Document Detail

Apparent life-threatening events and sudden infant death on a monitor.
MedLine Citation:
PMID:  14980301     Owner:  NLM     Status:  MEDLINE    
This review summarises recent data on mechanisms for apparent life-threatening events (ALTE) and sudden infant death (SID) which show that (i). recordings obtained during ALTE allow the detection of previously unrecognised but preventable mechanisms in a significant proportion of infants and should thus be performed routinely in infants with such a history, (ii). in recordings obtained during SID and idiopathic ALTE, prolonged apnoea was found in only a minority, while severe hypoxaemia appeared to the common mechanism, (iii). it remains yet unclear by which mechanism this hypoxaemia develops, with upper and/or lower airway obstruction, rebreathing of expired air and intrapulmonary shunting being potential candidates, (iv). there is evidence that arousal fails during SID, which could be related to known risk factors such as tobacco smoke exposure, whereas (v). gasping occurred during the majority of SID cases where respiratory patterns have been analysed, but it remains unclear why gasping remains ineffective in resuscitating the infant from hypoxaemia.
Christian F Poets
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Paediatric respiratory reviews     Volume:  5 Suppl A     ISSN:  1526-0542     ISO Abbreviation:  Paediatr Respir Rev     Publication Date:  2004  
Date Detail:
Created Date:  2004-02-24     Completed Date:  2004-05-10     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  100898941     Medline TA:  Paediatr Respir Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  S383-6     Citation Subset:  IM    
Department of Neonatology, University of Tübingen, Tübingen, Germany.
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MeSH Terms
Infant, Newborn
Monitoring, Physiologic
Sudden Infant Death* / diagnosis

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