{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T09:57:31Z","timestamp":1792403851521,"version":"4.4.0"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2003,6,24]],"date-time":"2003-06-24T00:00:00Z","timestamp":1056412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2003,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Our purpose was to identify and further characterize physiologic mechanisms relevant to autoresuscitation from hypoxic apnea in infants dying suddenly and unexpectedly. We studied cardiorespiratory recordings of 24 infants (age range, 0.8\u201321 months) who died suddenly while being monitored at home. These recordings were analyzed for features indicated by studies in animal models to be characteristic of hypoxic gasping, and of recovery from bradycardia and apnea associated with gasping (e.g., autoresuscitation). Findings in 5 infants diagnosed as having sudden infant death syndrome were compared with 6 non\u2010SIDS infants whose deaths resulted from other conditions. Additionally, we studied 15 healthy infants during sleep, using home monitor and other respiratory recording techniques, in order to obtain comparison data. We found in recordings from 23 of 24 subjects that hypoxic gasps with characteristic features occurred immediately preceding death. A unique pattern of complex, closely spaced gasps (\u201cdouble\u201d or \u201ctriple\u201d gasps) was present in many subjects. Evidence of partially successful autoresuscitation closely following one or more gasps occurred in 11 subjects, while another 4 had evidence of complete autoresuscitation with return of normal heart rate and resolution of apnea on one or more occasions. Significant differences between SIDS infants and those dying from other causes included increased occurrence of complex gasps and decreased occurrence of partial or complete autoresuscitation in the SIDS infants. The non\u2010SIDS cases were different from the SIDS cases in that only one had \u201cdouble\u201d gasps (n\u2009=\u20097), while none had \u201ctriple\u201d gasps, as compared with 4 out of 5 SIDS cases with these patterns (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05, chi\u2010square). Also, in contrast with the SIDS cases, more of the cases with specific postmortem diagnoses had evidence of partial (5 out of 6 cases) or complete (1 out of 6 cases) autoresuscitation (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05, chi\u2010square). We conclude that partial or complete autoresuscitation by gasping is not uncommon in moribund infants during the first year of life. Failure of autoresuscitation mechanisms other than failure to initiate gasping may be characteristic of infants dying of SIDS. Some SIDS infants appear to be different from infants dying with other diagnoses with respect to efficacy and characteristics of hypoxic gasping. Pediatr Pulmonol. 2003; 36:113\u2013122. \u00a9 2003 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ppul.10287","type":"journal-article","created":{"date-parts":[[2003,6,25]],"date-time":"2003-06-25T10:17:32Z","timestamp":1056536252000},"page":"113-122","source":"Crossref","is-referenced-by-count":121,"title":["Characterization of successful and failed autoresuscitation in human infants, including those dying of SIDS"],"prefix":"10.1002","volume":"36","author":[{"given":"Raghunathan","family":"Sridhar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley T.","family":"Thach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy H.","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith A.","family":"Henslee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2003,6,24]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"681","volume-title":"Developmental neurobiology of breathing","author":"Thach BT","year":"1991"},{"key":"e_1_2_1_3_2","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1152\/ajplegacy.1959.197.2.445","article-title":"Anoxic endurance of cardiac and respiratory function in the adult and infant rat","volume":"197","author":"Dehaan R","year":"1959","journal-title":"Am J Physiol"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1977.43.3.468"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0034-5687(69)90019-X"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI108217"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4899-5139-7"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196306272682603"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-84-2-171"},{"key":"e_1_2_1_10_2","first-page":"1","article-title":"Physiologic background of fetal anoxia at birth and cyanosis in the newborn","volume":"79","author":"Smith CA","year":"1950","journal-title":"Am J Dis Child"},{"key":"e_1_2_1_11_2","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1542\/peds.34.6.771","article-title":"Indications for oxygen therapy in the newborn","volume":"34","author":"Tizard JPM","year":"1964","journal-title":"Pediatrics"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1965.02090030257004"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.1950100312"},{"key":"e_1_2_1_14_2","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1542\/peds.93.1.44","article-title":"Cardiorespiratory recordings from infants dying suddenly and unexpectedly at