ABSTRACT
Apnoea is defined as a transient cessation of breathing. In neonates, it may be attributed to immaturity of the respiratory command systems or to specific disorders. The incidence and severity of apnoea is inversely related to maturation and one of the most frequent problems in a neonatal unit. The first step in its management is to look for identifiable causes and to treat them. Thereafter, drugs such as methylxanthines or doxapram are used. Mechanical ventilation is the last step. Treatment discontinuation starts after complete cessation of significant apnoeic episodes, apnoeas having to be monitored for 4 to 5 days after treatment weaning, in order to detect a possible recurrence.
