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Expert Consensus Statement: Management of Pediatric Persistent Obstructive Sleep Apnea After Adenotonsillectomy
Stacey L Ishman1, Stephen Maturo2, Seth Schwartz3
1University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Summary
This expert consensus provides 34 statements on managing persistent pediatric obstructive sleep apnea (OSA) after surgery. These guidelines aim to improve care quality and clarify controversies in treating children with OSA.
Area of Science:
- Otolaryngology
- Pediatric Sleep Medicine
- Quality Improvement
Background:
- Persistent pediatric obstructive sleep apnea (OSA) requires clear management guidelines.
- Existing approaches to persistent OSA lack consensus, impacting quality of care.
- Expert consensus is needed to address controversies in pediatric OSA management post-surgery.
Framework:
- Developed using the American Academy of Otolaryngology-Head and Neck Surgery consensus statement methodology.
- Expert panel nominated by stakeholder organizations.
- Modified Delphi method employed for statement development and consensus.
Implementation:
- Systematic literature search conducted by a medical librarian.
- Three iterative Delphi surveys used to refine statements.
- 34 statements achieved consensus across 7 categories: general, patient assessment, obesity management, medical management, drug-induced sleep endoscopy, surgical management, and postoperative care.
Implications:
- Provides 34 consensus statements for assessing and managing persistent pediatric OSA.
- Aims to establish care algorithms and enhance clinical practice.
- Identifies key areas for future research in pediatric sleep apnea.
Keywords:
CPAPDown's syndromeadolescentallergic rhinitischildrencine MRIdental applianceepiglottopexylingual tonsillectomymontelukastnasal steroidobstructive sleep apneaoximetryoxygenpediatricpolysomnographyshared decision-makingsleep apneasleep disordered breathingsleep endoscopysleep studysupraglottoplastytongue basetongue suspensiontracheostomyturbinate surgery
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