Friday 15 February 2019

Caffeine therapy in Preterm Infants

https://neonatal.pediatricsconferences.com/

Caffeine is the most commonly used drug in NICU after antibiotics. It has been found that early caffeine treatment has no long-term negative effects on Neurodevelopment and is associated with better cognitive scores.

Premature birth is a birth occurring before 37 weeks gestation.  There are many reasons of premature babies, including natural factors and those who are caused by the actions or omissions of healthcare providers.  

Caffeine Therapy for Lung Development

Caffeine is a type of drug categorized as methylxanthines. It reduces apnea, where it is a condition in which a baby stops breathing for a series of seconds.  Caffeine has been used in Neonatal Intensive Care Units (NICU) for years as a breathing support treatment for babies. Based on the results of the study, it has been suggested that caffeine therapy improves long-term breathing functions by reducing abnormal development or injury to the lungs of newborns. 

Negligence resulted in Premature Birth or Birth Injuries

In terms of premature birth, there are some cases involving a complex web of factors contributing to the birth, such as:
    • Maternal conditions like high blood pressure (hypertension), infections or diabetes
    • Maternal history of abortions (spontaneous or elective), premature births, or back-to-back  pregnancies
    • Fetal complications 

Some of the therapeutic effects of caffeine include
    •     Prevention of failure of extubation
    •       Higher survival rate
    •     Reduced chance of severe ROP (retinopathy of prematurity – a problem in the eyes)
    •   Lower likelihood of neurodevelopmental disabilities such as cerebral palsy, cognitive delay, blindness, and hearing loss

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