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Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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Hot topics from the Assemblies

    Breathe (Sheffield, England)
    |October 27, 2018
    PubMed

    Insights

    Nocturnal oximetry offers a simple, cost-effective screening for obstructive sleep apnoea (OSA). While widely available, its accuracy and reliability require further investigation for optimal pediatric diagnosis.

    Area of Science:

    • Pediatric Pulmonology
    • Sleep Medicine
    • Diagnostic Accuracy Studies

    Background:

    • Obstructive sleep apnoea (OSA) is a common condition in children.
    • Polysomnography (PSG) is the standard diagnostic tool but is not always accessible.
    • Empirical treatment for pediatric OSA is common due to diagnostic limitations.

    Purpose of the Study:

    • To evaluate nocturnal oximetry as a screening tool for pediatric obstructive sleep apnoea.
    • To assess the accuracy and reliability of nocturnal oximetry compared to polysomnography.
    • To determine the potential of nocturnal oximetry in resource-limited settings.

    Main Methods:

    • Review of existing literature on nocturnal oximetry for OSA screening.
    • Analysis of studies comparing nocturnal oximetry with polysomnography in pediatric populations.
    • Assessment of interobserver reliability and diagnostic accuracy metrics.

    Main Results:

    • Nocturnal oximetry is a widely available, simple, and cost-effective alternative to PSG.
    • Key limitations include low interobserver reliability and suboptimal accuracy.
    • Further research is needed to improve its clinical utility.

    Conclusions:

    • Nocturnal oximetry shows promise as an initial screening method for pediatric OSA.
    • Addressing limitations in accuracy and reliability is crucial for wider adoption.
    • It may serve as a valuable tool in settings where PSG is not feasible.

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