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Infantile apnea is a rare disease that is characterized by cessation of breathing in an infant for at least 20 seconds or a shorter respiratory pause that is associated with a slow heart rate, bluish discolouration of the skin, extreme paleness, gagging, choking and/or decreased muscle tone.
Transient tachypnea of the newborn is a respiratory problem that can be seen in the newborn shortly after delivery. It is caused by retained fetal lung fluid due to impaired clearance mechanisms. [1] It is the most common cause of respiratory distress in term neonates.
Central sleep apnea due to Cheyne-Stokes breathing pattern 768.04 R06.3 Central sleep apnea due to high altitude periodic breathing 327.22 G47.32 Central sleep apnea due to a medical condition, not Cheyne-Stokes 327.27 G47.31 Central sleep apnea due to a drug or substance 327.29 F10-19 Primary sleep apnea of infancy 770.81 P28.3
ICD DSM Development 1955 ICD-7R [8] Disturbance of sleep was seen as a symptom of other diseases 1965 ICD-8 [9] Recognized as both a disease and a symptom of other diseases 1968 DSM-II Disorder of Sleep as an independent category 1975 ICD-9 [10] Organic sleep disorder, nonorganic sleep disorder and as symptom of other diseases 1979 Nosology
Central sleep apnea is common in preterm, newborn, and infancy stages but a decrease in risk is found with aging and maturity of the central nervous system. Underlying neurological disorders are the most common cause of CSA in full term infants. Of the apnea related events in preterm infants born at less than 29 weeks, 25% are central in origin ...
Obstructive apnea may occur when the infant's neck is hyperflexed or conversely, hyperextended. It may also occur due to low pharyngeal muscle tone or to inflammation of the soft tissues, which can block the flow of air though the pharynx and vocal cords. [1] Central apnea occurs when there is a lack of respiratory effort.
Breath-holding spells (BHS) are the occurrence of episodic apnea in children, possibly associated with syncope (loss of consciousness and changes in postural tone).. Breath-holding spells occur in approximately 5% of the population with equal distribution between males and females.
An "event" can be either an apnea, characterized by complete cessation of airflow for at least 10 seconds, or a hypopnea in which airflow decreases by 50 percent for 10 seconds or decreases by 30 percent if there is an associated decrease in the oxygen saturation or an arousal from sleep. [41]