Hypoxic encephalopathy Flashcards
1
Q
TOBY criteria for hypoxic ischaemic encephalopathy
A
A: signs of hypoxia
B: signs of encephalopathy
C: aEEG
2
Q
What are the signs of hypoxia for the Toby criteria
A
Low cord pH <7
High cord base excess
Need for ventilation or resuscitation
3
Q
What are the signs of encephalopathy for the Toby criteria
A
Hypotonia
Weak/absent reflexes - suck, gag, Moro
4
Q
When do you treat HIE
A
Grade 2/3 I.e evidence of encephalopathy
5
Q
How is HIE treated and what is the mechanism of action
A
Cooling to 34.5 degrees
Reduces brain swelling secondary to hypoxic brain damage so reduces risk of further brain damage
6
Q
Causes of HIE
A
Birth asphyxia
Neonatal stroke
Infection
