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No offense, but this is what I call a "duh" study. Obviously caffeine will only help with wake up. That's why my patients got it in the ASC, when requested, and I encouraged them to do so. But I would never give it IV, the same way I don't give theophylline IV either (if I have another choice); the risk/benefit ratio and outcomes are not that good whenever we encourage ischemia and arrhythmias. And while most patients know how much and how strong coffee they should drink, we don't, so we will probably either under- or overdose them with caffeine.
A greater tragedy the world has never known.
I'm actually surprised- are they using theophylline instead to simulate respiration in noenates now?
A nurse crushed some caffeine pills and gave them iv to a patient with pdph... headache didn't improve
Turns out American Regent still manufactures it, but there is a shortage due to their being the only manufacturer and having to recall a large number of units due to particulate matter of unknown origin. IV caffeine is still preferred for neonatal apnea due to its once daily dosing and more predictable blood levels from what I can find, but I need to double check on UpToDate later.
