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Updated: Apr 14, 2026
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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
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Screening for Pediatric Obstructive Sleep Apnea before Ambulatory Surgery.
Stacey L Ishman1,2,3, Kareem O Tawfik3, David F Smith1
1Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Summary
Anesthesia providers rarely screen for obstructive sleep apnea (OSA) in children undergoing ambulatory surgery. Snoring was the most common symptom identified, yet children most needing screening for OSA were least likely to receive it.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Sleep Medicine
Background:
- Guidelines recommend screening for obstructive sleep apnea (OSA) in patients undergoing ambulatory surgery.
- OSA poses risks, particularly in pediatric surgical patients.
Purpose of the Study:
- To evaluate the frequency of OSA screening by anesthesia providers in children undergoing ambulatory surgery.
- To identify symptoms and patient characteristics associated with OSA screening.
Main Methods:
- Prospective, single-blinded observational study.
- Anesthesia providers interviewed caregivers of pediatric patients scheduled for ambulatory surgery.
- Data collected on patient demographics, OSA symptoms, and screening practices.
Main Results:
- Only 31% of 101 pediatric patients were screened for OSA.
- Snoring was the most frequently recorded symptom (28%).
- Screened patients were more likely to report snoring, have diagnosed OSA, or be scheduled for adenotonsillectomy.
Conclusions:
- Routine OSA screening by anesthesia providers is lacking in pediatric ambulatory surgery.
- "Snoring" was the most common symptom noted during screening.
- Children who could benefit most from OSA screening were paradoxically least likely to be screened.
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