Cessation of breathing for 15-20 seconds. This may be due to prematurity, sepsis. hypoglycaemia, hypoxaemia, hypothermia, hyperthermia.

Clinical Features

Apnoea. Bradycardia. Pallor. Cyanosis. Hypotonia. Metabolic acidosis.

Investigations

• Screen for sepsis

• Haemogram

• Blood glucose levels.

Management

• Frequent monitoring

• Gentle shaking of the infant during individual spell

• If frequent give continuous oxygen by nasal catheter

• Give oxygen by bag and mask in cyanosed

• Rectal IV aminophylline 5-7 mg/kg/day in 3 divided doses

• IV 5% dextrose drip 60 ml/kg/day

• Avoid oral feeding due to aspiration

• Treat the cause if known.