
NEC begins in the intestines, but the first signs are often systemic. Changes in behavior, feeding tolerance, respiratory status, and perfusion can occur before obvious abdominal findings.
Not all infants enter the NICU with the same physiologic reserve. Some babies are already vulnerable before feeds are ever started.
Therapeutic hypothermia is one of the most critical, time-sensitive interventions used in neonatal care. In infants with hypoxic-ischemic encephalopathy (HIE), cooling is used to slow the progression of brain injury during a very specific window after birth.
HIE is one of the most time-sensitive conditions we care for in the NICU… and one of the most misunderstood.