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Slovenska pediatrija 2024; 31: 09-17

https://doi.org/10.38031/slovpediatr-2024-1-02en

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Review article

NEONATAL MULTIPLE ORGAN FAILURE AFTER PERINATAL ASPHYXIA

Hana Umek
Splošna bolnišnica Brežice, Brežice, Slovenija

Gregor Nosan
Klinični oddelek za neonatologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Abstract

Asphyxia is a combination of hypoxia and hypoperfusion that impairs gas exchange and the availability of energy substrates in tissues, causing tissue acidosis. Despite advances in perinatal care perinatal asphyxia remains a common condition that can have significant long-term consequences. The most serious consequence is brain damage or hypoxic-ischemic encephalopathy, but other organ systems can also be significantly affected, requiring a multidisciplinary approach to the management of newborns following birth asphyxia.

Key words: asphyxia neonatorum, multiple organ failure, hypoxic-ischemic encephalopathy, kidney, liver, heart, gastrointestinal tract