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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

[Obstructive sleep apnea syndrome in children: the responsibility of pediatricians]

E Verrillo1, R Cilveti Portillo, E Estivill Sancho

  • 1Departamento de Scienze Neurologiche e Psichiatriche dell' età infantile. Centro per i disturbi del Sonno in età Pediatrica. Università di Roma La Sapienza. Roma. Italy.

Anales Espanoles De Pediatria
|December 6, 2002
PubMed

Insights

Obstructive sleep apnea syndrome (OSAS) in children is common and treatable. Early detection by pediatricians is crucial for managing this respiratory disorder and preventing complications like growth issues and hyperactivity.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Child Health

Background:

  • Obstructive sleep apnea syndrome (OSAS) is a frequent pediatric respiratory disorder affecting 1-3% of children.
  • It can lead to serious cardiopulmonary complications, growth retardation, hyperactivity, and learning difficulties.
  • Early detection and treatment are vital for positive outcomes.

Purpose of the Study:

  • To review current evidence on the clinical features, etiology, complications, and treatment of childhood OSAS.
  • To emphasize the critical role of pediatricians in early OSAS detection, particularly in snoring children.
  • To provide a clinical practice guideline for diagnosis and treatment.

Main Methods:

  • Review of up-to-date evidence on childhood OSAS.
  • Nocturnal polysomnography as the gold standard for diagnosis and severity quantification.
  • Adenotonsillectomy as the primary treatment modality.

Main Results:

  • OSAS diagnosis is reliable, and treatment is highly effective.
  • Adenotonsillectomy has a success rate exceeding 85% in children.
  • Early intervention can mitigate significant health risks.

Conclusions:

  • Pediatricians must be vigilant for OSAS in children who snore.
  • Prompt diagnosis via polysomnography and timely adenotonsillectomy are key.
  • Effective management of OSAS improves children's health and development.

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