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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

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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...
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Nightmares and Night Terrors01:18

Nightmares and Night Terrors

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Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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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...
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Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

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A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
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Suctioning the Nasopharyngeal Airway01:29

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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.
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Guidelines for Elective Pediatric Fiberoptic Intubation
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Approach to the snoring child.

Yi Hua Tan1,2, Choon How How3,4, Yoke Hwee Chan2,5

  • 1Respiratory Medicine Service, Department of Paediatrics, KK Women's and Children's Hospital, Singapore.

Singapore Medical Journal
|June 6, 2020
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Habitual snoring in children may signal obstructive sleep apnoea (OSA), impacting health and development. Primary care providers can screen for risk factors and manage mild cases, with polysomnography and surgery for severe obstructive sleep apnoea.

Keywords:
childobstructivesleep apnoeasnoring

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Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine
  • Developmental Pediatrics

Background:

  • Sleep is crucial for child growth and development.
  • Habitual snoring in children can indicate obstructive sleep apnoea (OSA).
  • OSA has potential health, developmental, and cognitive consequences.

Purpose of the Study:

  • To highlight the significance of habitual snoring as a potential indicator of pediatric OSA.
  • To outline key risk factors for OSA in children.
  • To emphasize the role of primary care providers in identifying and managing pediatric OSA.

Main Methods:

  • Review of common risk factors for pediatric OSA: tonsillar/adenoidal hypertrophy, obesity, allergic rhinitis.
  • Discussion of primary care provider screening during routine consultations.
  • Mention of medical treatment trials and polysomnography for diagnosis.

Main Results:

  • Primary care providers are pivotal in identifying children at risk for OSA.
  • Physician awareness aids in diagnosis, management, and referral.
  • Adenotonsillectomy is a primary treatment for OSA linked to hypertrophy, but follow-up is essential.

Conclusions:

  • Habitual snoring warrants evaluation for OSA in children.
  • Early identification and management by primary care providers are crucial.
  • Post-surgical follow-up is necessary to address residual or recurrent OSA.