Posted November 16, 20186 yr Hi, can anyone help me with a topic that I can't found and it's about " Neonatal Cerebral Depression". Already all I know about the theme is when the neonatal asphyxia criteria are not well established, in a patient with low apgar and border gasometric criteria. Regards. Edgar Samuel Aguilar-Figueroa, Resident of Pediatric's: Second Year. Tacubaya's Pediatrics Hospital. Mexico City.
November 17, 20186 yr Dear Edgar, we rarely use that diagnosis (ICD-10, P91.4) , but do it sometimes if a baby has had somewhat low apgar (like 6-7) and has been admitted due to some irritability. Like an "asphyxia light" diagnosis. However, I would regard it the diagnosis as a bit subjective. Am not aware of any formal definition of "Neonatal Cerebral Depression".
November 18, 20186 yr I've only rarely used that particular term/code and then in the context Stefan mentioned. If a patient is truly encephelopathic without obvious antecedent asphyxial event, though, I will code neonatal encephalopathy P91.819. My one comment if you're trying to learn about this patient population is that, at least where I did my fellowship, maternal SSRI exposure seemed to be significantly over-represented in this population and I can recall cooling several babies who in retrospect probably had SSRI exposure not hypoxic insult.
Create an account or sign in to comment