Caffeine is one of the most commonly prescribed drugs amongpremature infants. It is a potent respiratory stimulant indicatedprimarily to reduce the incidence of episodes of apnea associatedwith an immature central nervous system. It is also used frequentlyin these infants to facilitate weaning from mechanical ventilation.Despite the widespread use of caffeine for these indications,the evidence to support its use is based on the results of afew relatively small and short-term studies.1 Information islacking on possible long-term effects of prolonged administrationof caffeine on the development of the brain and other organs.
From the Division of Neonatology, Department of Pediatrics, University of Miami Miller School of Medicine, Miami.
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