Literature

Curbside Consults Podcast


By Clement Lee, MD, MSc

Published November 2, 2022

In this episode of Curbside Consults, we examine an update on sleep-related infant deaths by the American Academy of Pediatrics (AAP). We are joined by Rachel Moon, Harrison Distinguished Teaching Professor of Pediatrics of at the University of Virginia and Chair of the AAP’s Task Force on Sudden Infant Death Syndrome. She is one of the authors of the AAP’s 2022 updated recommendations on sleep-related infant deaths.

00:05 – Intro
00:40– AAP policy statement process
01:44 – Defining SIDS, SUID, and sleep-related death
03:37 – New evidence on back to sleep
04:30 – Back to sleep and reflux
05:39 – Back to sleep and rolling
06:30 – Back to sleep and plagiocephaly
08:29 – From “back” to “safe” to sleep
09:14 – Recommended sleep surfaces
10:55 – Infants who fall asleep in a car seat
12:07 – Cradleboards
13:03 – Ideal crib location
14:10 – A warning against couches and sofas
14:56 – Factors that protect against sleep-related deaths
16:20 – E-cigarettes and sleep-related deaths
17:40 – Cardiorespiratory monitoring for sleep-related deaths
19:30 – Disparities in sleep-related deaths
21:06 – Legislative updates in sleep-related deaths
23:43 – Other resources
25:53 – Weighted swaddles and blankets
26:29 – New research on butyrylcholinesterase in SIDS
29:29 – Outro

Articles discussed in this episode:

1. Moon RY et al. Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment. Pediatrics 2022.

2. Harrington CT et al. Butyrylcholinesterase is a Potential Biomarker for Sudden Infant Death Syndrome. EBioMedicine 2022.

The Curbside Consults series complements the foundational information in Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.

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Rachel Moon, MD, is the Harrison Distinguished Teaching Professor of Pediatrics of at the University of Virginia and Chair of the AAP’s Task Force on Sudden Infant Death Syndrome.
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Clement Lee, MD, MSc, was a 2021–2022 NEJM Editorial Fellow and is a 2022-2023 Senior Editorial Fellow. He is currently an internal medicine hospitalist at Newton-Wellesley Hospital and a pediatric hospitalist at Boston Children's Hospital. He completed his internal medicine-pediatrics residency at Penn-CHOP.
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