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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
[Consensus on evaluation and management of apparent life-threatening events in infancy (ALTE)]
Insights
Apparent life-threatening events (ALTE) involve infant breathing or color changes requiring resuscitation. This paper reviews evidence on ALTE diagnosis, causes, and management, including hospitalization and home monitoring.
Area of Science:
- Pediatrics
- Neonatology
- Emergency Medicine
Context:
- Apparent life-threatening events (ALTE) are acute episodes of concern for infant mortality.
- ALTE presentation includes apnea, altered muscle tone, or color changes, necessitating cardiorespiratory resuscitation.
Purpose:
- To review international and national evidence on the diagnosis of ALTE.
- To examine the etiologies, hospitalization criteria, and home monitoring indications for ALTE.
Summary:
- This consensus paper synthesizes current evidence regarding ALTE.
- It covers diagnostic approaches, potential causes, and guidelines for inpatient care and home monitoring.
Impact:
- Provides a comprehensive overview for clinicians managing infants with ALTE.
- Aims to standardize the approach to diagnosis and management of these critical events.
Abstract:
Apparent life threatening events are defined as an acute episode in which the observer fears an infant < 1 year may die. ALTE is characterized by some combination of apnea, color or muscle tone change, chocking and has to be followed by cardiorespiratory reanimation. The present consensus paper reviews international and national evidence concerning diagnosis, etiologies, hospitalization criteria and indications for home monitoring.
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