Key Points
- A BRUE (Brief Resolved Unexplained Event) is an event in an infant that is characterised by a marked change in breathing, tone, colour or level of responsiveness, followed by a ...
- A BRUE is a diagnosis of exclusion. There are many diagnosable conditions that cause symptoms similar to that of a BRUE
- Infants who have had a BRUE can be stratified into groups of low and high risk of having a repeat event or a serious underlying disorder
What is a brief resolved unexplained event in a child?
Apr 01, 2022 · A brief resolved unexplained event (BRUE) is when an infant younger than one year stops breathing, has a change in muscle tone, turns pale or blue in color, or is unresponsive. The event occurs suddenly, lasts less than 30 to 60 seconds, and is frightening to the person caring for the infant. BRUE is present only when there is no explanation for the event after a thorough …
What is a BRUE event?
Nov 07, 2021 · The definition of a brief resolved unexplained event is an observed event occurring in an infant younger than one year of age where the observer reports a sudden, brief, yet resolved episode of one or more of the following: Cyanosis or pallor Absent, decreased, or irregular breathing Marked change in tone (hyper- or hypotonia)
What are the causes of events that are not Brue?
The definition of a brief resolved unexplained event is an observed event occurring in an infant younger than one year of age where the observer reports a sudden, brief, yet resolved episode of one or more of the following: Cyanosis or pallor. Absent, decreased, or irregular breathing. Marked change in tone (hyper- or hypotonia)
What is an apparent life threatening event (ALTE)?
What is an unexplainable event called?
BRUE (brief, resolved, unexplained event) and ALTE (apparent life-threatening event) are not specific disorders but are terms referring to the sudden occurrence of certain alarming symptoms such as periods of no breathing (apnea), change in color or muscle tone, coughing, and gagging in children under 1 year of age.
What do I do if my baby has a BRUE?
A BRUE may end quickly and not cause serious problems. It may be a sign of a medical problem that needs to be treated. His healthcare providers may want to observe him in the hospital to see if he has another BRUE. You will need to continue to watch for any breathing problems after you take your baby home.
Can BRUE cause death?
Prognosis for ALTE and BRUE Most often, BRUE is harmless and not a sign of more serious health problems or death.
What does ALTE mean in medical terms?
"An apparent life-threatening event (ALTE) is defined as an episode that is frightening to the observer and is characterized by some combination of apnea (central or obstructive), color change (cyanotic, pallid, erythematous or plethoric) change in muscle tone (usually diminished), and choking or gagging.Feb 28, 2019
What is Sandifer syndrome?
Sandifer syndrome is a condition that involves spasmodic torsional dystonia with arching of the back and rigid opisthotonic posturing, associated with symptomatic gastroesophageal reflux, esophagitis, or hiatal hernia. [1, 2] Initial treatment consists of lifestyle changes, such as dietary modification and positioning.Apr 10, 2020
What is the difference between Suids and SIDS?
In 2019, the SUID rate was 90.1 deaths per 100,000 live births. In recent years, SUID is being classified less often as SIDS, and more often as ASSB or unknown cause. SIDS rates declined considerably from 130.3 deaths per 100,000 live births in 1990 to 33.3 deaths per 100,000 live births in 2019.
Is Sandifer's syndrome serious?
Sandifer syndrome usually also goes away once this happens. While it's often not a serious condition, it can be painful and lead to feeding problems, which can affect growth. So if you notice possible symptoms, see your child's doctor.Nov 20, 2017
WHAT IS SIDS?
Sudden infant death syndrome (SIDS) – sometimes known as "cot death" – is the sudden, unexpected and unexplained death of an apparently healthy baby. In the UK, around 200 babies die suddenly and unexpectedly every year. This statistic may sound alarming, but SIDS is rare and the risk of your baby dying from it is low.
What is it called when babies stop breathing in their sleep?
Obstructive sleep apnea is when a child briefly stops breathing while sleeping. It happens because of a blockage in the upper airway. This is the passages through the nose and mouth to the windpipe and lungs.
What causes ALTE?
The causes of ALTE are categorized into problems that are: gastrointestinal (50%), neurological (30%), respiratory (20%), cardiovascular (5%), metabolic and endocrine (2%–5%), or others such as child abuse. Up to 50% of ALTEs are idiopathic, where the cause cannot be diagnosed.Sep 21, 2016
What is a BRUE episode?
A brief resolved unexplained event (BRUE) is when an infant younger than one year stops breathing, has a change in muscle tone, turns pale or blue in color, or is unresponsive. The event occurs suddenly, lasts less than 30 to 60 seconds, and is frightening to the person caring for the infant.Aug 2, 2020
Is Laryngomalacia serious?
In most cases, laryngomalacia in infants is not a serious condition — they have noisy breathing, but are able to eat and grow. For these infants, laryngomalacia will resolve without surgery by the time they are 18 to 20 months old.
What is a brue?
BRUE is a diagnosis made after the care team has examined your baby and determined that there was no known concerning cause for the event. Though we can never say that a baby who has had a BRUE is at no risk for future problems, we can say that babies are at lower risk if: 1 They are older than 60 days. 2 They were born on time (not premature). 3 They did not need cardiopulmonary resuscitation (CPR) by a health care professional. 4 The BRUE lasted less than 1 minute. 5 This was the baby’s only such event.
How long after a brue should I see my doctor?
Please schedule a follow-up appointment with your child’s primary care physician within 48 hours after a BRUE. Remember to take your baby to regular well-child visits to help keep him or her healthy and safe. Write down all your questions as you think of them. Bring this list with you when you see your child’s doctor.
Cause
- BRUE is a diagnosis made after the care team has examined your baby and determined that there was no known concerning cause for the event. Though we can never say that a baby who has had a BRUE is at no risk for future problems, we can say that babies are at lower risk if: 1. They are older than 60 days. 2. They were born on time (not premature). 3. They did not need cardiopulm…
Signs and Symptoms
- In a baby less than one year old, the following are common signs of a BRUE: 1. Pale or blue skin 2. No breathing, decreased breathing, or irregular breathing 3. Tight or very relaxed, limp muscles 4. Baby appears more sleepy
What to Do Or Watch For at Home
- At home, these things are important: 1. Safe sleep practices (see Helping Hand HH-IV-69, Safe Sleep Practices for Babies) 2. Avoid exposure to any tobacco (cigarette, cigar or pipe) smoke 3. If your baby has another BRUE, and you are concerned that it could be life-threatening, call 911 or your local emergency numbers. Otherwise, call your baby’s doctor to report the event.
Activity and Diet
- Continue to feed your child as recommended by his or her physician or health care team. We sometimes recommend that parents feed less food at a time, but feed more often, and practice reflux precautions. This is up to your child’s doctor according to the child’s own needs.
Follow-Up Appointments
- Please schedule a follow-up appointment with your child’s primary care physician within 48 hours after a BRUE. Remember to take your baby to regular well-child visits to help keep him or her healthy and safe. Write down all your questions as you think of them. Bring this list with you when you see your child’s doctor. Be sure to call the doctor’s office if you cannot keep the appointmen…