Outcome, risk, and error and the child with obstructive sleep apnea
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Updated: Jun 2, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
1Department of Pediatric Anesthesia, McGill University Health Centre/Montreal Children's Hospital, Montreal, QC, Canada. karen.brown@mcgill.ca
Insights
Adenotonsillectomy treats pediatric obstructive sleep apnea syndrome (OSAS). Severe OSAS in children poses significant risks for respiratory issues, and assessing OSAS severity remains challenging.
Area of Science:
- Pediatric Sleep Medicine
- Otolaryngology
- Respiratory Physiology
Background:
- Adenotonsillectomy is the primary treatment for pediatric obstructive sleep apnea syndrome (OSAS).
- Children with severe OSAS face heightened risks of respiratory compromise post-operatively.
- Accurate assessment of OSAS severity is crucial but presents significant challenges.
Purpose of the Study:
- To review the difficulties in assessing the severity of obstructive sleep apnea syndrome (OSAS) in pediatric patients.
- To highlight the risks associated with severe OSAS in children undergoing adenotonsillectomy.
Main Methods:
- Literature review focusing on the assessment of pediatric OSAS severity.
- Analysis of risk factors contributing to respiratory compromise in severe OSAS.
- Discussion of clinical challenges in evaluating OSAS severity.
Main Results:
- The severity of pediatric OSAS is a critical factor influencing post-operative respiratory outcomes.
- Assessing OSAS severity accurately is complex and often underestimated.
- Children with severe OSAS require careful pre-operative evaluation and management.
Conclusions:
- Effective management of pediatric OSAS requires a thorough understanding of assessment challenges.
- Addressing the difficulties in evaluating OSAS severity is essential for improving patient safety.
- Further research into reliable methods for assessing pediatric OSAS severity is warranted.
Abstract:
Adenotonsillectomy is the mainstay of treatment for pediatric obstructive sleep apnea syndrome (OSAS). However, there is evidence that the child with severe OSAS is at increased risk of respiratory compromise. The most difficult risk factor to assess is the severity of OSAS, and these difficulties are reviewed.
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