Abstract
Life-threatening events such as prolonged apnea and severe bradycardia are uncommon in infants. When such events occur in a family, however, the results may be disastrous. Over a period of 3 years ending June 1986, we have looked after 111 such infants aged 4 weeks to 40 weeks with a mean age of 14 weeks (male-female ratio 1.26:1). Of these infants, 33 had an identifiable cause and were treated according to the diagnoses. A structural approach to this problem yielded good results. Only 10 infants were treated with a home monitor (4 prescribed by physician and 6 by parental request). Sleep and pneumogram (polysomnogram) studies showed fewer apneic episodes with advancing age (P less than .01). Giving theophylline seemed to abolish pneumogram abnormalities. No infants died.
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Selected References
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- Camfield C. S., Camfield P. R., Finley J. Screening of subsequent siblings of children who die of sudden infant death syndrome. Am J Dis Child. 1987 Jul;141(7):807–810. doi: 10.1001/archpedi.1987.04460070109037. [DOI] [PubMed] [Google Scholar]
- Duffty P., Bryan M. H. Home apnea monitoring in 'near-miss' sudden infant death syndrome (SIDS) and in siblings of SIDS victims. Pediatrics. 1982 Jul;70(1):69–74. [PubMed] [Google Scholar]
- Hunt C. E., Brouillette R. T., Hanson D. Theophylline improves pneumogram abnormalities in infants at risk for sudden infant death syndrome. J Pediatr. 1983 Dec;103(6):969–974. doi: 10.1016/s0022-3476(83)80734-3. [DOI] [PubMed] [Google Scholar]
- Kahn A., Blum D., Muller M. F., Montauk L., Bochner A., Monod N., Plouin P., Samson-Dollfus D., Delagree E. H. Sudden infant death syndrome in a twin: a comparison of sibling histories. Pediatrics. 1986 Jul;78(1):146–150. [PubMed] [Google Scholar]
- Kelly D. H., Shannon D. C., O'Connell K. Care of infants with near-miss sudden infant death syndrome. Pediatrics. 1978 Apr;61(4):511–514. [PubMed] [Google Scholar]
- Kelly D. H., Shannon D. C. Periodic breathing in infants with near-miss sudden infant death syndrome. Pediatrics. 1979 Mar;63(3):355–360. [PubMed] [Google Scholar]
- Moore S. E., Walsh J. K., Keenan W. J., Farrell M. K., Wolske S. K., Kramer M. Periodic breathing in infants with histories of prolonged apnea. Am J Dis Child. 1981 Nov;135(11):1029–1031. doi: 10.1001/archpedi.1981.02130350033011. [DOI] [PubMed] [Google Scholar]
- Sankaran K., Hindmarsh K. W., Wallace S. M., McKay R. J., O'Donnell M. Cerebrospinal fluid and plasma beta-endorphin concentrations in prolonged infant apnea (near-miss sudden infant death syndrome). Dev Pharmacol Ther. 1986;9(4):224–230. doi: 10.1159/000457097. [DOI] [PubMed] [Google Scholar]
- Shannon D. C., Kelly D. H. SIDS and near-SIDS (second of two parts). N Engl J Med. 1982 Apr 29;306(17):1022–1028. doi: 10.1056/NEJM198204293061704. [DOI] [PubMed] [Google Scholar]
- Spitzer A. R., Fox W. W. Infant apnea. An approach to management. Clin Pediatr (Phila) 1984 Jul;23(7):374–380. doi: 10.1177/000992288402300702. [DOI] [PubMed] [Google Scholar]
- Spitzer A. R., Fox W. W. Infant apnea. Pediatr Clin North Am. 1986 Jun;33(3):561–581. doi: 10.1016/s0031-3955(16)36043-6. [DOI] [PubMed] [Google Scholar]
- Thach B. T. Sleep apnea in infancy and childhood. Med Clin North Am. 1985 Nov;69(6):1289–1315. doi: 10.1016/s0025-7125(16)30988-9. [DOI] [PubMed] [Google Scholar]