Brain Monitoring in Neonates

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BRAIN COOLING

We are proud to have an American boarded chief neonatology physician on staff with solid experience in leading pediatric hospitals in the US and with a strong background in the care of acute pre-and full term infants. Our highly skilled neonatology physician was the first in Jordan to introduce the cooling of the brain techniques for infants deprived from oxygen at birth.

This procedure involves "cooling" newborn babies who are at risk of severe disabilities or death due to oxygen deprivation. For decades this procedure has been deemed "safe and effective" for use based on the experience and the application of this kind of therapy in leading US and European hospitals.

The traditional approach to caring for babies with brain asphyxia was through the monitoring of the body from the neck down, thus undermining the importance of the brain cells in affecting the rest of the body's organs and leaving babies with severe disability issues.

This new approach relies on closely monitoring brain activities. The Istishari Hospital is the first medical institution in Jordan to use this technology. We proudly rely on the confidence and merits of our neonatology healthcare team in the positive outcomes of this treatment process. Brain cooling therapy cannot be applied randomly and necessitates experience and close monitoring. The neonatology specialist has to delicately assess the infant's condition before deciding if this kind of therapy is the right approach.

By cooling the brain, the process slows down the rate of damage on the cells. The infant's body temperature is cooled using a special blanket or mattress filled with cooled fluid to lower the body's temperature to 33.5 degrees centigrade, therefore protecting the brain and increasing improvement by 30%. To date, this process is the only known intervention that has made a positive difference in care outcome.

AMPLITUDE-INTEGRATED EEG MONITORING

At the Istishari Hospital's neonatal intensive care unit, some cases of critically ill newborns require enhanced neurological monitoring in order to observe unusual brain patterns as well as the presence of seizures. Continuous monitoring with amplitude-integrated electroencephalography (EEG) has become a part of the routine of neurological care in our neonatal unit, especially in cases of full-term infants with hypoxia-ischemia and in infants with suspected seizures.

Amplitude integrated EEG allows our neonatology specialist to gain access to continuous functional screening and monitoring via 2 channels on both sides of the brain. Background activities as well as the status of the brain from a functional point of view help to determine the prognosis and the treatment plan for infants impacted by hypoxic- ischemic encephalopathy as well as congenital heart problems.

Sensitive and specific readings with an EEG will guide our professional team in establishing patterns and normative values in preterm babies. This process helps to prevent brain injuries and intraventricular hemorrhage in preterm babies by allowing our team of neonatology specialists to accurately monitor treatment and medication. As a result, this will help infants to respond to treatment and open a clear channel of communication with parents regarding the prognosis of their infant.

INHALED NITRIC OXIDE

Near term babies as well as some full term babies may suffer with hypoxic respiratory failure at birth as a result of persistent hypertension, respiratory distress syndrome, aspiration syndrome, pneumonia, sepsis, as well as congenital diaphragmatic hernia.

Inhaled nitric oxide (INO) is a selective pulmonary vasodilator for which the mechanism of action leads smooth muscle relaxation. INO improves oxygenation, trials of term and near-term neonates with hypoxic respiratory failure demonstrated improved outcomes with INO therapy.

The Istishari Hospital is equipped and staffed to provide immediate care to infants with respiratory failure. Our skilled NICU team of physicians, nurses, and respiratory therapists is led by an experienced, American boarded neonatology specialist with a history of leading neonatology care units in the United States. At Istishari Hospital you will find a highly trained and compassionate team qualified to use multiple modes of ventilation, treatments, and rescue therapies to manage the needs of all infants with special needs.

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