Question
How can one determine the cause of neonatal brain hypoxia and provide care?
Answer
Neonatal brain hypoxia often correlates with ischemic brain disease, particularly when there is a risk of intracranial hemorrhage. It is crucial to be cautious when using mannitol to avoid a sudden drop in intracranial pressure, which could exacerbate bleeding or trigger heart failure. The combined treatment of furosemide, albumin, and dexamethasone is effective and long-lasting for neonatal intracranial hypertension with minimal side effects. For some severe cases where respiratory failure endangers life, consider a small dose of mannitol administered slowly intravenously on top of existing treatments. Dexamethasone should be used in high doses at intervals until symptoms improve.