Related Experiment Video

Updated: Jun 22, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.5K

The latest on positive airway pressure for pediatric obstructive sleep apnea

Natalia S Escobar1, Adeline Y L Lim1, Reshma Amin1,2

  • 1Division of Respiratory Medicine, Department of Pediatrics, The Hospital for Sick Children, The University of Toronto, Toronto, Canada.

Expert Review of Respiratory Medicine
|July 1, 2024
PubMed

Insights

Positive airway pressure (PAP) therapy is increasingly used for pediatric obstructive sleep apnea (OSA). This review covers diagnosis, PAP initiation, adherence, and follow-up for children with OSA.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine

Background:

  • Obstructive sleep apnea (OSA) is a growing concern in children, with potential severe consequences if untreated.
  • Positive airway pressure (PAP) therapy is increasingly prescribed for pediatric OSA, including cases persistent after surgery and in medically complex children.

Purpose of the Study:

  • To provide a comprehensive review of the diagnosis and positive airway pressure (PAP) treatment for pediatric obstructive sleep apnea (OSA).
  • To cover key aspects of PAP therapy, including initiation, interface selection, mode settings, complication management, adherence factors, remote monitoring, follow-up, and treatment weaning.

Main Methods:

  • Literature search conducted on PubMed, Cochrane Library, and Google Scholar.
  • Review focused on articles published up to March 2024.
  • State-of-the-art review methodology applied.

Main Results:

  • The review synthesizes current knowledge on pediatric OSA diagnosis and PAP therapy.
  • Key considerations for effective PAP implementation in children are discussed.
  • Identified areas for improvement in PAP therapy and OSA management.

Conclusions:

  • Further research is needed to overcome barriers to PAP adherence in pediatric OSA.
  • Innovation in home monitoring devices is crucial for improving OSA diagnosis and management globally.
  • Enhanced pediatric sleep medicine resources are required worldwide.
Abstract

Keywords:
Continuous positive airway pressurebilevel positive airway pressureinterfacenoninvasive ventilationobstructive sleep apneapediatrics

More Related Videos

Conducting Respiratory Oscillometry in an Outpatient Setting14:49

Conducting Respiratory Oscillometry in an Outpatient Setting

Published on: April 8, 2022

7.0K
Author Spotlight: Traditional Chinese Medicine for Sleep Disorders in Acute COPD — A Safe, Cost-Effective Approach04:53

Author Spotlight: Traditional Chinese Medicine for Sleep Disorders in Acute COPD — A Safe, Cost-Effective Approach

Published on: October 18, 2024

755

Related Concept Videos

Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
97
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...
140
Ventilatory Modes01:14

Ventilatory Modes

Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
123
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure01:16

Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure

Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
195
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
267