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An in-patient model for positive airway pressure desensitization: a report of 2 pediatric cases

Kelli-Lee Harford1, Supriya Jambhekar, Gulnur Com

  • 1Department of Orthopedics and Rehabilitation, University of Wisconsin Hospital and Clinics, Madison, Wisconsin 53792, USA. kharford@uwhealth.org

Respiratory Care
|December 14, 2011
PubMed

Insights

Positive airway pressure therapy adherence improved in children with obstructive sleep apnea using a multidisciplinary inpatient protocol. This approach enhanced equipment use in pediatric patients, including those with special needs.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Behavioral Health

Background:

  • Positive airway pressure (PAP) is a common treatment for pediatric obstructive sleep apnea (OSA).
  • Adherence to PAP therapy can be challenging in children, particularly those with special healthcare needs.
  • Optimizing adherence is crucial for effective OSA management in pediatric populations.

Observation:

  • An inpatient protocol was developed integrating strategies from medical adherence literature.
  • The protocol involved a multidisciplinary team including respiratory therapists, psychologists, physicians, nurses, and child life specialists.
  • Parental involvement was a key component of the intervention.

Findings:

  • Two case studies demonstrated the protocol's application in pediatric patients with OSA.
  • Both patients achieved successful PAP equipment use, exceeding 4 hours per night by hospital discharge (4 days).
  • Adherence gains were maintained or improved at follow-up assessments.

Implications:

  • This multidisciplinary inpatient protocol shows promise for improving PAP adherence in pediatric OSA.
  • Further research is warranted to validate the effectiveness of similar adherence programs in diverse pediatric populations.
  • The findings highlight the importance of integrated care and family involvement in managing pediatric sleep disorders.

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