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Sleep Apnea01:21

Sleep Apnea

747
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...
747
Tonsillitis II: Management01:26

Tonsillitis II: Management

538
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
538
Chronic Pharyngitis01:23

Chronic Pharyngitis

14.4K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
14.4K
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

4.9K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
4.9K
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

947
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...
947
Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

3.0K
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
3.0K

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Obstructive Sleep Apnea: Preoperative Screening and Postoperative Care.

Journal of the American Board of Family Medicine : JABFM·2016
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Platelet gel for endoscopic sinus surgery.

The Annals of otology, rhinology, and laryngology·2005
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Related Experiment Video

Updated: Mar 21, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
07:54

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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Management of Persistent Obstructive Sleep Apnea after Adenotonsillectomy.

Jonathan Pomerantz

    Pediatric Annals
    |May 13, 2016
    PubMed
    Summary

    Adenotonsillectomy effectively treats pediatric sleep-disordered breathing (SDB) and obstructive sleep apnea (OSA). Persistent SDB/OSA may require further management, including nasal steroids or CPAP therapy.

    Area of Science:

    • Pediatric Otolaryngology
    • Sleep Medicine
    • Respiratory Medicine

    Background:

    • Adenotonsillectomy is a primary surgical intervention for pediatric sleep-disordered breathing (SDB) and obstructive sleep apnea (OSA).
    • Despite surgical success, a subset of children experience persistent SDB or OSA post-adenotonsillectomy.

    Observation:

    • Management of residual SDB/OSA is tailored to symptom severity and patient presentation.
    • Mild residual cases may be managed conservatively with nasal steroids and observation.
    • Moderate-to-severe residual cases often necessitate continuous positive airway pressure (CPAP) therapy.

    Findings:

    • Continuous positive airway pressure (CPAP) is a common treatment for persistent pediatric obstructive sleep apnea.
    • Some patients exhibit intolerance to CPAP therapy, necessitating alternative treatment strategies.

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    Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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    Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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  • Alternative surgical interventions are considered for patients unable to tolerate CPAP.

    • Implications:

    • Establishes a tiered approach to managing persistent pediatric SDB/OSA post-adenotonsillectomy.
    • Highlights the importance of considering CPAP intolerance and alternative surgical options.
    • Informs clinical decision-making for pediatric sleep apnea management.