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SIDS, PACIFIERS AND CO-SLEEPING
In November 2005 the American Academy of Pediatrics released its new recommendations regarding sudden infant death syndrome (SIDS).¹ Most of the Academy’s 11 recommendations are straightforward and based upon substantial evidence—for example, infants should be placed on their backs to sleep, and parents should avoid soft bedding. However, Fleming, Blair and McKenna reflect on the two most controversial recommendations, that infants be given pacifiers once breast feeding is established and co-sleeping is to be avoided. We have discouraged pacifiers for the past few decades, and co-sleeping is steeped in culture. Is their reliable, valid, and high-quality data to suggest a link between use of pacifiers (protective), co-sleeping (risk-factor) and SIDS – Fleming and colleagues are not so sure.
See page 799

ASTHMA: THE DAYS OF TITRATING THE DOSE HAVE RETURNED
I remember vividly struggling with theophylline levels during my training and early years as an attending/consultant. We could never get the level correct during acute management—it was always too . . . [Full text of this article]

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P Fleming, P Blair, and J McKenna
Arch. Dis. Child. 2006 91: 799-801. [Extract] [Full Text] [PDF]