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Smoke-free Environment: ensure that you and your children have a smoke free environment. Aside from the fact that nicotine substitutes for O2 in the blood, other chemicals have negative effects. Particulate matter [if you can see the smoke, you can see particulate matter] remains in fabrics and can affect anyone who remains in a room that is contaminated by smoke – whether tobacco or other source. Go online and check the research.

PureNight® Pure Air System – infants to adults: an allergy air purifier specific to your sleep zone; advanced filtration tech with laminar air disbursement and HEPA filtration removes 99% of all airborne allergens greater than .3 microns. At night, this is at the head of your bed; during the day it can be used as a whole room purifier. They advertise a 30-day free trial and a 5 year warranty. This is a Halo Systems product; the Halo mattress was independently tested and proved to be the only one that was effective to reduce / prevent rebreathing. Under $450, including HEPA filter and 4 pre-filters, no tools required to assemble.

FANS: A new study published in the October 2008 Issue of Archives of Pediatrics & Adolescent Medicine determined that fan use was associated with a 72 percent lower risk of SIDS, especially when the infant’s


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room temperature is not kept at 70º or below. The idea is that the fan keeps the room’s air moving and disperses CO2.
http://www.fanworksoutlet.com has some neat kid’s ceiling fans, starting around $75.00 for a colorful West Winds Clown & Balloons– and that is just one of the online sources. Westinghouse also offers some good values, and some outlets are under $75.

ROOM TEMPERATURE: Increased density means the molecules in the air are closer together in the same space -more air mass and oxygen in the same space. As temperature goes down, the density increases if the atmospheric pressure stays the same – so you have more oxygen in a room when the temperature is 70º or below. This may be one reason for the fan study’s findings that the lower risk is more relevant to infants in rooms which are not maintained at 70º or below. 68-70º is recommended by some pediatricians. However, when maintaining this temperature, you must be careful to avoid excessive coverings which could trap CO2.

Sleepwear: Parents’ fears of baby’s reaction to cold can contribute to SIDS risk. A number of SIDS-risk-reducing clothing options are available, ranging from sleep sacks to swaddling. Swaddling is not recommended with babies with confirmed apnea or autonomic dysfunction, since it can both restrict chest movement and contribute to increased somnolence, thus short-circuiting the arousal instinct. Open-bottomed sleeping garments are not recommended, since they can move up towards the baby’s face and possibly cause rebreathing. It is important to ensure that the baby does not overheat, since overheating produces increased risk to those with autonomic dysfunction.

SLEEPING position, positional aids: Elevated sleeping position is effective with reflux [GERD] and other obstructive apnea potentiators. It is supposed to reduce problems with otitis medias [ear infections] and similar problems. It may also reduce rebreathing. The problem with elevating a sleeper is that many people tend to just pile up pillows. This causes bending in the abdominal / stomach area, which puts pressure on the reflux-affective areas, and can increase risk. Positional aids must be those which can increase elevation without bends, and which will not increase the risk of rebreathing expelled carbon dioxide.