Asunto(s)
Muerte Súbita del Lactante/epidemiología , Niño , Femenino , Humanos , Noruega , Paridad , Riesgo , Muerte Súbita del Lactante/genética , WashingtónRESUMEN
Victims of sudden infant death syndrome (SIDS) have occasionally been reported to have had prolonged apnea or an increased frequency of short apnea prior to their deaths. To examine the extent of these abnormalities, we compared pneumograms obtained in 17 infants who subsequently died of SIDS (10 with history of apnea) with those of 34 age- and sex-matched controls. The recordings were analyzed by a computer program that avoided observer bias. SIDS infants had significantly greater mean heart rate (P less than 0.05) and periodic breathing during quiet time (P less than 0.003) than control infants had. The apnea in SIDS infants tended to be more periodic than in control infants (P less than 0.002). In addition, the incidence of bradycardia was greater in SIDS (three infants) than in controls (none) (P less than 0.03). These differences suggest a disturbance of autonomic function prior to death in some victims of SIDS.
Asunto(s)
Apnea/complicaciones , Sistema Nervioso Autónomo/fisiopatología , Muerte Súbita del Lactante/etiología , Apnea/fisiopatología , Electrocardiografía , Femenino , Frecuencia Cardíaca , Humanos , Lactante , Recién Nacido , Masculino , Monitoreo Fisiológico , Respiración , Programas Informáticos , Muerte Súbita del Lactante/fisiopatologíaAsunto(s)
Dentición/anomalías , Intubación Intratraqueal/efectos adversos , Respiración con Presión Positiva/efectos adversos , Anomalías Dentarias/etiología , Amelogénesis Imperfecta/etiología , Niño , Preescolar , Estudios de Seguimiento , Humanos , Lactante , Recién Nacido , Enfermedades del Recién Nacido/terapiaRESUMEN
Percutaneous catheterization of the radial artery appears to be a simple and safe alternative to catheterization of the umbilical artery for monitoring critically ill neonates. This avoids the serious and potentially fatal complications associated with use of the umbilical arterial catheter, and it is also applicable to monitoring of neonates in whom the umbilical artery is no longer patent. We observed no serious sequelae in cannulation of the radial artery and think that the technique should be used more widely.