Document Detail


Postoperative apnoea in infants.
MedLine Citation:
PMID:  8160948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Past studies concerning postoperative apnoea in infants were identified and reviewed. A total of only 200 former preterm infants having minor surgery under general anaesthesia have been prospectively studied. The incidence of apnoea after general anaesthesia is approximately 30%, and is inversely related to postconceptual age. A large number of term infants have been studied, and the incidence of postoperative apnoea is very low. The initial apnoea is always within 12 hours of surgery, though only one study has collected data beyond this length of time. Past history of apnoea episodes, bronchopulmonary dysplasia, anaemia or neurological disease may be associated with an increased risk, though current evidence is not strong. No patient characteristic apart from postconceptual age has enough sensitivity and specificity to identify a high-risk group. The use of spinal anaesthesia or methylxanthines may reduce the incidence of postoperative apnoea, but again the evidence is not strong. Recommendations concerning the timing of elective surgery and the use of postoperative respiratory monitoring in the former preterm infant can only be made cautiously in view of the paucity of data on which to base them.
Authors:
C Sims; C M Johnson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  22     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-05-19     Completed Date:  1994-05-19     Revised Date:  2006-08-28    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  40-5     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Princess Margaret Hospital for Children, Subiaco, Western Australia.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Apnea / etiology*
Humans
Infant
Infant, Newborn
Infant, Premature*
Postoperative Complications*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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