Management of neonatal apnea

Once a newborn is in apnea, the first step is to look for the cause, which is very critical and multifaceted. There are factors of infection, prematurity, and improper feeding or primary disease, which need to be further analyzed in conjunction with clinical signs and laboratory tests. Once apnea occurs, the routine operation is to perform artificial intervention stimulation, which can be done by quickly rubbing the child’s back and repeatedly playing the soles of the child’s feet to provide external stimulation of the skin, thus causing the child to cry and improving apnea. If apnea is still frequent at this time, theophylline or aminophylline drugs are commonly used clinically to stimulate the respiratory center and improve the respiratory rate and apnea. Another class of drugs commonly used clinically are drugs that stimulate the respiratory center, which can be given by static drip or orally and have a very good effect. If apnea still does not improve or worsens further, a ventilator or tracheal intubation is needed to help the child through the difficult period.