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Cardiology1 paper

Central neonatal apnea

Last edited: 4 h ago

Overview

Central neonatal apnea refers to cessation of breathing in newborns, often triggered by feeding, potentially linked to oropharyngeal dysfunction affecting swallowing mechanisms 1.

Diagnosis

  • Clinical Presentation: Episodes of apnea and bradycardia primarily during feeding 1.
  • Diagnostic Tests: Cinefluoroscopy with barium swallow to observe swallowing mechanism 1.

    • Management

  • Feeding Modifications: Use of thickened formula feedings 1.
  • Nipple Adaptations: Implementation of special nipple designs to facilitate easier feeding 1.

    • Special Populations

  • Neonates: Focus on feeding techniques and environmental adjustments specific to newborns 1.

    • Key Recommendations

  • Conduct cinefluoroscopy with barium swallow to identify oropharyngeal dysfunction in neonates presenting with feeding-related apnea episodes (Evidence: Moderate 1).
  • Implement thickened formula feedings and specialized nipple use to manage and potentially resolve apnea episodes (Evidence: Expert opinion 1).
  • Closely monitor feeding environments and techniques to minimize triggers for apnea in neonates (Evidence: Expert opinion 1).

    • References

    1 Plaxico DT, Loughlin GM. Nasopharyngeal reflux and neonatal apnea. American journal of diseases of children (1960) 1981. link

    Original source

    1. [1]
      Nasopharyngeal reflux and neonatal apnea. — Plaxico DT, Loughlin GM American journal of diseases of children (1960) (1981)

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