{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:30:11Z","timestamp":1777890611702,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NPM"],"published-print":{"date-parts":[[2023,3,28]]},"abstract":"<jats:p>BACKGROUND: Laser retinopexy is the current standard treatment for babies with type I retinopathy of prematurity (ROP). No guidelines exist for respiratory management during this procedure. Although neonatologists prefer to avoid intubation to prevent delays in extubation, feeding and discharge, ophthalmologists often request intubation, because sedation alone may lead to respiratory collapse. Little evidence is available regarding which treatment provides the most benefit to vulnerable infants. OBJECTIVE: This study investigated relevant associations or underlying conditions that may help guide decision-making in respiratory management during laser retinopexy. METHODS: A retrospective chart review was performed to analyze data from babies who underwent retinopexy from 2006 to 2011 at the Montefiore Medical Center. The main outcome measures included respiratory support before, during and after laser therapy; time from treatment to extubation; and time from treatment to discharge. RESULTS: The main outcomes were analyzed in four groups: never intubated (n\u200a=\u200a27), emergently intubated (n\u200a=\u200a7), already intubated (n\u200a=\u200a8) and electively intubated (n\u200a=\u200a28). No significant differences were observed in the number of pre-operative apneic\/bradycardic events, postoperative time to extubation, time to discharge and delays in feeding among groups. CONCLUSIONS: No specific comorbid conditions were found to predict a need for intubation. Elective intubation did not cause delays in feedings, extubation or discharge. A selective approach to respiratory support would result in 20% of initially non-intubated patients requiring emergent intubation.<\/jats:p>","DOI":"10.3233\/npm-210788","type":"journal-article","created":{"date-parts":[[2022,12,13]],"date-time":"2022-12-13T11:57:10Z","timestamp":1670932630000},"page":"67-74","source":"Crossref","is-referenced-by-count":1,"title":["Elective intubation for laser retinopexy treatment of severe ROP is not associated with increased morbidity or length of stay"],"prefix":"10.1177","volume":"16","author":[{"given":"R.M.","family":"Angert","sequence":"first","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, NYU Langone Health, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Jones-Bamman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Hospital of Colorado, Aurora, CO, USA"},{"name":"Pediatrics 5280 PC, Centennial, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.-Y.","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.K.","family":"Mian","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, Montefiore Medical Center, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/NPM-210788_ref1","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.1007\/s00417-014-2716-1","article-title":"Risk factors for retinopathy of prematurity: Insights from outlier infants","volume":"252","author":"Port","year":"2014","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"10.3233\/NPM-210788_ref2","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.jaapos.2007.08.012","article-title":"Long-term follow-up of visual functions in prematurely born children\u2013a prospective population-based study up to 10 years of age","volume":"12","author":"Holmstr\u00f6m","year":"2008","journal-title":"J AAPOS"},{"key":"10.3233\/NPM-210788_ref3","first-page":"1408","article-title":"One-year outcome\u2014 structure and function","volume":"108","author":"Multicenter trial of cryotherapy for retinopathy of prematurity. One-year outcome\u2014structure and function","year":"1990","journal-title":"Cryotherapy for Retinopathy of Prematurity Cooperative GrouArch Ophthalmol"},{"key":"10.3233\/NPM-210788_ref4","first-page":"233","article-title":"Final results of the Early Treatment for Retinopathy of Prematurity (ETROP) randomized trial","volume":"102","author":"Good","year":"2004","journal-title":"Trans Am Ophthalmol Soc"},{"key":"10.3233\/NPM-210788_ref5","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1053\/j.sempedsurg.2004.04.002","article-title":"Neonatal anesthesia","volume":"13","author":"Hillier","year":"2004","journal-title":"Semin Pediatr Surg"},{"key":"10.3233\/NPM-210788_ref6","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1038\/sj.eye.6702499","article-title":"Variation in anaesthesia for the laser treatment of retinopathy of prematurity\u2014 a survey of ophthalmologists in the UK","volume":"21","author":"Chen","year":"2007","journal-title":"Eye (London, England)"},{"key":"10.3233\/NPM-210788_ref7","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/S0031-3955(16)36722-0","article-title":"The neuroanatomy, neurophysiology, and neurochemistry of pain, stress, and analgesia in newborns and children","volume":"36","author":"Anand","year":"1989","journal-title":"Pediat Clin N Amer"},{"key":"10.3233\/NPM-210788_ref8","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1136\/bjo.81.4.283","article-title":"Retinopathy of prematurity: Systemic complications associated with different anaesthetic techniques at treatment","volume":"81","author":"Haigh","year":"1997","journal-title":"Br J Ophthalmol"},{"key":"10.3233\/NPM-210788_ref9","doi-asserted-by":"crossref","unstructured":"Eipe N , Kim J , Ramsey G , Mossdorf P Anesthesia for laser treatment for retinopathy of prematurity\u2013all clear now? Paediatr Anaesth 2008;18:1103\u20135.","DOI":"10.1111\/j.1460-9592.2008.02682.x"},{"key":"10.3233\/NPM-210788_ref10","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/S1875-4597(10)60015-X","article-title":"Evaluation of risk factors for postoperative prolonged intubation in premature infants after cryotherapy for retinopathy of prematurity","volume":"48","author":"Shih","year":"2010","journal-title":"Acta Anaesthesiol Taiwan"},{"key":"10.3233\/NPM-210788_ref11","doi-asserted-by":"crossref","first-page":"F154","DOI":"10.1136\/adc.2006.106401","article-title":"Anaesthesia for treatment of retinopathy of prematurity","volume":"92","author":"Anand","year":"2007","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"10.3233\/NPM-210788_ref12","doi-asserted-by":"crossref","first-page":"546","DOI":"10.5301\/ejo.5000272","article-title":"Retinopathy of prematurity: A nationwide survey to evaluate current practices and preferences of ophthalmologists","volume":"23","author":"Sekeroglu","year":"2013","journal-title":"Eur J Ophthalmol"},{"key":"10.3233\/NPM-210788_ref13","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.jaapos.2012.11.007","article-title":"Anesthetic and airway management during laser treatment for retinopathy of prematurity: A survey of US ophthalmologists and neonatologists","volume":"17","author":"Klein","year":"2013","journal-title":"J AAPOS"},{"key":"10.3233\/NPM-210788_ref14","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1038\/sj.jp.7211675","article-title":"Avoiding endotracheal intubation of neonates undergoing laser surgery for retinopathy of prematurity","volume":"27","author":"Woodhead","year":"2007","journal-title":"J Perinatol"}],"container-title":["Journal of Neonatal-Perinatal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/NPM-210788","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:41:49Z","timestamp":1777614109000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.medra.org\/servlet\/aliasResolver?alias=iospress&doi=10.3233\/NPM-210788"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,28]]},"references-count":14,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3233\/npm-210788","relation":{},"ISSN":["1934-5798","1878-4429"],"issn-type":[{"value":"1934-5798","type":"print"},{"value":"1878-4429","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,28]]}}}