Related Experiment Video
Updated: Apr 6, 2026
07:54
Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
20.9K
[The 'Guideline for OSAS in children']
Nederlands Tijdschrift Voor Tandheelkunde
|July 18, 2015
Summary
Obstructive sleep apnoea syndrome in children is linked to health and developmental issues. New Dutch guidelines prioritize adenotonsillectomy but consider orthodontic options for specific jaw-related cases.
Area of Science:
- Pediatric Sleep Medicine
- Otolaryngology
- Orthodontics
Context:
- Obstructive sleep apnoea syndrome (OSAS) in children presents with repetitive upper airway obstructions during sleep.
- Pediatric OSAS is associated with significant medical and developmental comorbidities, including failure to thrive, cardiovascular issues, and neurocognitive deficits.
Purpose:
- To outline the recently developed Dutch multidisciplinary guidelines for the diagnosis and treatment of pediatric obstructive sleep apnoea syndrome.
- To define the roles of various treatment modalities, including surgical and orthodontic interventions, within the new guidelines.
Summary:
- The guidelines establish adenotonsillectomy as the primary treatment for pediatric OSAS.
- Distraction surgery is indicated for severe cases linked to midfacial hypoplasia or micrognathia.
- Orthodontic treatments like mandibular repositioning and rapid maxillary expansion are considered secondary options for selected cases with specific jaw discrepancies, aiming to increase upper airway volume.
Impact:
- Provides a standardized, evidence-based approach to managing pediatric obstructive sleep apnoea syndrome in the Netherlands.
- Clarifies the indications and limitations for surgical and orthodontic interventions, guiding clinical decision-making.
- Highlights the potential of specific orthodontic therapies in selected pediatric OSAS patients, offering alternative or adjunctive treatment strategies.
Related Concept Videos
01:21Sleep Apnea
782
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
782
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
1.0K
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
1.0K
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.9K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.9K
01:19Respiratory Assessment: Purpose and Indications
2.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
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...
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...
2.1K
01:25Suctioning the Oropharyngeal Airway
1.5K
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
1.5K
01:28Physical Assessment of the Respiratory Tract I: Health History
1.2K
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
1.2K