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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[New Swedish National care process for pediatric obstructive sleep disordered breathing]
Danielle Friberg1, Isabella Sjölander2, Anna Borgström3
1professor, ordförande, överläkare, ÖNH-kliniken, Akademiska sjukhuset, Uppsala.
A new screening process identifies children with obstructive sleep disordered breathing (OSDB) using caretaker questionnaires. Early detection and intervention aim to improve outcomes for pediatric OSDB.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Public Health
Context:
- Obstructive sleep disordered breathing (OSDB) encompasses habitual snoring to obstructive sleep apnea (OSA) in children.
- Early identification is crucial due to potential serious health implications.
Purpose:
- To introduce a novel screening protocol for pediatric OSDB starting at 18 months.
- To facilitate early detection and timely management of childhood OSDB.
Summary:
- The protocol involves caretaker questionnaires at childcare centers for children aged 18 months and 3 years, focusing on habitual snoring.
- Primary care physicians confirm OSDB suspicion based on additional questions or clinical findings like tonsil hypertrophy.
- The process spans from suspicion to symptom resolution via watchful waiting or surgery, with a new ICD code R06.8A.
Impact:
- Aims for national healthcare equality by increasing access to diagnostic tools and reducing wait times for consultations and surgery.
- Ensures specialized follow-up for children with comorbidities or severe symptoms.
- Facilitates prompt diagnosis and management of pediatric OSDB.
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