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Management of perinatal asphyxia in low-income countries with no facility for therapeutic hypothermia

Peter Odion Ubuane

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@Peter Odion Ubuane The cooling trial in Australia was done with a low-tech solution, they used regular cooling "gel packs". If I remember correctly from a lecture long ago, they sometimes also used a table fan bedside, if they had problems to reach the target temp.

I found this photo below and local trial info on the web here: https://www.bettersafercare.vic.gov.au/resources/clinical-guidance/maternity-and-newborn-clinical-network/therapeutic-hypothermia-for-hypoxic-ischaemic-encephalopathy-initiation-in-special-care-nurseries

The trial publication is available free in full-text here: https://jamanetwork.com/journals/jamapediatrics/fullarticle/1107569



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I am practicing on an exclusive mother and child care hospital in a resource poor setting in Western Odisha India where we get a lot of babies with birth asphyxia. For the last 4 yrs we have been using  a low cost device called Mira Cradle which uses phase change material in a a polyurethane cradle. We have found it to be very effective in maintaining the requisite temperature for 72 hrs without use of electricity. This has resulted in favorable out comes especially in babies with moderate encephalopathy 

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