| Author/Editor | Neubauer, D | |
| Title | Kardiorespirografija v novorojenčkovem in zgodnjem otroškem obdobju | |
| Type | monografija | |
| Place | Ljubljana | |
| Publisher | Medicinska fakulteta | |
| Publication year | 1993 | |
| Volume | str. 115 | |
| Language | slo | |
| Abstract | Apnoeic spells and periodic breathing (PB) are those significant phenomena in newborns and during early childhood which have implications for an understanding of central respiratory control. Cardiorespirography (CRG) is one of the methods which enables simple and noninvasive way for continuous monitoring and registration of heart rate and breathing patterns in children. These patterns are discussed in the presented two-year study of CRG on 113 newborns and 81 infants who were followed up until their first year of life. The method has been modified with the respect to the infant's sleep or wake state. Failure to acknowledge the significance of these physiological variables was eliminated and this contributed to a better interpretation of the results. The results confirmed CRG to be a method of choice during neonatal period for distinguishing between the secondary apnoea and the idiopathic apnoea of prematurity. It enabled further diagnostic steps in the former cases or just the use of xanthine derivates in the latter cases. The prognostic value according to the final outcome was also stressed.The results during the infantile period confirmed CRG to be an excellent method for distinguishing between physiological apnoea and those apnoeic spells were theophylline prophylaxis is required, in a group of potentially at risk children. These are those infants with a history of an apparent life threatening event and siblings of sudden infant death syndrome victims. A possibility to use CRG as a method for detection of peripheral apnoea is also provided and two newly discovered patter ns of PB are presented - extreme and excessive PB. Specification of background context of heart rate and breathing pattern, with respect to gestational age and sleep state, assumes new methodological importance in light of current ambiguities regarding the apnoea literature. This approach presents a more integrated view of respiratory stability in newborns and infants.(trunc.) | |
| Descriptors | RESPIRATION DISORDERS SPIROMETRY HEART RATE INFANT, NEWBORN INFANT INFANT, PREMATURE GESTATIONAL AGE APNEA |