NEUMOLOGÍA PEDIÁTRICA

C o n t e n i d o d i s p o n i b l e e n h t t p : / / www. n e umo l o g i a - p e d i a t r i c a . cl 256 Monitorización cardio-respiratoria en lactantes Neumol Pediatr 2020; 15 (1): 251 - 256 CONCLUSIONES La monitorización cardio-respiratoria en domicilio no cuenta con indicaciones consensuadas de forma universal, sin embargo, puede resultar ser una herramienta útil en casos seleccionados, los cuales deben evaluarse de forma individual considerando los objetivos de monitorización y expectativas de los cuidadores. Su uso más aceptado es en el grupo de prematuros con apena persistente o recurrente sin otras comorbilidades en espera de completar el periodo de observación sin episodios de apnea, también es indicada en casos seleccionados de BRUE de alto riesgo, enfermedades neurológicas o metabólicas con compromiso del centro respiratorio, tos convulsiva, reflujo gastroesofágico patológico y pacientes dependientes de tecnología (CNAF, VNI, VMI a traqueostomía, y otros). En esta revisión se presenta una propuesta para su indicación, parámetros de monitoreo y tiempo de uso ya que los consensos acerca del tema no han llegado a definir con precisión el tipo de monitorización ni el tiempo requerido para las distintas enfermedades. Conflictos de interés: Los autores declaran no tener conflictos de interés. REFERENCIAS 1. Steinschneider, A. “Prolonged apnea and the sudden infant death syndrome: clinical and laboratory observations”. Pediatrics. vol. 50. 1972. pp. 646-54. 2. Ramanathan, R, Corwin, MJ, Hunt, CE. “Cardiorespiratory events recorded on home monitors: comparison of healthy infants with those at increased risk for SIDS”. JAMA. vol. 285. 2001. pp. 2199-207. CHIME [Collaborative Home Infant Monitoring Evaluation] 3. Committee of Fetus and Newborn, American Academy of Pediatrics. Apnea, sudden infant death syndrome, and home monitoring. Pediatrics. 2003 Apr; 111(4 Pt 1): 914-7. 4. “Task Force on Sudden Infant Death Syndrome. 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