Related Experiment Video
Updated: Apr 30, 2026
Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[Postoperative monitoring of children with obstructive sleep apnea syndrome]
Pálma Benedek1, Gabriella Kiss2, Eszter Csábi3
1Heim Pál Gyermekkórház Fül-orr-gégészeti és Bronchológiai Osztály Budapest Üllői út. 86. 1089.
Insights
Severe pediatric obstructive sleep apnea syndrome (OSAS) significantly increases the risk of postoperative respiratory complications. Patients with severe OSAS require intensive care monitoring post-surgery.
Area of Science:
- Pediatric Otolaryngology
- Sleep Medicine
- Anesthesiology
Context:
- Pediatric obstructive sleep apnea syndrome (OSAS) is primarily treated with surgery.
- Postoperative respiratory complications occur in 5-25% of pediatric patients undergoing OSAS surgery.
Purpose:
- To present a preoperative evaluation and monitoring protocol for pediatric OSAS patients.
- To correlate OSAS severity with postoperative complication incidence.
Summary:
- 142 pediatric patients with OSAS underwent preoperative evaluation, polysomnography, and tonsilloadenotomy.
- Complication rates were 0% for mild, 10.9% for moderate, and 51.1% for severe OSAS.
- No significant difference in preoperative apnea-hypopnea index or oxygen saturation was found between complicated and uncomplicated severe OSAS cases.
Impact:
- Highlights the critical need for intensive care for severe pediatric OSAS patients post-tonsilloadenotomy.
- Informs surgical decision-making and resource allocation for pediatric OSAS management.
- Emphasizes the importance of tailored preoperative assessment for optimizing surgical outcomes in children with OSAS.
Introduction:
Treatment of pediatric obstructive sleep apnea syndrome is surgical. The incidence of postoperative respiratory complications in this population is 5-25%.
Aim:
The aim of the authors was to present the preoperative evaluation and monitoring procedure elaborated in Heim Pál Children Hospital, Budapest.
Method:
142 patients were involved in the study. Patient history was obtained and physical examination was performed in all cases. Thereafter, polysomnography was carried out, the severity of the obstructive sleep apnea syndrome was determined, and the patients underwent tonsilloadenotomy.
Results:
45 patients with mild, 50 patients with moderate and 47 patients with severe obstructive sleep apnea syndrome were diagnosed. There was no complication in patients with mild disease, while complications were observed in 6 patients in the moderate group and 24 patients in the severe group (desaturation, apnea, stridor, stop breathing) (p<0.000). In patients with severe obstructive sleep apnea syndrome, no significant difference was noted in preoperative apnoea-hypapnea index (p = 0.23) and in nadir oxygen saturation values (p = 0.73) between patients with and without complication.
Conclusions:
Patients with severe obstructive sleep apnea syndrome should be treated in hospital where pediatric intensive care unit is available.
Related Concept Videos
01:21Sleep Apnea
The condition is more prevalent among...
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
01:20Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
01:24Endotracheal Tube Extubation
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
01:19Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...