《Management of apnoea and》.pdfVIP

FOR HKMA CME MEMBER USE ONLY. DO NOT REPRODUCE OR DISTRIBUTE SYMPOSIUM: NEONATOLOGY Management of apnoea and collapse. If the obstruction persists CNS depression due to hypoxia and acidosis will result in mixed apnoea. For the bradycardia in neonates majority of preterm infants a mixed picture is seen with both obstructive and central factors contributing with only 10% of preterm apnoea being due solely to airway obstruction. Eve Atkinson Apnoea of prematurity (AOP) is a diagnosis of exclusion and Alan C Fenton therefore thorough examination and appropriate investigation is essential to diagnose and treat secondary causes (Table 1). The clinical picture will determine the extent of investigation but may include a septic screen, full blood count, chest X-ray, blood gas, Abstract serum electrolytes and glucose, EEG, pH testing and neurological Apnoea is common in the preterm infant, particularly those less than 30