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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
Diagnostic issues in pediatric obstructive sleep apnea
1Division of Respiratory and Sleep Medicine, The Children's Hospital at Montefiore, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY 10467-2490, USA.
Insights
Diagnosing obstructive sleep apnea syndrome (OSAS) in children has advanced with new technologies and updated American Academy of Sleep Medicine guidelines for polysomnography interpretation. This review covers current diagnostic methods for pediatric OSAS.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Respiratory Medicine
Background:
- Obstructive sleep apnea syndrome (OSAS) in children encompasses various respiratory disorders with substantial health impacts.
- Current diagnostic approaches rely on clinical evaluation and polysomnography.
- Technological advancements have significantly improved OSAS diagnosis since 1996.
Purpose of the Study:
- To review current methodologies for assessing and diagnosing OSAS in pediatric populations.
- To summarize the latest recommendations from the American Academy of Sleep Medicine Task Force for scoring pediatric sleep-related respiratory events.
Main Methods:
- Review of recent literature on diagnostic technologies for pediatric OSAS.
- Analysis of updated guidelines from the American Academy of Sleep Medicine for sleep-related breathing disorder scoring in children.
Main Results:
- Significant progress in diagnostic technologies for pediatric OSAS has been made.
- Updated guidelines provide standardized methods for scoring respiratory events during pediatric polysomnography.
Conclusions:
- Current diagnostic tools and updated scoring recommendations enhance the accuracy of pediatric OSAS diagnosis.
- These advancements are crucial for managing the significant morbidities associated with pediatric OSAS.
Abstract:
Obstructive sleep apnea syndrome (OSAS) in children includes a spectrum of respiratory disorders with significant morbidities. Diagnosis of OSAS is based on clinical suspicion, history, and physical findings, and confirmation is made by polysomnography. There has been significant progress in recent years in technologies available for diagnosis of OSAS since the consensus statement of the American Thoracic Society in 1996. The current review describes methodologies that are available today for assessment and diagnosis of OSAS in children and summarizes the most recent recommendations of the American Academy of Sleep Medicine Task Force regarding scoring sleep-related respiratory events in children.
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