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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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Diagnosis and evaluation of obstructive sleep apnoea in children

Lee J Brooks1

  • 1University of Pennsylvania, USA. brooksl@email.chop.edu

Annals of the Academy of Medicine, Singapore
|September 18, 2008
PubMed

Insights

Obstructive sleep apnoea (OSA) in children often presents with snoring and daytime sleepiness. While less common in Asian children, OSA may be more severe, requiring polysomnography for accurate diagnosis.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Otolaryngology

Background:

  • Obstructive sleep apnoea (OSA) is a significant health concern in children.
  • Differentiating OSA from primary snoring and other conditions is crucial for appropriate management.
  • There is a specific need to understand OSA characteristics in Asian children.

Purpose of the Study:

  • To review the literature on clinical and laboratory findings in children with OSA.
  • To identify features that help distinguish OSA from primary snoring and other disorders.
  • To focus on the presentation and diagnosis of OSA in Asian children.

Main Methods:

  • A comprehensive literature search was conducted using Medline via PubMed.
  • Search terms included "sleep apnoea and children" and "sleep apnoea and children and Asian."
  • The review focused on clinical and laboratory findings.

Main Results:

  • Common symptoms of pediatric OSA include snoring, daytime sleepiness, and behavioral or academic difficulties.
  • The prevalence of OSA appears lower in Asian children compared to other populations.
  • However, OSA in Asian children may present with greater severity.

Conclusions:

  • Overnight polysomnography is the gold standard for diagnosing pediatric OSA and assessing its severity.
  • Limited or home-based sleep studies are insufficient to rule out OSA in symptomatic children.
  • Accurate diagnosis and severity assessment are vital for effective treatment planning.
Abstract

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