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Editorial
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Volume 357:1967-1968 November 8, 2007 Number 19
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On the Caffeination of Prematurity
David K. Stevenson, M.D.

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 by Schmidt, B.
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It was recognized more than three decades ago1 that methylxanthines can reduce the frequency of apneic episodes in premature infants. Since that time, methylxanthines have become part of the routine clinical management of apnea of prematurity, with caffeine the treatment of choice because of its long half-life in the neonate.2 However, there has been ongoing concern, and a lack of good data, about potential long-term risks. In particular, caffeine can decrease cerebral blood flow in adults (when present at levels that are probably higher than the doses recommended for therapeutic use in babies)3 and can inhibit adenosine receptors,4 possibly compromising . . . [Full Text of this Article]


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From the Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Stanford, CA.


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