Fluid restriction for term infants with hypoxic-ischaemic encephalopathy following perinatal asphyxia

Kecskes, Zsuzsoka, Healy, Genevieve and Jensen, Annika (2005) Fluid restriction for term infants with hypoxic-ischaemic encephalopathy following perinatal asphyxia. Cochrane Database of Systematic Reviews, 3: CD004337.1-CD004337.10. doi:10.1002/14651858.CD004337.pub2


Author Kecskes, Zsuzsoka
Healy, Genevieve
Jensen, Annika
Title Fluid restriction for term infants with hypoxic-ischaemic encephalopathy following perinatal asphyxia
Journal name Cochrane Database of Systematic Reviews   Check publisher's open access policy
ISSN 1469-493X
Publication date 2005
Year available 2009
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/14651858.CD004337.pub2
Issue 3
Start page CD004337.1
End page CD004337.10
Total pages 10
Place of publication West Sussex, U.K.
Publisher John Wiley & Son; The Cochrane Library
Language eng
Subject 1103 Clinical Sciences
Formatted abstract
Background
Current recommendations to control the consequences of hypoxic-ischaemic encephalopathy following perinatal asphyxia include the
careful management of fluids, with avoidance of fluid overload and thus avoidance of cerebral oedema. Recommendations for fluid
restriction in a neonate are based on the experience of restricting fluid intake in adults or older children. The extrapolation from studies
in adults, older children and animals to the human neonate is fraught with hazard due to the different physiology and mechanisms of
injury.

Objectives

The objective of this review was to determine the effects of fluid restriction on short-term (mortality within the first 28 days of life,
grade of hypoxic ischaemic encephalopathy, electrolyte disturbances, renal function, seizure activity) and long-term outcomes (death
during the first year of life, CT or MRI changes, or severe neurodevelopmental disability at or equal to 12 months of age or more)
in term infants following perinatal asphyxia. Subgroup analyses were planned on the basis of the severity of the resulting hypoxicischaemic
encephalopathy, degree of fluid restriction, and length of fluid restriction.

Search methods
Searches were undertaken of MEDLINE October 2004 back to 1966, CINAHL back to 1966, the Oxford Database of Perinatal
Trials and the Cochrane Central Register of Controlled Trial (CENTRAL, The Cochrane Library, Issue 3, 2004). Searches were made
of previous reviews including cross-references and abstracts. The search was not limited to the English language; reports in foreign
languages were translated.

Selection criteria
Randomised or quasi-randomised trials of fluid restriction in term newborn infants with perinatal asphyxia.

Data collection and analysis

No studies were found meeting the criteria for inclusion in this review.

Main results
No studies were found meeting the criteria for inclusion in this review.
Keyword Medicine, general & internal
Cerebral edema
Brain edema
Ultrasound
Damage
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article # - CD004337; Assessed as up-to-date: 30 MAR 2005

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
ERA 2012 Admin Only
School of Public Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Mon, 13 Aug 2007, 15:32:06 EST