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Archives of Disease in Childhood 1993;69:187-190
Copyright © 1993 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health

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Archives of Disease in Childhood, Vol 69, 187-190, Copyright © 1993 by Archives of Disease in Childhood.


PAPERS

Rebreathing expired gases from bedding: a cause of cot death?

DP Bolton, BJ Taylor, AJ Campbell, BC Galland and C Cresswell
Department of Physiology, University of Otago Medical School, Dunedin, New Zealand.

The reported association of cot death and sleeping prone could be due to rebreathing of expired gases. A mechanical model simulating the respiratory system of an infant, exhaling warm humidified air with an end tidal carbon dioxide of 5%, has been used to investigate this. Some commonly used bedding materials caused an accumulation of carbon dioxide of 7% to over 10% with the model lying face down. This phenomenon persisted even with the head inclined at 45 degrees, but only on very soft materials, and could be a cause of cot death in a baby unresponsive to asphyxial blood gas changes. A coir fibre mattress allowed complete dispersal of exhalate as did a rubber sheet between any mattress and the covering sheet.


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