home","volume":"93","author":"Meny RG","year":"1994","journal-title":"Pediatrics"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1203\/00006450-199903000-00010"},{"key":"e_1_2_1_16_2","volume-title":"Basic and clinical biostatistics","author":"Dawson B","year":"2001"},{"key":"e_1_2_1_17_2","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1152\/jappl.1981.50.5.984","article-title":"A characterization of the respiratory pattern of gasping","volume":"50","author":"St John WM, Knuth KV","year":"1981","journal-title":"J Appl Physiol"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0034-5687(00)00177-8"},{"key":"e_1_2_1_19_2","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1152\/jappl.1984.56.4.1008","article-title":"Identification of medullary loci critical for neurogenesis of gasping","volume":"56","author":"St John WM, Bledsoe TA, Sokol HW","year":"1984","journal-title":"J Appl Physiol"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1992.72.2.677"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1113\/expphysiol.1968.sp001965"},{"key":"e_1_2_1_22_2","first-page":"16","article-title":"The measurement of physiologic events by electrical impedance","volume":"3","author":"Geddes LA","year":"1964","journal-title":"Am J Med Electron"},{"key":"e_1_2_1_23_2","first-page":"482","article-title":"Cardiovascular events in successful and failed autoresuscitation in SIDS and other infants and in an animal model","volume":"47","author":"Sridhar R","year":"2000","journal-title":"Pediatr Res"},{"key":"e_1_2_1_24_2","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1152\/jappl.1987.63.4.1413","article-title":"Phrenic and external intercostal motorneuron activity during progressive asphyxia","volume":"63","author":"Macefield G","year":"1987","journal-title":"J Appl Physiol"},{"key":"e_1_2_1_25_2","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1152\/jappl.1984.56.4.940","article-title":"Respiratory effects of progressive asphyxia in rabbit pups and adult rabbits","volume":"56","author":"Trippenbach T","year":"1984","journal-title":"J Appl Physiol"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.1996.sp021143"},{"key":"e_1_2_1_27_2","doi-asserted-by":"publisher","DOI":"10.1038\/75776"},{"key":"e_1_2_1_28_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1999.87.1.203"},{"key":"e_1_2_1_29_2","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.1960.sp006547"},{"key":"e_1_2_1_30_2","doi-asserted-by":"publisher","DOI":"10.1152\/ajpregu.2000.279.1.R39"},{"key":"e_1_2_1_31_2","doi-asserted-by":"publisher","DOI":"10.1203\/00006450-199028020-00003"},{"key":"e_1_2_1_32_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1991.71.3.1098"},{"key":"e_1_2_1_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/0034-5687(71)90055-7"},{"key":"e_1_2_1_34_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1976.41.4.502"},{"key":"e_1_2_1_35_2","first-page":"78","article-title":"The loss of respiratory reflexes during asphyxia of newborn rabbits","volume":"184","author":"Godfrey S","year":"1966","journal-title":"J Physiol [Lond]"},{"key":"e_1_2_1_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/0034-5687(94)00141-L"},{"key":"e_1_2_1_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0034-5687(98)00077-2"},{"key":"e_1_2_1_38_2","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1183\/09031936.93.04091117","article-title":"Reversal of apnea by aspiration reflex in anaesthetized cats","volume":"4","author":"Tomori Z","year":"1991","journal-title":"Eur Respir J"},{"key":"e_1_2_1_39_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1996.80.2.472"},{"key":"e_1_2_1_40_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199106273242605"},{"key":"e_1_2_1_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)00354-X"},{"key":"e_1_2_1_42_2","first-page":"484","article-title":"Deleterious effects of hyperthermia on autoresuscitation from hypoxic apnea in mice","volume":"161","author":"Kahraman L","year":"2000","journal-title":"Am J Respir Crit Care Med"},{"key":"e_1_2_1_43_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1999.87.4.1346"},{"key":"e_1_2_1_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)80841-8"},{"key":"e_1_2_1_45_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnen\/60.2.141"},{"key":"e_1_2_1_46_2","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1093\/jnen\/59.5.377","article-title":"Decreased serotonergic receptor binding in rhombic lip\u2010derived regions of the medulla oblongata in the sudden infant death syndrome","volume":"59","author":"Panigraphy A","year":"2000","journal-title":"J Neuropathol Exp Biolm"},{"key":"e_1_2_1_47_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.67.2.171"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fppul.10287","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.10287","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T17:07:49Z","timestamp":1700240869000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.10287"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,6,24]]},"references-count":46,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,8]]}},"alternative-id":["10.1002\/ppul.10287"],"URL":"https:\/\/doi.org\/10.1002\/ppul.10287","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,6,24]]}}}