neonates with moderate to severe birth asphyxia. Diseases of the nervous system
Conditions
Interventions
Intervention 1: Thirty neonatal with moderate and severe asphyxia cooled with head cooling method to achieve the target temperature (rectal 34-33) for 1 hour,and held for 72 hours at this temperature
Treatment - Devices
Treatment - Drugs
Thirty neonatal with moderate and severe asphyxia cooled with head cooling method to achieve the target temperature (rectal 34-33) for 1 hour,and held for 72 hours at this temperature, The neonatal a
In the second group thirty neonatal with moderate and severe asphyxia cooled with total bady cooling method,using Turn off Varmr and cold water bag (15-10)° C,to achieve the target temperature (recta
Sponsors
Research of Nursing and Midwifery faculty, Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria 1. Infants with gestational age 35 weeks or more, 2. Six – hour infant or less than that 3. Infants weight more than 1800g 4. Apgar score 6 or less within 10 minutes from birth 5. Cord of pH 7 or less alkali deficiency 12 or less 6. Hypoxia ischemic encephalopathy moderate or severs 7. Infants with normal respiratory condition and infants under ventilation Exclusion criteria: 1. Infants with bradycardia less than 70, 2. Infants with hypotension any response to medication, 3. Infants with severe pulmonaryhemorage, 4. Coagulation disorders, 5. Resistance hypoxia,
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Apnea. Timepoint: Every 4 hours for 84 hours. Method of measurement: Color Cyanosis, bradycardia, and arterial oxygen saturation less than 70% when using pulse oximetry or monitor device.;Bradycardia. Timepoint: Every 4 hours for 84 hours. Method of measurement: Using the monitor device.;Convulsion. Timepoint: Every 4 hours for 84 hours. Method of measurement: Using clinical symptoms and the presence of waves with short wave length and high frequency in the EEG.;Hypotension. Timepoint: Every 4 hours for 84 hours. Method of measurement: Using the Monitor.;Thrombocytopenia. Timepoint: Every 24 hours for 84 hours. Method of measurement: CBC test.;Necrotic skin damage. Timepoint: Every 4 hours for 84 hours. Method of measurement: Clinical observation of ecchymosis, bruises, wounds deep and necrotic skin.;Pulmonary hemorrhage. Timepoint: Every 4 hours for 84 hours. Method of measurement: Using clinical signs and symptoms of pulmonary hemorrhage on chest radiograph confirmed by physician. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMaliheh Assadollahi
Tabriz University of Medical Sciences
Outcome results
None listed