Preoperative continuous positive airway pressure compliance in children with obstructive sleep apnea syndrome: Assessed by a simplified approach

Castorena-Maldonado, Armando; Torre-Bouscoulet, Luis; Meza-Vargas, Sonia; Vázquez-García, Juan Carlos; López-Escárcega, Elodia; Pérez‐Padilla, Rogelio

doi:10.1016/j.ijporl.2008.08.016

Cited by 20 publications

(9 citation statements)

References 23 publications

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“…An attended, in‐laboratory, nighttime PSG remains the gold standard for diagnosis of OSA both before and after T&A; however, it does not provide information on the site of obstruction, direct further therapies, or predict which children would benefit from surgical and/or medical interventions for persistent OSA. Continuous positive airway pressure (CPAP) is a widely accepted therapy for persistent OSA, but is often poorly tolerated in children with 50% or fewer adherent to therapy . Additional surgical intervention may also be considered when a site of obstruction is identified.…”

Section: Introductionmentioning

confidence: 99%

An updated review of pediatric drug‐induced sleep endoscopy

Wilcox

Bergeron

Reghunathan

et al. 2017

Laryngoscope Investig Oto

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ObjectivesDrug‐induced sleep endoscopy (DISE) involves assessment of the upper airway using a flexible endoscope while patients are in a pharmacologically‐induced sleep‐like state. The aim of this article is to review the current literature regarding the role of DISE in children with obstructive sleep apnea (OSA). The indications, typical anesthetic protocol, comparison to other diagnostic modalities, scoring systems, and outcomes are discussed.MethodsA comprehensive review of literature regarding pediatric DISE up through May 2017 was performed.ResultsDISE provides a thorough evaluation of sites of obstruction during sedation. It is typically indicated for children with persistent OSA after tonsillectomy, those with OSA without tonsillar hypertrophy, children with risk factors predisposing then to multiple sites of obstruction, or when sleep‐state dependent laryngomalacia is suspected. The dexmedotomidine and ketamine protocol, which replicates non‐REM sleep, appears to be safe and is often used for pediatric DISE, although propofol is the most commonly employed agent for DISE in adults. Six different scoring systems (VOTE, SERS, Chan, Bachar, Fishman, Boudewyns) have been used to report pediatric DISE findings, but none is universally accepted.ConclusionsDISE is a safe and useful technique to assess levels of obstruction in children. There is currently no universally‐accepted anesthetic protocol or scoring system for pediatric DISE, but both will be necessary in order to provide a consistent method to report findings, enhance communication among providers and optimize surgical outcomes.Level of EvidenceN/A.

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Section: Introductionmentioning

confidence: 99%

An updated review of pediatric drug‐induced sleep endoscopy

Wilcox

Bergeron

Reghunathan

et al. 2017

Laryngoscope Investig Oto

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“…Nevertheless, in some children, CPAP compliance can be challenging [8]. Hence, there is value in identifying the site of persistent obstruction in order to explore options other than CPAP.…”

Section: Introductionmentioning

confidence: 99%

Sleep endoscopy as a diagnostic tool in pediatric obstructive sleep apnea

Truong¹,

Woo²,

Koltai³

2012

International Journal of Pediatric Otorhinolaryngology

103

125

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“…There 4 articles published from 2008 to 2020 and conducted in 4 countries: Mexico, USA, Australia, and Canada ( Table 1 ). 9 , 13 - 15 One study was a randomized controlled trial, 9 while others were retrospective (2 articles) and cross-sectional study (1 article). Adherence data were objectively evaluated by download data from the PAP machine in all 4 articles with the longest follow up of 1 year.…”

Section: Resultsmentioning

confidence: 99%

Any Effective Intervention to Improve CPAP Adherence in Children with Obstructive Sleep Apnea: A Systematic Review

Sawunyavisuth

Ngamjarus

Sawanyawisuth

2021

Global Pediatric Health

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Obstructive sleep apnea (OSA) in children is leading to several consequences as reported in adults. A continuous positive airway pressure (CPAP) machine is one of the effective treatments in pediatric OSA. However, the CPAP adherence rate is approximately 50%. This study aimed to evaluate if any interventions that improve CPAP adherence in pediatric patients with OSA using a systematic review. We included intervention studies on CPAP adherence in pediatric patients with OSA regardless of machine types. Five databases were used for article searching. Search terms included OSA, adherence, compliance, and CPAP. The outcomes of this study were adherence rate and usage hours/minutes. The outcomes were compared between the intervention and comparator groups with descriptive statistics. There were 2931 articles from 5-database searching. There were 41 articles related with children. There were 7 articles conducted with any intervention on CPAP compliance. Of those, 4 studies included in the analysis. There were 3 significant differences between both groups in 2 studies. Those with caregiver support had significantly longer CPAP use/night by 86.60 minutes (95% CI 10.90, 162.30) and percentage of CPAP usage more than 4 hours/night by 18.10% (95% CI 3.87, 32.33) than those without caregiver support. Those who received BPAP therapy had higher chance of good PAP adherence than those who received CPAP by 18.17 times (95% CI 5.19, 63.70). Caregiver support and BPAP therapy significantly improved CPAP adherence in children with OSA. Further studies are required to add additional comparisons and also other interventions.

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Preoperative continuous positive airway pressure compliance in children with obstructive sleep apnea syndrome: Assessed by a simplified approach

Cited by 20 publications

References 23 publications

An updated review of pediatric drug‐induced sleep endoscopy

An updated review of pediatric drug‐induced sleep endoscopy

Sleep endoscopy as a diagnostic tool in pediatric obstructive sleep apnea

Any Effective Intervention to Improve CPAP Adherence in Children with Obstructive Sleep Apnea: A Systematic Review

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