Sudden Infant Death Syndrome and Acute Life-Threatening Events

Author(s):  
James S. Kemp ◽  
Bradley T. Thach
PEDIATRICS ◽  
1994 ◽  
Vol 93 (5) ◽  
pp. 820-820
Author(s):  
◽  
John Kattwinkel ◽  
John Brooks ◽  
Maurice E. Keenan ◽  
Michael Malloy ◽  
...  

The preceding report describes new evidence from around the world linking infant prone sleeping position and sudden infant death syndrome (SIDS). Other than in this report, much of the recent information has not yet been published, except in official governmental statistics reports from the various countries. Nevertheless, it seems clear that SIDS rates do decrease significantly after public campaigns aimed at reducing the incidence of prone sleeping. The initial concern, that a shift away from prone sleeping might result in an increase in undesirable complications, has not materialized. There have been no increases in disorders such as aspiration, acute life-threatening events, and vomiting, after infant sleeping position has changed almost exclusively to non-prone in several countries.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (4) ◽  
pp. 511-514 ◽  
Author(s):  
Dorothy H. Kelly ◽  
Kathleen O'Connell

The purpose of this study was to evaluate the effectiveness of home management of life-threatening apnea in infants with near-miss sudden infant death syndrome (SIDS). A total of 84 infants were monitored with apnea monitors for an average of seven months (range, 1 to 27). A group of 27 infants had episodes of apnea requiring resuscitation during home monitoring, all of whom were successfully resuscitated by their parents on at least one occasion using bag and mask resuscitation, and 17 infants required more than one resuscitation. Subsequent resuscitation was unsuccessful with four infants. Infants who experienced more than ten episodes of prolonged sleep apnea (apnea longer than 20 seconds) during home monitoring had a significantly increased risk of requiring resuscitation than other infants being studied. With the use of home monitoring of these infants and parents trained in cardiopulmonary resuscitation, the survival rate was 93.4%.


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