What to Do when Babies Turn Blue Beyond the Basic Brief Resolved Unexplained Event

被引:7
作者
McFarlin, Anna [1 ,2 ]
机构
[1] Louisiana State Univ, Childrens Hosp New Orleans, Hlth Sci Ctr, 200 Henry Clay Ave, New Orleans, LA 70118 USA
[2] 200 Henry Clay Ave, New Orleans, LA 70118 USA
关键词
Brief resolved unexplained event (BRUE); Apparent life-threatening event (ALTE); Apnea; Gastroesophageal reflux (GER); Nonaccidental trauma; Pertussis; Respiratory syncytial virus (RSV); LIFE-THREATENING EVENTS; NORTH-AMERICAN-SOCIETY; GASTROESOPHAGEAL-REFLUX; PEDIATRIC-GASTROENTEROLOGY; RISK-FACTORS; CHILD-ABUSE; INFANTS; VIRUS; INFECTION; HOSPITALIZATION;
D O I
10.1016/j.emc.2017.12.001
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The term "brief resolved unexplained event" was created to replace "apparent life-threatening event," narrowing the definition and providing evidence-based guidelines for management. The emphasis is placed on using clinical clues to classify patients as low risk or exclude them from the categorization altogether. Infants who meet low-risk classification can be briefly observed in the emergency department and be discharged home. Infants who demonstrate elements suggestive of a specific etiology should be evaluated and treated accordingly. Patients who demonstrate no specific findings yet who are high risk should be evaluated for the most common etiologies of apneic events and be admitted.
引用
收藏
页码:335 / +
页数:14
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