LIBRO + ANEXOS NEUMOLOGÍA PEDIÁTRICA

Libro Blanco de las ACES Pediátricas 2024 174 ❚ f. Prognosis 1. Natural history a. Know that the typical history of apnea of prematurity is complete resolution after the infant reaches term 2. Prognosis with therapy 4. Apparent life-threatening events a. Epidemiology 1. Know that an associated diagnosis cannot be found for an apparent life- threatening event in approximately 50% of the incidents b. Etiology/genetics 1. Identify conditions associated with apparent life-threatening events 2. Know that a minority of sudden infant death syndrome cases have a history of an apparent life-threatening event c. Pathophysiology 1. Pathology 2. Path mechanisms and consequences d. Diagnosis and clinical manifestations 1. History a. In evaluating an apparent life-threatening event, recognize the importance of obtaining a complete history of the event from the caregiver who witnessed the incident b. Recognize the importance of the history in determining the need for therapy for an apparent life-threatening event 2. Physical examination a. Recognize normal and abnormal breathing patterns in young infants 3. Imaging 4. Pulmonary function tests 5. Other investigations a. Know that pneumograms and polysomnograms do not predict the risk of subsequent apparent life-threatening events b. Recognize the utility of obtaining a measure of acid-base status (pH, HCO3) quickly following an apparent life-threatening event 6. Diagnostic criteria a. Know that the current definition of an apparent life-threatening event is not limited to apnea only 7. Complications e. Prevention and therapeutic approach 1. Prevention 2. Therapeutic approach a. Know the importance of extensive parental education in monitoring techniques and cardiopulmonary resuscitation for infants who have had apparent life-threatening events and are being monitored 3. Complications of therapy a. Understand the limitations of home monitoring for apparent life-threatening events b. Recognize the consequences of home monitoring on care givers