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Boletín Clínico de la Asociación Médica del Hospital Infantil del Estado de Sonora

2005, Number 1

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Bol Clin Hosp Infant Edo Son 2005; 22 (1)

Apparent life threatening events (alte).

Fajardo-Ochoa F, Olivas-Peñuñuri MR

Language: Spanish
References: 25
Page: 40-46
PDF size: 195.69 Kb.


ABSTRACT

Apparent life-threatening event (ALTE) it is a very disturbing episode for who observes it, since the child presents a combination of breathing pause, change of coloration of the skin (pale, blued or flushed) and the diminution of muscular tone, which is usually hypotonic, also present respiratory pauses and arcades.
This event is reverted in a spontaneous form in many cases, although in other it is required of vigorous stimulation or even of cardio respiratory resuscitation.
These are episodes that generate great anxiety to the children’s family and where the observer many times experiences the sensation of the child’s imminent death.
The risk of sudden infant death or repetition of episodes, it is extremely unpredictable. Most of the children present a single episode, after which the neurological development is normal.
The mortality oscillates between 0% and 6%, according to the different authors; the possibility of death increases in those with severe ALTE that required vigorous stimulation or cardio-respiratory resuscitation to revert the episode.
Apparent life-threatening event does not constitute an illness by itself, but rather it represents a form of clinical presentation of several illnesses.
Being identified the cause of episodes; therapeutic measures will be focused to the resolution of the same.


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