SIDS

Question 1

FEATURES OF SIDS

Answer 1

Sudden unexplained death of infants in sleep
1-12 months of age
No cause found on PM

Rule out infection accidents suffocation poisoning cardiac channelpathies (prolonged qt)
2 -5months peak time
Winter peak
Saturday night peak
PM findings mild pul oedema
Diffuse intrathoriacic peticha 80% of cases

Question 2

Prevention of SIDS

Answer 2

Safe sleeping position
Prone sleeping 3x increased risk
Smoking mother 1.8x increased risk
BF 3x decreased risk

Question 3

SIDS prevention

Answer 3

Safe sleeping on back position
Safe sleeping face and head uncovered 
Smoke free ANC and PNC
Safe sleeping environment day and night
Own sleeping space
BF

Question 4

Bed/cot

Answer 4

Safe cot Australian standards
Safe mattress clean and firm and right size
Nothing in the cot day or night no pillows cot bumpers toys or Dona’s
No blankets on face

Question 5

Bed sharing is common in austrialia t/f

Answer 5

True 44 % of people report co sleeping and 21% intended to keep doing it

Question 6

Role of aponea in SIDS

Answer 6

Central ( brain forgets to breath) and obstruction ( choking on milk GOR)
Aponea increases the risk of SIDS
Underdeveloped protective events

More aponeas you have more risk of SIDS you have
Add in an URTI and much higher risk of SIDS

Question 7

What aponeas to worry about

Answer 7

Family history of aponea OSA
Acute life threatening event 
Witnessed aponea
Preterm infant with ongoing chronic lung disease 
Family history of SIDS
Snuffle baby
Facial dysmorphism
Parental concern

Question 8

SIDS management

Answer 8

Parental counseling
Counseling post death
Sleep studies for other kids
Future infants

Question 9

Sleep study in SIDS risk or worry about SIDS

Answer 9

<5 events is normal 
>20 CPAP
If you get a positive sleep study
 Reverse risk factors 
Carer CPR training 
Nasal CPAP if severe OSA
Follow up sleep study 6-8 months after treatment

Question 10

Aponea monitors

Answer 10

No evidence