By Mark Richardson, Norman Friedman
Affecting 20 to 30 % of youngsters less than the age of 5, sleep problems can heavily have an effect on a kid's overall healthiness. This authoritative advisor illustrates the implications of sleep disordered respiring and gives a state of the art evaluation of ways to determine, diagnose, and deal with sleep issues in teenagers. protecting the newest study concerning the clinical and surgical administration of ailment, high-risk teams, psychosocial results, and the exam of sleep research effects, this resource is helping practitioners comprehend general sleep styles, realize universal sleep stipulations, and enforce acceptable care protocols for max sufferer healthiness.
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Extra resources for Clinician's Guide to Pediatric Sleep Disorders
Commonly, children have a growth spurt after treatment of OSA. The exact mechanism of diminished growth in children with OSA is unknown, but there is an increase in an insulin-like growth factor following tonsillectomy/adenoidectomy (31,32). The quality of life of children who have SDB and OSA has improved with treatment (33,34). Further evaluation of the consequences of OSA in children is ongoing and will help us understand the indications for appropriate intervention in affected individuals. Diagnostic and Treatment Options of Obstructive Sleep Apnea in Children (Tables 4 and 5) Proper diagnostic testing for children having symptoms of SDB is debated (3,35).
Alternative studies are often used to diagnose OSAS. Simple overnight pulse oximetry, if abnormal, suggests obstructive sleep-disordered breathing, which may warrant further intervention or diagnosis. Limited and nonattended sleep studies can be performed in a hospital ward or in an outpatient setting. Most limited sleep studies include at least four channels for recording, including heart rate, respiratory rate, airflow, and oxy-hemoglobin saturation. Nonmonitored studies may be difficult to score because of the lack of EEG staging.
Symptoms and Signs of Sleep-Disordered Breathing in Children (Table 3) The most common symptom of SDB in children is snoring (20). Several reports have shown that parental report of the characteristics of their children’s sleep is unreliable, and OSA can be overlooked (21,22). However, most commonly there is a report of increasing loudness of snoring on a nightly basis without evidence of upper respiratory infection or lower airway inflammation. This can be associated with apnea events or struggling to breathe.
Clinician's Guide to Pediatric Sleep Disorders by Mark Richardson, Norman Friedman