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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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An approach to the upper airway evaluation in pediatric persistent obstructive sleep apnea

María V Demarchi1, Federico Herranz1, Cinthia Pérez1

  • 1Department of Ear, Nose, and Throat, Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina.

Archivos Argentinos De Pediatria
|October 30, 2023
PubMed

Insights

Persistent obstructive sleep apnea syndrome (OSAS) in children poses significant challenges. This review proposes a comprehensive diagnostic and therapeutic approach for managing persistent pediatric OSAS after initial treatment.

Area of Science:

  • Pediatric pulmonology
  • Sleep medicine
  • Otolaryngology

Background:

  • Obstructive sleep apnea syndrome (OSAS) in children can lead to cognitive and behavioral issues.
  • Tonsillar hypertrophy and adenoids are primary risk factors for pediatric OSAS.
  • Adenotonsillectomy is the standard initial treatment for pediatric OSAS.

Purpose of the Study:

  • To review and propose a diagnostic and therapeutic strategy for persistent pediatric OSAS.
  • To address the management challenges of OSAS that remains after initial treatment.
  • To provide a comprehensive approach for persistent pediatric OSAS.

Main Methods:

  • Bibliographic review of existing literature.
  • Analysis of diagnostic criteria for persistent OSAS.
  • Evaluation of therapeutic options for recurrent or refractory OSAS.

Main Results:

  • The incidence of persistent OSAS varies widely (15-75%) based on comorbidities.
  • A multidisciplinary approach is crucial for effective management.
  • Specific diagnostic tools and treatment algorithms are needed for persistent cases.

Conclusions:

  • Persistent pediatric OSAS requires a tailored diagnostic and therapeutic plan.
  • Early identification and intervention are key to mitigating long-term consequences.
  • Further research into optimal management strategies for persistent OSAS is warranted.

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