Pediatric obstructive sleep apnea: Preoperative and neurocognitive considerations for perioperative management

Arvind Chandrakantan1,2, Mary F Musso2,3, Thomas Floyd4,5,6

  • 1Department of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Houston, TX, USA.

Paediatric Anaesthesia
|March 13, 2020
PubMed

Insights

Obstructive sleep apnea (OSA) in children impacts behavior and cognition. Early diagnosis and treatment, like adenotonsillectomy, are crucial for managing risks and improving outcomes.

Area of Science:

  • Pediatric medicine
  • Sleep medicine
  • Neurology

Background:

  • Obstructive sleep apnea (OSA) affects up to 7.5% of children.
  • OSA is linked to behavioral and neurocognitive deficits.
  • Timely intervention is vital to mitigate these effects.

Purpose of the Study:

  • To outline the perioperative and neurocognitive risks associated with pediatric OSA.
  • To assist healthcare providers in managing pediatric OSA patients.

Main Methods:

  • Review of existing literature on pediatric OSA.
  • Analysis of risks and benefits of treatment options.

Main Results:

  • Adenotonsillectomy is the primary surgical treatment for pediatric OSA.
  • Surgical timing decisions involve balancing procedural risks against patient benefits.
  • Pediatric OSA presents significant perioperative and neurocognitive challenges.

Conclusions:

  • Effective management of pediatric OSA requires careful consideration of treatment risks and benefits.
  • Understanding perioperative and neurocognitive sequelae is key for optimal patient care.
  • Prompt diagnosis and treatment of pediatric OSA can halt or reverse negative changes.

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