apnea of prematurity
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apnea of prematurityAbbreviation: AOP
There is no specific treatment. Initial efforts should begin with the least-invasive method. Tactile stimulation is often successful with early recognition. When gentle stimulation does not produce a response, bag and mask ventilation is initiated. Methylxanthines such as caffeine, theophylline, and aminophylline are helpful.
Care includes maintenance of a neutral thermal environment, avoidance of prolonged oral feedings, use of tactile stimulation early in the apneic episode, and ventilatory support as needed. The infant who has experienced and survived an episode of apnea is maintained on cardiac and respiratory monitoring devices. Before discharge, parents are taught cardiopulmonary resuscitation, use of monitoring equipment, and how to recognize signs of medication toxicity if medications are used.