PEDIATRICS Vol. 79 No. 6 June 1987, pp. 889-893
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Near-Miss Sudden Infant Death Syndrome: Clinical Findings and Management

Kevin Dunne MRCP, DCH1 and Thomas Matthews FRCPI, DCH, FAAP1

1 From the Rotunda Hospital, Dublin

The clinical findings for 73 infants with near-miss sudden infant death syndrome (SIDS) diagnosed from 1980 to 1984 are presented. Infants who were found apparently dead and who required vigorous stimulation or mouth-to-mouth resuscitation to revive them were said to have near-miss SIDS. The most common finding was apnea, often with pallor. A repeat episode requiring resuscitation occurred in 30 (41%) infants. Six (8%) had multiple episodes requiring resuscitation. Two infants (3%) died. Prediction of subsequent attacks or outcome was impossible on clinical grounds. The controversy of definition, relationship to SIDS, and treatment is discussed.

Key Words: apnea • sudden infant death syndrome • home monitoring

Submitted on June 11, 1986




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