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  • 17 Apnoea Prematurity

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    Yassboy Msd
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    This document provides guidelines for the management of apnoea of prematurity. It defines apnoea of prematurity as a cessation of breathing for more than 20 seconds or bradycardia less than 100 bpm or cyanosis/low oxygen saturation. Investigations should evaluate for sepsis, anaemia, hypothermia and hypoglycaemia. Management includes tactile stimulation, supportive therapy, antibiotics if sepsis is suspected, and caffeine citrate or aminophylline. Oxygen, CPAP or ventilation may be needed if oxygen saturation is low or breathing difficulty occurs.

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    Premature

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    17_Apnoea_Prematurity

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    This document provides guidelines for the management of apnoea of prematurity. It defines apnoea of prematurity as a cessation of breathing for more than 20 seconds or bradycardia less than 100 bpm or cyanosis/low oxygen saturation. Investigations should evaluate for sepsis, anaemia, hypothermia and hypoglycaemia. Management includes tactile stimulation, supportive therapy, antibiotics if sepsis is suspected, and caffeine citrate or aminophylline. Oxygen, CPAP or ventilation may be needed if oxygen saturation is low or breathing difficulty occurs.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    7 views1 page

    17 Apnoea Prematurity

    Uploaded by

    Yassboy Msd
    This document provides guidelines for the management of apnoea of prematurity. It defines apnoea of prematurity as a cessation of breathing for more than 20 seconds or bradycardia less than 100 bpm or cyanosis/low oxygen saturation. Investigations should evaluate for sepsis, anaemia, hypothermia and hypoglycaemia. Management includes tactile stimulation, supportive therapy, antibiotics if sepsis is suspected, and caffeine citrate or aminophylline. Oxygen, CPAP or ventilation may be needed if oxygen saturation is low or breathing difficulty occurs.

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    © All Rights Reserved
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    of 1

    SOP 17: NCU

    Apnoea of Prematurity
    Definition

    Cessation of breathing for > 10 s with


    Cessation of breathing for OR - Bradycardia < 100 bpm
    > 20 s Or
    - Cyanosis or low SpO2

    Investigations
    Evaluate for Sepsis: Rule out Anaemia: Rule out Hypothermia
    ✓ Full Blood Picture ✓ Haemoglobin ✓ Measure Temperature
    ✓ CRP
    ✓ Lumbar Puncture
    Rule out Hypoglycaemia:
    ✓ Blood Culture
    ✓ Random Blood Glucose

    Management
    Tactile Stimulation
    Supportive therapy
    When Sepsis is Suspected
    Maintain
    Antibiotics KMC if possible
    normal body
    temperature

    No spontaneous breathing Maintain


    Start ventilation normal blood
    glucose
    Caffeine Citrate Available Caffeine Citrate Not Available
    Maintain
    Caffeine Citrate Aminophylline SpO2
    ✓ Loading dose: 20 mg/kg (IV) ✓ Loading dose: 5 mg/kg over 10 min (IV)
    ✓ Maintenance dose: 2.5 mg/kg ✓ Maintenance dose: 1 – 3 mg/kg every 12 hours
    between
    every 12 hours (IV) (IV or orally only if feeding is tolerated well) 88% and
    ✓ Duration: Until no more apnoea for 5 – 7 days, or 95%
    until baby reaches 34 weeks GA

    If Hb is
    If low SpO2 or difficulty breathing below
    transfusion
    CPAP or Oxygen threshold,
    give blood
    Apnoea Monitor transfusion
    or Pulse Oximeter

    MoHCDGEC (2019) National Guideline for Neonatal Care and Establishment of Neonatal Care Unit, p 67-68

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