Question

How to Treat Hypoxic-Ischemic Encephalopathy?

Answer

The treatment methods for hypoxic-ischemic encephalopathy include:

  1. Correct hypoxemia and hypercapnia; use artificial ventilation if necessary.
  2. Correct hypotension to ensure adequate cerebral blood flow, often administered dopamine at a dose of 5-10 micrograms/kg per minute intravenously.
  3. Provide sufficient glucose to meet the energy metabolism needs of brain tissue, which can be administered at a dose of 6-8 milligrams/kg per minute.
  4. Correct metabolic acidosis by using sodium bicarbonate at a dose of 2-3 millimoles/kg, dissolved in 10% glucose and administered slowly intravenously.