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SIDS

SIDS. Chapter 119. SIDS. Leading cause of death from 1m-1y 10,000 deaths annually Primary cause appears to be abnormal ventilatory response. Groups at Increased Risk. 1. Term infants with hx of apnea 2. Premature infants of low birth weight Or premies with broncho-pulmonary dysplasia

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SIDS

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  1. SIDS Chapter 119

  2. SIDS • Leading cause of death from 1m-1y • 10,000 deaths annually • Primary cause appears to be abnormal ventilatory response

  3. Groups at Increased Risk • 1. Term infants with hx of apnea • 2. Premature infants of low birth weight • Or premies with broncho-pulmonary dysplasia • 3. Siblings of infants that have succumbed to SIDS • 4. Infants of substance abusing mothers

  4. Clinical Features • Age one month to one year • Peaks between 2-4 months • 30-50% with URI, otherwise healthy • Found in crib cyanotic and apneic

  5. Management • ALTE victims should be admitted • Recurrence in 20-100% • Siblings are at risk 2-10 fold • Septic workup, ECG, apnea monitoring • #1 Preventative measure is “Back to Sleep” • Also increased risk with co-sleeping

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