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Updated: Feb 14, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Research Needs Assessment for Children With Obstructive Sleep Apnea Undergoing Diagnostic or Surgical Procedures

Kimmo T Murto1,2, Wesley Chen3, Sherri L Katz4

  • 1From the Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Anesthesia and Analgesia
|February 27, 2018
PubMed

Insights

Concerns about adenotonsillectomy quality and safety in children with obstructive sleep apnea (OSA) are rising. Experts identified key controversial issues in pediatric OSA care: postoperative disposition, preoperative screening, and pain management.

Area of Science:

  • Pediatric Sleep Medicine
  • Otolaryngology
  • Anesthesiology

Background:

  • Adenotonsillectomy is a common procedure for pediatric obstructive sleep apnea (OSA).
  • OSA poses risks for perioperative respiratory complications, including anoxic brain injury and death.
  • Concerns exist regarding the quality and safety of adenotonsillectomy in children.

Purpose of the Study:

  • To identify and define controversial issues in the care of pediatric patients with OSA undergoing adenotonsillectomy.
  • To guide future research and clinical practice improvements.

Main Methods:

  • A standardized Delphi consensus technique was employed.
  • An interdisciplinary panel of 24 pediatric OSA experts participated.
  • Key controversial topics were identified through expert consensus.

Main Results:

  • Three primary controversial issues were identified: postoperative disposition, preoperative screening, and pain management.
  • These areas represent critical points of contention in current pediatric OSA care.
  • The identified issues are suitable for systematic review and research.

Conclusions:

  • The study highlights significant areas of controversy in managing pediatric OSA patients undergoing adenotonsillectomy.
  • Addressing these issues is crucial for improving patient safety and care quality.
  • The findings will inform research priorities for the Society of Anesthesia and Sleep Medicine.

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