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Updated: Nov 11, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Selection of Screening Tool for Sleep-Disordered Breathing or Obstructive Sleep Apnea in Pediatric Patients in the

Leilani Jankus1, Mary Ann Friesen1, Scott D Barnett1

  • 1Inova Fairfax Medical Center, Pediatric Surgery, Inova Health System, Falls Church, VA.

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
|March 23, 2021
PubMed

Insights

The STBUR tool effectively predicts obstructive sleep apnea (OSA) complications in pediatric surgical patients, outperforming the pediatric ST(1)OP-BANG tool. STBUR is also easier for parents to complete.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery
  • Sleep Medicine

Background:

  • Obstructive sleep apnea (OSA) poses risks in pediatric patients undergoing surgery.
  • Accurate preoperative risk assessment is crucial for patient safety and tailored anesthetic management.
  • Identifying reliable screening tools is essential for identifying at-risk pediatric populations.

Purpose of the Study:

  • To evaluate and select the most appropriate tool for predicting obstructive sleep apnea (OSA) risk in pediatric patients preoperatively.
  • To compare the efficacy and usability of two distinct OSA screening tools in a surgical setting.

Main Methods:

  • A retrospective chart review and survey of nursing staff were conducted.
  • Approximately 300 pediatric patients (6 months to 18 years) were screened using STBUR and pediatric ST(1)OP-BANG tools.
  • Preoperative nurses surveyed to compare ease of use and completion time.

Main Results:

  • The STBUR tool predicted complications in 37.5% of patients, compared to 22.7% with the pediatric ST(1)OP-BANG.
  • Nursing staff found both tools quick and easy to use.
  • STBUR was identified as easier for parents to answer.

Conclusions:

  • Screening tools aid in predicting OSA and postanesthetic complications in pediatric patients.
  • Effective screening informs anesthesia techniques, staffing needs, and postoperative care plans.
  • The STBUR tool demonstrates utility in preoperative OSA risk assessment for pediatric surgical patients.
Abstract

Keywords:
obstructive sleep apneapediatric preoperative assessmentpediatric surgerypediatricspostanesthesia caresleep-disordered breathing

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