
authors: Tavosnanska
mesh_terms: D001118:Argentina; D001927:Brain Diseases / Q000517:prevention & control*; D006801:Humans; D007036:Hypothermia, Induced / Q000009:adverse effects; D020925:Hypoxia-Ischemia, Brain / Q000150:complications* / Q000628:therapy*; D007231:Infant, Newborn; D014504:Urban Health