NICU Copilot

Hypoxic-Ischemic Encephalopathy & Cooling

Neonatal encephalopathy from peripartum hypoxic-ischemic insult. Therapeutic hypothermia within 6 hours improves outcomes.

All references

Key points

  • Cooling criteria: ≥36 weeks GA, evidence of acute peripartum event, moderate-severe encephalopathy on exam.
  • Target 33.5°C for 72 hours, then slow rewarming.
  • Monitor for seizures (aEEG/EEG), coagulopathy, PPHN.

Pitfalls

  • Do not delay cooling for transport — passive cooling en route.
  • Avoid hyperthermia at all costs.

Ask the Copilot

  • What are Sarnat staging criteria?
  • How to manage seizures during cooling?

Important Notice

Please read before continuing

The Baby Copilot is an educational and informational clinical reasoning support tool intended for licensed healthcare professionals and trainees. It is not a medical device and is not intended to diagnose, treat, cure, prevent, or manage any patient condition.

Outputs generated by The Baby Copilot are AI-generated educational suggestions based on user-provided information and may be incomplete, inaccurate, or inappropriate for a specific clinical situation. All clinical decisions remain solely the responsibility of the treating healthcare professional.

Do not enter protected health information (PHI), patient-identifiable information, medical record numbers, dates of birth, or any other sensitive patient data into this platform.

By continuing, you acknowledge and agree that:

  • The Baby Copilot does not replace clinical judgment.
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  • You will not rely on this platform as the sole basis for patient care decisions.
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