University of Florida
If a neonates who has a:1. Gestational Age greater than or equal to 35 weeks gestation 2. Birth weight greater than or equal to 1.8 kg3. less than or equal to 6 hours since insult occurredAnd has biochemical evidence of a possible hypoxic-ischemic insult as evidenced by:a) pH less than or equal to 7.0 with base deficit of greater than or equal to16 on arterial blood gas determination (base excess more negative than -16)b) pH7.01--7.15 , base deficit 10-15.9 or no blood gas available and acute perinatal event (cord prolapse, heart rate decelerations, uterine rupture) and either:APGAR less than or equal to 5 at 10 minutes or assisted ventilation at birth required for greater than or equal to 10 minHowever, the baby does not have seizures, meet 3 of the 6 of the neurologic exam criteria for entry into the therapeutic hypothermia. The bedside clinician should consider:Serial neurologic exams for the first 6 hours of life. If the bedside clinician is very concerned about possible injury, ie. There was a sentinel event such as an abruption, the pH was less than 7.0 on a cord gas, the clinician may consider:LFTs (abnormal with an AST or ALT above 100)PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TaGFoPC9BdXRob3I+PFllYXI+MjAwNDwvWWVhcj48UmVj
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ADDIN EN.CITE.DATA [1]Cardiac enzymes (Tropinin T (greater than 0.1) or I and CK total and CK-MB (greater than 25 IU/l)PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TaGFoPC9BdXRob3I+PFllYXI+MjAwNDwvWWVhcj48UmVj
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ADDIN EN.CITE.DATA [1]. ADDIN EN.REFLIST 1.Shah, S., M. Tracy, and J. Smyth, Postnatal lactate as an early predictor of short-term outcome after intrapartum asphyxia. J Perinatol, 2004. 24(1): p. 16-20. ................
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