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1.
CASE (Phila) ; 3(1): 25-27, 2019 Feb.
Article in English | MEDLINE | ID: mdl-30828680
3.
Hosp Pediatr ; 8(6): 314-320, 2018 06.
Article in English | MEDLINE | ID: mdl-29844024

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 <60 weeks postmenstrual age if preterm or <50 weeks postmenstrual age if term, and were monitored for apnea as inpatients after DS or GA. Gestational age, postmenstrual age, chronologic age, anesthetic and sedative medications, procedure indication, and postsedation events were collected. RESULTS: There were 61 DS encounters (24 preterm and 37 term) and 175 GA encounters (120 preterm and 55 term) that met inclusion criteria. No recorded apneic events in either preterm or term infants were recorded after DS. After GA, 1.7% of infants had apneic events (2.5% preterm and 0 term; 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.


Subject(s)
Anesthesia, General/statistics & numerical data , Apnea/chemically induced , Bradycardia/chemically induced , Deep Sedation/statistics & numerical data , Hypnotics and Sedatives/administration & dosage , Infant, Premature , Anesthesia, General/adverse effects , Apnea/epidemiology , Bradycardia/epidemiology , Deep Sedation/adverse effects , Female , Humans , Hypnotics and Sedatives/adverse effects , Incidence , Infant, Newborn , Male , Postoperative Period , Retrospective Studies , United States/epidemiology
4.
Cardiol Young ; 26(2): 406-9, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26175107

ABSTRACT

Takotsubo cardiomyopathy, "broken heart syndrome", is a well-known diagnosis in adults; however, this entity remains rare and is not well represented in the paediatric population. This report illustrates a case of takotsubo cardiomyopathy in a premature neonate with a brief discussion of the condition.


Subject(s)
Echocardiography/methods , Electrocardiography , Takotsubo Cardiomyopathy/diagnosis , Adult , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Infant, Newborn , Pregnancy
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