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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Sleep apnoea in the child.

Gillian M Nixon¹, Margot Davey

¹MBChB, MD, FRACP, Paediatric Respiratory and Sleep Physician, Department of Paediatrics, Monash University, Melbourne, VIC; Melbourne Children's Sleep Centre, Monash Children's Hospital, Melbourne, VIC; The Ritchie Centre, MIMR-PHI Institute of Medical Research, Melbourne, VIC.

Australian Family Physician

|July 27, 2015

Summary

Obstructive sleep apnoea (OSA) in children is common and impacts health and behavior. Early identification of snoring and prompt treatment, often with surgery, can significantly improve outcomes.

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Area of Science:

Pediatric Pulmonology
Sleep Medicine
Otolaryngology

Background:

Obstructive sleep apnoea (OSA) affects 1-5% of children, characterized by airway obstruction during sleep, leading to hypoxia and sleep disruption.
Pediatric OSA has significant implications for cognitive function, behavior, and cardiovascular well-being.

Purpose of the Study:

To outline a practical approach for general practitioners in identifying and managing pediatric OSA.
To guide primary care physicians in recognizing and initiating treatment for children with suspected OSA.

Main Methods:

Clinical assessment focusing on snoring, disturbed sleep, nasal obstruction, and tonsillar hypertrophy.
Diagnostic confirmation via multi-channel physiological recording in a specialized pediatric sleep laboratory.

Main Results:

Adenotonsillectomy is a primary treatment, frequently resulting in significant improvements in affected domains.
Less severe cases may benefit from medical management, including intranasal steroids or anti-inflammatory agents.

Conclusions:

Snoring is the hallmark symptom of pediatric OSA and warrants investigation in children with sleep disturbances.
Prompt diagnosis and appropriate treatment, including surgical or medical interventions, are crucial for managing pediatric OSA and mitigating its health consequences.