Abstract

In Reply.— We were interested in the comments of Guilleminault et al and were pleased to see that they agree that efforts should be made to recognize obstructive events appropriately. As indicated in our paper, when we began monitoring infants we had difficulty in distinguishing between movement and obstructive apnea. We turned to the "Methods" section of papers published by experienced investigators, including Guilleminault, for enlightenment. After careful reading, it was not clear to us that Guilleminault et al used endoesophageal pressure analysis, the presence of bradycardia, oxygen saturation, and behavioral observation to define obstructive apnea.

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