Over the many years of reading and researching the medical records and PM's of babies who have died from alleged SBS, one thing stuck out, the fact that when the babies were admitted to the hospitals in the vast majority of cases there was no brain swelling to start with according to scans, so I started to do some digging, as you do. Remove the allegation and look at the symptoms independently and guess what you find ...... The vast majority of these cases are intubated and sedated, clue SEDATION. The sedation of choice is typically Fentanyl (albeit any opiod drug has the same effect). Fentanyl can and does cause problems in terms of the body not excreting urine (olguria).
Now here's the question, if there is raised intracranial pressure caused by fluid on the brain, only seen AFTER admission and the the baby is not excreting fluid and extra fluids are going in via IV is it just possible that it is the treatment itself that is causing the death?????
Now I understand the significance of the low outputs of urine or the "distended bladders" or the nursing comments about resiting the catheter as there was no urine output, it wasn't a medical failing at all, it was an adverse event!
Just one paper:
http://pediatrics.aappublications.org/content/108/4/1012.abstract
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