Comparison between selective head cooling and whole-body cooling in neonatal therapeutic hypothermia

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Guilherme Rangel e Souza
https://orcid.org/0000-0002-3981-2431
Letícia de Oliveira Zambeli
https://orcid.org/0000-0002-0247-5160
Vinícius Parma Ruela
https://orcid.org/0000-0002-6671-5928
Anna Carolina Bovarêto Silveira
https://orcid.org/0000-0001-9871-0235
Maria Eduarda Dias Maia
https://orcid.org/0000-0003-2812-0138
Geandra Martins de Freitas
https://orcid.org/0000-0002-5783-3762
Julia Machado Vieira
https://orcid.org/0000-0003-1902-1103
Vitor Fernandes Alvim
https://orcid.org/0000-0002-5376-2776

Abstract

Introduction: Experimental evidence, as well as improved clinical studies of the reduction of brain injury and, improves the neurological outcome, in newborns with hypoxic-ischemic encephalopathy (HIE) occurring in therapeutic hypothermia (TH). Objective: To verify the potential of hypothermic hypoxic-ischemic encephalopathy (HIE) therapy in neonatal asphyxia, based on literature data, comparing the benefits between selective head cooling (SHC) and whole-body cooling (WBC), see that the use of TH as a standard treatment in newborns with moderate or severe HIE has been adopted. Methods: A search was performed in the PubMed and SciELO databases of human studies, using the keywords “Therapeutic Hypothermia”, “Induced Hypothermia”, and “Hypoxic-Ischemic Encephalopathy”, “Selective cooling of the head”, “Total body cooling” and its variables. Results: Eleven articles were selected to compose the review, after detailed reading. There is a consensus, that the reduction of the risk of death or disability at 18 months of life in neonates with moderate to severe HIE, occurs to TH through the techniques of WBC or SHC. It was found in the studies that there is no difference in terms of adverse effects between the two methods. As for radiological changes, such as hypoxic-ischemic injuries and the incidence of seizures after cooling, they are more frequent with SHC. Conclusion: Both WBC and SHC demonstrated neuroprotective properties, although WBC provides a broader area of brain protection. However, no significant differences were found between the methods in terms of adverse effects and beneficial short or long-term results.

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How to Cite
Souza, G. R. e, Zambeli, L. de O., Ruela, V. P., Silveira, A. C. B., Maia, M. E. D., Freitas, G. M. de, Vieira, J. M., & Alvim, V. F. (2022). Comparison between selective head cooling and whole-body cooling in neonatal therapeutic hypothermia. ABCS Health Sciences. https://doi.org/10.7322/abcshs.2021015.1742
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Review Articles

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