Question
How to treat hypoxic-ischemic encephalopathy?
Answer
Firstly, it is necessary to correct hypoxemia and hypercapnia, and artificial respirators may be used when necessary. Secondly, ensure sufficient cerebral blood flow, commonly using dopamine, 5-10 micrograms per kilogram per minute, administered intravenously. Additionally, provide adequate glucose to meet the energy metabolism needs of brain tissue, which can be administered at a rate of 6-8 milligrams per kilogram per minute. Lastly, correct metabolic acidosis using sodium bicarbonate, 2-3 mEq per kilogram, dissolved in 10% glucose and administered slowly intravenously.