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Hypoxic-Ischemic Encephalopathy (HIE) Clinical Pathway, ICU – Rewarming

Hypoxic-Ischemic Encephalopathy (HIE) Clinical Pathway — ICU

Discontinuing Temperature Blanket

Begin 72 hrs after initiation

Arctic Sun
  • > 36 wks:
    • Increase blanket set point temperature by half a degree Celsius every hour until the set point temperature reaches 36.5°C (typically occurs over 6 hrs)
      • Note: Depending on warming device used, this process may be automated
    • Discontinue after baby has been rewarmed to 36.5°C and place on radiant warmer per hospital policy
  • 35-35 6/7 wks:
    • Discontinue Arctic Sun and resume temperature management using overhead warmer following N/IICU standards
Temperature Monitoring
  • Obtain at following intervals:
    • Esophageal
      • Every hour during rewarming
    • Axillary
      • Every 4 hrs

 

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