The management is based on the severity of the asphyxia. Full resuscitation is required, and weaned only when blood gases are normal.
Ventilation should be considered as appropriate - ie in more severe hypoxic ischaemic encephalopathy, where there is more severe lung disease, apnoea or poor blood gases.
Acidosis should be corrected with ventilation or with volume replacement as indicated.
Convulsions may be managed with phenobarbitone, using second line drugs if the fits are not controlled.
Clotting should be measured and abnormality corrected with fresh frozen plasma or platelets.
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