Related Experiment Video

Updated: Mar 2, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Pediatric sleep-disordered breathing: an update on diagnostic testing

Brian McGrath1, Jerrold Lerman

  • 1Department of Anesthesia, Women and Children's Hospital of Buffalo, Buffalo, New York, USA.

Current Opinion in Anaesthesiology
|May 11, 2017
PubMed

Insights

New diagnostic tools for childhood obstructive sleep apnea (OSA) offer improved home testing and alternative methods. These advancements may soon replace traditional polysomnography for diagnosing OSA in children.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Diagnostic Innovation

Background:

  • Obstructive sleep apnea (OSA) in children requires accurate diagnosis.
  • Traditional polysomnography (PSG) is the gold standard but has limitations in accessibility.

Purpose of the Study:

  • To review recent advancements in diagnostic testing for pediatric obstructive sleep apnea.
  • To explore novel tools that may change the diagnostic landscape for childhood OSA.

Main Methods:

  • Review of studies on modified polysomnography for home use.
  • Evaluation of questionnaires, nocturnal oximetry, and urinary biomarkers for OSA diagnosis.
  • Consideration of drug-induced sleep endoscopy (DISE).

Main Results:

  • Modified polysomnography allows for home-based assessment, increasing accessibility.
  • Questionnaires, nocturnal oximetry, and urinary biomarkers show high sensitivity and specificity for diagnosing and assessing OSA severity in children.
  • These emerging tools demonstrate significant promise as alternatives to PSG.

Conclusions:

  • The gold standard polysomnogram has been refined for home and brief use in children.
  • Emerging diagnostic methods like questionnaires, oximetry, DISE, and urinary biomarkers are challenging PSG.
  • These novel approaches may ultimately become the preferred standard for diagnosing obstructive sleep apnea syndrome in children.
Abstract

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