Question: What Is Brue?

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 complete return to a baseline state, and that cannot be explained by a medical cause.

What causes BRUE?

The following may lead to a BRUE or increase your baby’s risk: Reflux (stomach acid backs up), a seizure disorder, or a heart condition. A lung or airway infection such as bronchiolitis, respiratory syncytial virus (RSV), or pertussis. Choking on food or liquid.

Is BRUE life threatening?

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 history and exam. An older name used for these types of events is an apparent life-threatening event (ALTE).

How long does a BRUE last?

A BRUE is a description of a self-limited episode. Usually a BRUE lasts for less than 1 minute. By definition, the episode must have resolved by the time the infant is evaluated by a medical professional. The caregiver may report observation of bluish skin discoloration, called cyanosis.

Can GERD cause BRUE?

Despite evidence in the literature that GERD is not a significant cause for BRUE episodes, more than one-third of patients were placed on acid -suppression therapy during or following the BRUE admission.

What is Brue Alte?

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.

When do babies stop periodic breathing?

What can you expect when your infant has it? Your baby may have periodic breathing when he or she is sleeping. It happens less often as your infant grows. The condition should stop by the time your baby is 6 months old.

Why does my baby’s face turn blue?

Blue baby syndrome, also known as infant methemoglobinemia, is a condition where a baby’s skin turns blue. This occurs due to a decreased amount of hemoglobin in the baby’s blood. Hemoglobin is a blood protein that is responsible for carrying oxygen around the body and delivering it to the different cells and tissues.

What is it called when a baby dies in their sleep?

Sudden infant death syndrome (SIDS) – sometimes known as “cot death” – is the sudden, unexpected and unexplained death of an apparently healthy baby.

Why do babies stop breathing for a few seconds?

Some premature babies can’t breathe normally when first born because their brains aren’t yet programmed to sustain nonstop breathing. This is called central apnea. Premature babies can also suffer from obstructive apnea, which occurs when their small airways become blocked.

What is an ALTE called now?

In 2016, the American Academy of Pediatrics (AAP) released a new clinical practice guideline that recommended the replacement of the term ALTE with a new term, brief resolved unexplained event (BRUE).

What happens if baby stops breathing?

If a pause in breathing lasts less than 20 seconds and makes your baby’s heart beat more slowly (bradycardia) or if he turns pale or bluish (cyanotic), it can also be called apnea. Most infants outgrow this problem by the time they are a year old.

Why do babies turn blue when crying?

Many young children hold their breath when upset, turn blue, but don’t pass out. This is common and normal. Frequent spells can happen in children who have anemia (low red blood count). This can happen if your child doesn’t eat enough foods with iron.

What is Sandifer syndrome?

Sandifer syndrome is a combination of gastro-oesophageal reflux disease with spastic torticollis and dystonic body movements with or without hiatal hernia. It is hypothesised that the positioning of the head provides relief from abdominal discomfort caused by acid reflux.

Why is my baby gasping for air in sleep?

“ Babies breathe in a pattern called periodic breathing which occurs when they are sleeping,” says Dr. Lisa Lewis, MD, a board certified pediatrician in Fort Worth, Texas, and author of “Feed the Baby Hummus, Pediatrician-Backed Secrets from Cultures Around the World.”

Why is my baby’s head floppy?

Hypotonia present at birth is often noticeable by the time a child is 6 months old, if not before. Newborn babies and young children with severe hypotonia are often described as being “floppy”. Signs of hypotonia in a child include: having little or no control of their neck muscles, so their head tends to flop.