Apnea in Preterm and Term Infants After Deep Sedation and General Anesthesia
Authors:
- 1 June 2018
- journal article
- Published by American Academy of Pediatrics (AAP) in Hospital Pediatrics
- Vol. 8 (6) , 314-320
Abstract
OBJECTIVES: Determine the incidence of apnea in preterm and term infants after deep sedation (DS) compared with general anesthesia (GA). METHODS: A retrospective chart review was performed on infants who underwent elective DS or GA from January 2008 to December 2013, were P = .57 versus DS). All events occurred within 2 hours of monitoring in recovery. CONCLUSIONS: None of the infants had apnea after DS. Rates from the literature would suggest that 2 to 6 of the preterm DS subjects should have experienced postsedation apnea. Sampled GA subjects had a rate of 2.5% in preterm infants exhibiting apnea after GA. Although the post-DS apnea rate is lower than what has been previously published, the small sample size and limitations of a retrospective design prevent us from directing a change in postsedation monitoring recommendations. However, we do support the need for prospective studies with strict monitoring criteria to reveal the true risk of post-DS apnea.Keywords
This publication has 20 references indexed in Scilit:
- The former preterm infant and risk of post‐operative apnoea: recommendations for managementActa Anaesthesiologica Scandinavica, 2006
- Respiratory function of very prematurely born infants at follow up: influence of sexArchives of Disease in Childhood - Fetal and Neonatal Edition, 2006
- Risk factors for respiratory morbidity in infancy after very premature birthArchives of Disease in Childhood - Fetal and Neonatal Edition, 2005
- Age Terminology During the Perinatal PeriodPediatrics, 2004
- Are All Preterm Infants Younger than 60 Weeks Postconceptual Age at Risk for Postanesthetic Apnea?Anesthesiology, 1993
- GASTRIC EFFECTS OF PREOPERATIVE ERYTHROMYCINE PROPHYLAXIS FOR AMBULATORY LAPAROSCOPYAnesthesiology, 1991
- Association of Postoperative Apnea, Airway Obstruction, and Hypoxemia in Former Premature InfantsAnesthesiology, 1991
- CHANGES IN INTRAOCULAR PRESSURE DURING RAPID SEQUENCE INDUCTION OF ANESTHESIA USING PROPOFOL OR THIOPENTAL WITH VECURONIUMAnesthesiology, 1987
- Postoperative Apnea in Preterm InfantsAnesthesiology, 1987
- Preterm Infants are More Prone to Complications Following Minor Surgery than are Term InfantsAnesthesiology, 1982