0000000000281622
AUTHOR
Dominika Bandoła
Thermal Index for early non-invasive assessment of brain injury in newborns treated with therapeutic hypothermia: preliminary report.
AbstractPerinatal asphyxia (PA) is the 3rd most common cause of neonatal death and one of the most common causes of severe neurological impairments in children. Current tools and measurements mainly based on the analysis of clinical evaluation and laboratory and electrophysiological tests do not give consistent data allowing to predict the severity of hypoxic-ischemic encephalopathy (HIE) until a magnetic resonance imaging (MRI) score is performed. The aim of this work is to evaluate the usefulness of the new index, called Thermal Index (TI) in the assessment of the degree of brain damage in newborns in the course of therapeutic hypothermia (TH) due to PA. This was a prospective, observatio…
Inverse estimation of model parameters for newborn brain cooling process simulations
In this work, a three-dimensional simplified computational model was built to simulate the passive thermo-physiological response of part of a newborn’s head for neonate’s selective brain cooling. Both metabolicheat generation and blood perfusion were considered. The set of model parameters was selected anda sensitivity study was carried out. Analysis of dimensionless sensitivity coefficients showed that the mostimportant are: the contact thermal resistance between the cool-cap and skin, the thermal resistance ofthe plastic wall material, and deep (arterial) blood temperature. The function specification method wasapplied to estimate the value of the contact resistance. Two, four and six comp…
Theoretical basis for the use of non-invasive thermal measurements to assess the brain injury in newborns undergoing therapeutic hypothermia.
AbstractThe aim of this paper is to propose a new non-invasive methodology to estimate thermogenesis in newborns with perinatal asphyxia (PA) undergoing therapeutic hypothermia (TH). Metabolic heat production (with respect to either a neonate’s body mass or its body surface) is calculated from the newborn’s heat balance, estimating all remaining terms of this heat balance utilising results of only non-invasive thermal measurements. The measurement devices work with standard equipment used for therapeutic hypothermia and are equipped with the Global System for Mobile Communications (GSM), which allows one to record and monitor the course of the therapy remotely (using an internet browser) wi…