Pediatric pulmonology year in review 2022: Sleep medicine

Agustin J Cabrera1, Ignacio E Tapia1

  • 1Division of Pediatric Pulmonology, Miller School of Medicine, University of Miami, Miami, Florida, USA.

Pediatric Pulmonology
|August 2, 2023
PubMed

Insights

This review covers recent advances in pediatric sleep medicine, focusing on sleep-disordered breathing in children with conditions like asthma and Down syndrome. It highlights new findings on diagnosis, treatment, and positive airway pressure adherence.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Respiratory Disorders

Background:

  • Pediatric pulmonology encompasses diverse respiratory disorders in children.
  • Sleep medicine is a critical component of pediatric respiratory care.
  • Understanding sleep-disordered breathing is essential for managing chronic pediatric conditions.

Purpose of the Study:

  • To summarize key publications in pediatric sleep medicine from the past year.
  • To review recent literature on sleep-disordered breathing in children with specific comorbidities.
  • To highlight advancements in the diagnosis and management of pediatric sleep-disordered breathing.

Main Methods:

  • Comprehensive literature review of pediatric sleep medicine publications.
  • Focused analysis of original research on sleep-disordered breathing in asthma, neuromuscular disorders, and Down syndrome.
  • Inclusion of recent recommendations for drug-induced sleep endoscopy and positive airway pressure (PAP) adherence.

Main Results:

  • Identified key research trends in pediatric sleep-disordered breathing.
  • Highlighted specific challenges and advancements in managing sleep-disordered breathing in vulnerable pediatric populations.
  • Summarized updated guidelines for diagnostic procedures and treatment adherence.

Conclusions:

  • Recent research offers valuable insights into pediatric sleep-disordered breathing.
  • Improved diagnostic and therapeutic strategies are emerging for children with complex conditions.
  • Focus on monitoring and enhancing positive airway pressure adherence is crucial for patient outcomes.

Related Concept Videos

Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
196
Sleep Apnea01:21

Sleep Apnea

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...
189
Other Pulmonary Disorders01:17

Other Pulmonary Disorders

Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
872
Chronic Obstructive Pulmonary Disease-V: Management01:29

Chronic Obstructive Pulmonary Disease-V: Management

Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
2.6K
Common Respiratory Disorders01:31

Common Respiratory Disorders

Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
684
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10