A 38-week, 3.2-kg newborn has cord pH 6.92, required resuscitation at 10 minutes and has moderate encephalopathy at 90 minutes. There is no

Question

A 38-week, 3.2-kg newborn has cord pH 6.92, required resuscitation at 10 minutes and has moderate encephalopathy at 90 minutes. There is no uncontrolled bleeding. Retrieval will arrive at four hours. What should the local team do?

Accepted Answer

Commence protocolled passive cooling with neonatology while arranging transfer before six hours

Answer

Exclude cooling because placental abruption is a contraindication to therapeutic hypothermia

Answer

Delay cooling until recurrent seizures establish severe rather than moderate encephalopathy

Answer

Obtain MRI confirmation before cooling from the clinical and biochemical criteria

Answer

Use active ice packs directly on the skin to reach a core temperature below 30 degrees

Neonatal hypoxic-ischaemic encephalopathy — RACP Paediatrics MCQ

A 38-week, 3.2-kg newborn has cord pH 6.92, required resuscitation at 10 minutes and has moderate encephalopathy at 90 minutes. There is no uncontrolled bleeding. Retrieval will arrive at four hours. What should the local team do?