Actualización en el Diagnóstico y Manejo del Recién Nacido a Termino con Asfixia Perinatal.

The diagnosis of perinatal asphyxia in term newborns is a complex process that requires a thorough evaluation of the perinatal history, the clinical condition of the neonate at birth, and diagnostic tests. The initial evaluation is based on the Apgar score; in addition, signs of neurological dysfunction such as hypotonia, seizures, irritability, or lethargy are indicative of hypoxic-ischemic encephalopathy. Diagnostic tests include umbilical cord blood gases with metabolic acidosis. Management of perinatal asphyxia focuses on immediate resuscitation and specialized treatment to minimize neurologic and systemic damage. Resuscitation should ensure airway opening, effective ventilation, and cardiovascular support. Positive pressure ventilation and endotracheal intubation may be necessary in neonates with weak or absent breathing. Therapeutic hypothermia is the gold standard for the treatment of moderate to severe hypoxic-ischemic encephalopathy. This treatment has been shown to reduce mortality and improve long-term neurological outcomes. Neonates who have suffered perinatal asphyxia require close follow-up to detect and manage early any developmental delay or neurological disability. Early intervention with occupational, physical, and speech therapies can improve long-term outcomes. The diagnosis and management of perinatal asphyxia in term newborns is a clinical challenge that requires a multidisciplinary approach. Early identification and appropriate treatment are essential to improve prognosis and reduce long-term sequelae.

• Egile nagusia: Heredia Yaselga, Melany Berenisse (author)
• Beste egile batzuk: Muñoz Salinas, Doménica Mercedes (author)
• Formatua: bachelorThesis
• Hizkuntza: spa
• Argitaratua: 2024
• Gaiak: Manejo; Diagnóstico; Asfixia perinatal; Recién nacido a término
• Sarrera elektronikoa: http://dspace.unach.edu.ec/handle/51000/13502