Death after Birth Asphyxia in the Cooling Era.

Al Amrani, Fatema; Racine, Eric; Shevell, Michael; Wintermark, Pia · J Pediatr · 2020

case_series · Level IV

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Abstract

In asphyxiated newborn infants treated with hypothermia, 31 of 50 (62%) deaths occurred in unstable infants electively extubated before completing hypothermia treatment. Later deaths occurred after consultation with palliative care (13/19) or clinical ethics (6/19) services, suggesting these decisions were challenging and required support, particularly if nutrition and hydration were withdrawn (n = 4).

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