Estridor en neonatos con encefalopatía hipóxico-isquémica sometidos a tratamiento con hipotermia cerebral selectiva o corporal total
- María Arriaga Redondo
- Ana Rodriguez Sánchez de la Blanca
- Alejandro Lowy Benoliel
- Nelia Navarro Patiño
- Sonia Villar Castro
- D. Blanco Bravo
- Manuel Sánchez Luna
ISSN: 1695-4033, 1696-4608
Year of publication: 2016
Volume: 85
Issue: 3
Pages: 128-133
Type: Article
More publications in: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )
Abstract
Introduction 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.