Stridor in neonates with hypoxic-ischaemic encephalopathy subject to selective cerebral or whole body hypothermia

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• 作者：Maria Arriaga Redondo^a ; ^{maria.arriaga@salud.madrid.org" class="auth_mail" title="E-mail the corresponding author} ; Ana Rodriguez Sá ; nchez de la Blanca^a ; Alejandro Lowy Benoliel^b ; Nelia Navarro Patiñ ; o^a ; Sonia Villar Castro^a ; Dorotea Blanco Bravo^a ; Manuel Sá ; nchez-Luna^a
• 关键词：Stridor ; Hypothermia ; Hypoxic-ischaemic encephalopathy
• 刊名：Anales de Pediatría (English Edition)
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：85
• 期：3
• 页码：128-133
• 全文大小：405 K

文摘

Hypothermia treatment has improved the prognosis of asphyxiated neonates. Widely used, it has demonstrated to be safe without severe side effects. The aim of this article is to review the incidence of stridor amongst asphyxiated newborns treated with hypothermia in our unit.

Methods

Retrospective chart review of our patients.

Results

Stridor was presented in 7/75 (9.3%) of patients during hypothermia. Three received whole body hypothermia, 3 selective cerebral, and in one case both techniques were used. All cases required increased respiratory support.

Conclusions

Different mechanisms may be responsible for the appearance of stridor in patients with hypoxic-ischaemic encephalopathy (HIE). In our series the incidence of stridor was similar for the two hypothermia devices. To better understand these possible side effects of hypothermia, further prospective studies (which should include laryngoscopy) are needed.