children s health issues
Apnea of Prematurity
Treatment of Apnea of Prematurity
Gentle prodding or touching Treatment of cause Stimulants (such ascaffeine) Measures to support breathing When apnea is noticed, either by observation or monitor alarm, newborns are touched or prodded gently to stimulate breathing, which may be all that is required. Further treatment of apnea depends on the cause. Doctors treat known causes such as infections. If episodes of apnea become frequent, and especially if newborns have cyanosis, they remain in the Neonatal intensive care unit (NICU) (NICU). They may be treated with a medication that stimulates the respiratory center, such as does not prevent frequent and severe episodes of apnea, newborns may need treatment with Obstructive sleep apnea (CPAP). This technique allows newborns to breathe on their own while receiving slightly pressurized oxygen or air given through prongs placed in the nostrils. Newborns who have apnea spells that are difficult to treat may need a Most newborns are able to go home from the hospital without a monitor. Infrequently, some newborns are sent home with an apnea monitor and may also needcaffeine. However, infants are usually taken offcaffeinebefore being discharged. Parents should be taught how to properly use the monitor and any other equipment, what to do when the alarm sounds, how to do Cardiac Arrest and CPR (CPR) in case it is needed, and how to keep a record of events. Most monitors electronically store information about events that occur. Parents should consult a doctor about when to stop using the monitor. There is no proof that discharging a premature newborn from the hospital with an apnea monitor decreases the risk of SIDS. 