Preprint Article Version 1 This version is not peer-reviewed

First Hours Care of Hypoxic-Ischemic Encephalopathy: A French Delphi Consensus

Version 1 : Received: 22 July 2024 / Approved: 23 July 2024 / Online: 24 July 2024 (07:25:31 CEST)

How to cite: Nguyen, T.; Manon, M.; Pierre-Yves, A.; Paola, S.; Gauthier, L.; Beatrice, H.; Elisabeth, L.; Priscille, S.; Chantry, A. A.; Isabelle, G. First Hours Care of Hypoxic-Ischemic Encephalopathy: A French Delphi Consensus. Preprints 2024, 2024071828. https://doi.org/10.20944/preprints202407.1828.v1 Nguyen, T.; Manon, M.; Pierre-Yves, A.; Paola, S.; Gauthier, L.; Beatrice, H.; Elisabeth, L.; Priscille, S.; Chantry, A. A.; Isabelle, G. First Hours Care of Hypoxic-Ischemic Encephalopathy: A French Delphi Consensus. Preprints 2024, 2024071828. https://doi.org/10.20944/preprints202407.1828.v1

Abstract

Introduction: Management of hypoxic-ischemic encephalopathy (HIE) has been the subject of international recommendations. However, some aspects remain within the realm of service practices and appear to vary greatly from one center to another. Objectives: To achieve a multidisciplinary consensus in France regarding management of HIE newborns that are not covered by international and national guidelines. Methods: This is a prospective, multicenter study using the Delphi method from April 21, 2021, to July 15, 2021. Perinatal professionals were contacted through professional societies. Participants received a questionnaire in three successive rounds. Each proposal was rated using a Likert scale from 1 (completely disagree) to 8 (completely agree). An item was considered consensual if at least 70% of responses were in agreement or disagreement. Results: 58 french neonatal professionals participated. A consensus was reached in the first round concerning the use of passive hypothermia in maternity ward, with 84% agreement and to define the target temperature between 35.0°C and 35.5°C at the third round. Regarding hypoglycemia in the delivery room, 79.2% agreed in the first round to correct blood glucose levels below a threshold of

Keywords

neonatal encephalopathy; perinal asphyxia; passive hypothermia; therapeutic hypothermia; hypoglycemia; delphi method; cardiopulmonary resuscitation; consensus

Subject

Medicine and Pharmacology, Pediatrics, Perinatology and Child Health

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.