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Updated: Jun 26, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Obstructive sleep breathing disorders
Chun Ting Au1, Albert Martin Li
1Department of Pediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
Insights
Obstructive sleep apnea (OSA) in children is common and requires early diagnosis and treatment. This review updates on childhood OSA
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Child Health
Background:
- Obstructive sleep apnea (OSA) is a growing concern in pediatric populations.
- There is substantial evidence supporting the need for prompt diagnosis and intervention for childhood OSA.
- Understanding the nuances of OSA in children is crucial for effective management.
Purpose of the Study:
- To provide a comprehensive update on the epidemiology of childhood obstructive sleep apnea (OSA).
- To review the clinical features, potential complications, and current treatment strategies for pediatric OSA.
- To present a practical management flowchart for pediatricians dealing with snoring or sleep disturbances in children.
Main Methods:
- Literature review of recent studies on childhood obstructive sleep apnea (OSA).
- Synthesis of epidemiological data, clinical presentations, and long-term complications.
- Development of a clinical flowchart for the diagnosis and management of pediatric OSA.
Main Results:
- Childhood obstructive sleep apnea (OSA) is increasingly recognized, necessitating timely intervention.
- Key clinical features and significant complications associated with pediatric OSA are detailed.
- An evidence-based management flowchart is proposed for clinical application.
Conclusions:
- Early identification and treatment of obstructive sleep apnea (OSA) in children are essential.
- The provided review and management flowchart aim to assist pediatricians in addressing childhood OSA.
- Further research and clinical vigilance are needed to combat the rising prevalence of pediatric OSA.
Abstract:
Obstructive sleep apnea (OSA) is increasingly recognized in children. There is accumulating robust evidence to support early diagnosis and treatment of this condition. The purpose of this review is to provide an update on the epidemiology, clinical features, complications, and treatment of childhood OSA. The authors have also proposed an easy-to-follow flowchart on the management of children with snoring or sleep disturbance for clinical use by busy pediatricians.
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