Publications by authors named "J Arnaez"
Cerebral Doppler imaging in neonates: A guide for clinical application and diagnosis.
Dev Med Child Neurol
December 2024
Article Synopsis
- Cranial ultrasound is a reliable method to diagnose various brain disorders in newborns, and adding Doppler imaging enhances diagnostic capabilities by showing blood vessel status and blood flow.
- Doppler imaging can identify serious vascular issues in newborns, such as perinatal stroke and various malformations, which may require additional imaging techniques for thorough evaluation.
- The review aims to improve clinicians' skills in Doppler sonography, enabling better diagnosis and management for neonates with neurological symptoms or suspected vascular problems in the neonatal intensive care unit.
It is estimated that 96% of infants with hypoxic-ischaemic encephalopathy (HIE) are born in resource-limited settings with no capacity to provide the standard of care that has been established for nearly 15 years in high-resource countries, which includes therapeutic hypothermia (TH), continuous electroencephalographic monitoring and magnetic resonance imaging (MRI) in addition to close vital signs and haemodynamic monitoring. This situation does not seem to be changing; however, even with these limitations, currently available knowledge can help improve the care of HIE patients in resource-limited settings. The purpose of this systematic review was to provide, under the term "HIE Code", evidence-based recommendations for feasible care practices to optimise the care of infants with HIE and potentially help reduce the risks associated with comorbidity and improve neurodevelopmental outcomes.
View Article and Find Full Text PDFBackground: Programs that aim to improve the detection hypoxic-ischemic encephalopathy (HIE) should establish which neonates suffering from perinatal asphyxia need to be monitored within the first 6 h of life.
Method: An observational prospective cohort study of infants with gestational age ≥35 weeks, and above 1,800g, were included according to their arterial cord pH value (ApH): ≤7.00 vs.
Introduction: The current neurodevelopmental status of patients with neonatal hypoxic-ischaemic encephalopathy (HIE) in Spain is unknown. Recent European studies highlight a shift of severe pathology towards mild motor disorders and emotional problems. The aim of this study was to analyse neurodevelopmental outcomes in a cohort of neonates with HIE at age 3 years.
View Article and Find Full Text PDFObjective: The availability in the literature of data related to perinatal variables in the Spanish population is very scarce. The aim of this study was to know the evolution of perinatal health indicators according to the risk groups of prematurity and birth weight, the proportion of multiple births, caesarean section and stillbirths.
Methods: We conducted a population-based cross-sectional study of births in eleven hospitals in Castilla y León (January 2015 to June 2020).