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Induced hypothermia should be done at a facility able to provide
comprehensive neonatal care, following studied protocols, initiated within 6
hours of birth and continued for 72 hours. For infants born at centers unable to
provide such care, early identification of potential candidates and consultation
with experts is critical. Ideally, medical centers skilled in hypothermia
management and community hospitals should develop educational programs and
procedures for transfer.

FIGURE 9.19 Left diaphragmatic hernia radiograph.

Pneumothorax
Pneumothorax is a potentially lethal problem in the neonate because it can rapidly
progress to a tension pneumothorax. It is often the result of PPV, excessive PEEP,