Paediatr Child Health. 2016 Apr;21(3):155-62. doi: 10.1093/pch/21.3.155.
Paediatrics & child health
[Article in French] Michael R Narvey,
PMID: 27398056 PMCID: PMC4933079 DOI: 10.1093/pch/21.3.155
Preterm infants younger than 37 weeks corrected gestational age are at increased risk for abnormal control of respiration. The infant car seat challenge has been used as a screening tool to ensure cardiorespiratory stability before discharging preterm infants from many hospitals in Canada. While it is clear that infants placed in a car seat are more likely to experience oxygen desaturation and/or bradycardia than when they are supine, neither positioning predicts an adverse neurodevelopmental outcome or mortality post-discharge. A review of the literature yielded insufficient evidence to recommend routine use of the infant car seat challenge as part of discharge planning for preterm infants. This finding has prompted a change in recommendation from a previous Canadian Paediatric Society position statement published in 2000.
Keywords: Apnea; Bradycardia; Desaturation; ICSC; Neonate; PSG