As we continued our podcast interview with Jennifer Norgaard RN, a NICU clinical nurse specialist at a level IV NICU in California, she was informing us that the therapeutic hypothermia process for neonates is similar to that of adults following cardiac arrest when the question arose, "What can you do if your facility does not have a Level 3 or 4 NICU?"
In continuing our podcast interview with Jennifer Norgaard, a NICU Clinical Nurse Specialist at a level IV NICU in California, she explained that while hypoxic-ischemic encephalopathy (HIE) may not be preventable, therapeutic hypothermia (TH), or targeted temperature management (TTM), is a promising treatment for neonates. She indicated that It provides a way to reduce brain cell damage, by cooling eligible infants within 6 hours of birth to a body temperature of 34º C +/- 0.5º for 72 hours before slowly rewarming them to normal temperature.(3)
As a nurse in the NICU, you know the devastation parents of newborns feel when they discover their much anticipated newborn baby has suffered oxygen deprivation during the birthing process and is critically ill. A decrease in the oxygen supply to the baby’s brain just prior to or during delivery may cause hypoxic ischemic encephalopathy (HIE) which is a leading cause of death or permanent brain damage in newborns.(1)
In the final section of our podcast, "Making a Difference: Targeted Temperature Management in Neonatal Care", Jennifer Norgaard RN, a NICU clinical nurse specialist at a level IV NICU in California, walked us through the process of treating hypoxic ischemic encephalopathy (HIE) with therapeutic hypothermia. She has expressed that HIE has had limited treatment options and that therapeutic hypothermia (TH) has so far shown the greatest success in minimizing brain damage.
*This article is intended for educational purposes only and is not intended as medical advice or as a substitute for the medical judgment of a physician in evaluating patients. For more information, please review the information sources referenced in this article. For more information on CSZ, please visit our website or call us at 1-800-989-7373.