MODERN APPROACHES TO THE MANAGEMENT OF HYPOXIC-ISCHEMIC ENCEPHALOPATHY IN NEWBORNS
Main Article Content
Abstract
Hypoxic-ischemic encephalopathy (HIE) is a severe neurological condition resulting from perinatal asphyxia and remains one of the leading causes of neonatal mortality and long-term neurodevelopmental disability. Advances in neonatal intensive care have significantly improved survival; however, optimizing neurological outcomes remains a major clinical challenge. This article analyzes modern approaches to the management of hypoxic-ischemic encephalopathy in newborns, with particular emphasis on early diagnosis, therapeutic hypothermia, neuroprotective strategies, and supportive intensive care. Current evidence indicates that timely intervention and a multidisciplinary approach can reduce brain injury severity and improve long-term neurodevelopmental outcomes. Understanding contemporary treatment strategies is essential for improving prognosis and quality of life in affected infants.
Downloads
Article Details
Section

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.
How to Cite
References
1.Volpe, J. J. Neurology of the newborn. 6th ed. Philadelphia: Elsevier; 2018.
2.Shankaran, S., et al. Whole-body hypothermia for neonates with hypoxic–ischemic encephalopathy. New England Journal of Medicine. 2005;353(15):1574–1584.
3.Jacobs, S. E., et al. Cooling for newborns with hypoxic ischemic encephalopathy. Cochrane Database of Systematic Reviews. 2013;1:CD003311.
4.Perlman, J. M. Intervention strategies for neonatal hypoxic-ischemic cerebral injury. Clinics in Perinatology. 2006;33(3):531–545.
5.Ferriero, D. M. Neonatal brain injury. New England Journal of Medicine. 2004;351(19):1985–1995.
6.Azzopardi, D., et al. Moderate hypothermia to treat perinatal asphyxial encephalopathy. New England Journal of Medicine. 2009;361(14):1349–1358.
7.Glass, H. C., & Ferriero, D. M. Treatment of hypoxic-ischemic encephalopathy in newborns. Current Treatment Options in Neurology. 2007;9(6):414–423.
8.Juul, S. E., & Ferriero, D. M. Erythropoietin and hypothermia for hypoxic–ischemic encephalopathy. Seminars in Fetal and Neonatal Medicine. 2014;19(2):65–70.
9.Robertson, C. M. T., & Perlman, M. Follow-up of the term infant after hypoxic-ischemic encephalopathy. Paediatrics & Child Health. 2006;11(5):278–282.
10.Thoresen, M., & Whitelaw, A. Cardiovascular changes during mild therapeutic hypothermia. Archives of Disease in Childhood. 2000;82(4):A33–A36.