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Naso-oesophageal probes decrease the frequency of sleep apnoeas in infants
J Groswasser1, M Scaillon, E Rebuffat
1Pediatric Sleep Unit, University Children's Hospital, Free University of Brussels, Brussels, Belgium.
Journal of Sleep Research
|June 10, 2000
Summary
A naso-oesophageal probe used in infant sleep studies can alter cardiorespiratory patterns, reducing central and obstructive apnoeas. These changes in infant breathing characteristics during sleep are significant and must be considered during interpretation.
Area of Science:
- Pediatric Sleep Medicine
- Respiratory Physiology
Background:
- Infants with suspected obstructive sleep apnoeas require accurate diagnostic tools.
- The impact of naso-oesophageal probes on infant sleep and cardiorespiratory patterns is not fully understood.
Purpose of the Study:
- To investigate whether a naso-oesophageal probe influences sleep and cardiorespiratory patterns in infants with repeated obstructive apnoeas.
- To assess the effect of probe presence on apnoea frequency and sleep architecture.
Main Methods:
- A randomized, crossover design involving 35 infants suspected of having obstructive sleep apnoeas.
- Two 2-night polygraphic sleep recording sessions: one with a naso-oesophageal probe and one baseline session without a probe.
Main Results:
- The probe was associated with a significant decrease in both central and obstructive apnoeas in infants with baseline apnoeas.
- A small, statistically significant increase in percentage non-rapid eye movement (NREM) sleep was observed with the probe, particularly in infants without baseline apnoea.
Conclusions:
- The presence of a naso-oesophageal probe significantly modifies infants' respiratory characteristics during sleep.
- Findings necessitate careful consideration when interpreting sleep study data from infants with naso-oesophageal probes.