Use of pulse oximetry as an investigative test for paediatric respiratory sleep disorders

Everitt, L; Roberts, Phoebe M.; Evans, Hazel

doi:10.1136/archdischild-2022-324846

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Pulse oximetry is increasingly used as a screening tool for children at risk of OSA ( e.g. Down syndrome) [ 8 , 62 , 95 ]. BTS guidance recommends that pulse oximetry can be considered as a first-line diagnostic test for SDB, with the caveat that any information collected that is not in keeping with clinical context necessitates further investigation using CRSS [ 7 ].…”

Section: Other Alternatives To Psgmentioning

confidence: 99%

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Paediatric sleep diagnostics in the 21st century: the era of “sleep-omics”?

Vennard,

Buchan,

Davies

et al. 2024

Eur Respir Rev

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Paediatric sleep diagnostics is performed using complex multichannel tests in specialised centres, limiting access and availability and resulting in delayed diagnosis and management. Such investigations are often challenging due to patient size (prematurity), tolerability, and compliance with “gold standard” equipment. Children with sensory/behavioural issues, at increased risk of sleep disordered breathing (SDB), often find standard diagnostic equipment difficult.SDB can have implications for a child both in terms of physical health and neurocognitive development. Potential sequelae of untreated SDB includes failure to thrive, cardiopulmonary disease, impaired learning and behavioural issues. Prompt and accurate diagnosis of SDB is important to facilitate early intervention and improve outcomes.The current gold-standard diagnostic test for SDB is polysomnography (PSG), which is expensive, requiring the interpretation of a highly specialised physiologist. PSG is not feasible in low-income countries or outwith specialist sleep centres. During the coronavirus disease 2019 pandemic, efforts were made to improve remote monitoring and diagnostics in paediatric sleep medicine, resulting in a paradigm shift in SDB technology with a focus on automated diagnosis harnessing artificial intelligence (AI). AI enables interrogation of large datasets, setting the scene for an era of “sleep-omics”, characterising the endotypic and phenotypic bedrock of SDB by drawing on genetic, lifestyle and demographic information. The National Institute for Health and Care Excellence recently announced a programme for the development of automated home-testing devices for SDB. Scorer-independent scalable diagnostic approaches for paediatric SDB have potential to improve diagnostic accuracy, accessibility and patient tolerability; reduce health inequalities; and yield downstream economic and environmental benefits.

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Section: Other Alternatives To Psgmentioning

confidence: 99%

“…By 6 months of age, sleep architecture largely resembles that of adults. Adolescents spend 20% of sleep time in REM sleep, which occurs in the latter part of the night [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Paediatric sleep diagnostics in the 21st century: the era of “sleep-omics”?

Vennard,

Buchan,

Davies

et al. 2024

Eur Respir Rev

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Pediatric masks of obstructive sleep apnea syndrome

Isachenko,

Shapovalov,

Drozdova

et al. 2024

Medicinskij sovet

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A number of factors contribute to the occurrence of chronic otolaryngological diseases in children at an early age, which often acquire a long, undulating course with exacerbations, relapses and complications. The increasing aggressiveness of environmental factors, the growth of allergization of the population, the formation of strains of microorganisms resistant to the action of medicines, lead to a steady increase in diseases of the nasopharyngeal tonsils and a worsening of their course, especially among children, both in our country and abroad. At the same time, the adenotonsillar problem has long gone beyond ENT pathology and attracts the attention of a wide range of medical resea. The aim of the work: to analyze the literature data on clinical manifestations, laboratory and instrumental diagnostic methods and the prevalence of OSA in children. The analysis of publications using PubMed, EMBASE and Web of Science search engines in the period from January 1970 to March 2024 related to research on epidemiological, pathogenetic, clinical and laboratory aspects of OSA in children and adults was carried out. rchers. Sleep respiratory disorder is a term covering various clinical diagnoses from primary snoring to obstructive sleep apnea. This clinical symptom is registered in at least one in nine children, which makes it one of the most frequently diagnosed sleep disorders and puts it in the category of serious social problems. The most compelling evidence relates to hyperactivity, inattention, and social problems: decreased social competence, increased problematic behavior, and decreased memory scores. Despite the growing body of evidence suggesting cognitive impairment in children with snoring, many results have been contradictory. The availability of pediatric sleep laboratories, even in countries with advanced health systems, is limited, which encourages the search for less complex and more convenient testing methods. Timely detection of the development of the disease allows you to prevent complications and improve the quality of life. The article also describes clinical cases of late diagnosis of obstructive sleep apnea in children.

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Pulse oximetry in pediatric care: Balancing advantages and limitations

Al-Beltagi,

Saeed,

Bediwy

et al. 2024

World J Clin Pediatr

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BACKGROUND Pulse oximetry has become a cornerstone technology in healthcare, providing non-invasive monitoring of oxygen saturation levels and pulse rate. Despite its widespread use, the technology has inherent limitations and challenges that must be addressed to ensure accurate and reliable patient care. AIM To comprehensively evaluate the advantages, limitations, and challenges of pulse oximetry in clinical practice, as well as to propose recommendations for optimizing its use. METHODS A systematic literature review was conducted to identify studies related to pulse oximetry and its applications in various clinical settings. Relevant articles were selected based on predefined inclusion and exclusion criteria, and data were synthesized to provide a comprehensive overview of the topic. RESULTS Pulse oximetry offers numerous advantages, including non-invasiveness, real-time feedback, portability, and cost-effectiveness. However, several limitations and challenges were identified, including motion artifacts, poor peripheral perfusion, ambient light interference, and patient-specific factors such as skin pigmentation and hemoglobin variants. Recommendations for optimizing pulse oximetry use include technological advancements, education and training initiatives, quality assurance protocols, and interdisciplinary collaboration. CONCLUSION Pulse oximetry is crucial in modern healthcare, offering invaluable insights into patients’ oxygenation status. Despite its limitations, pulse oximetry remains an indispensable tool for monitoring patients in diverse clinical settings. By implementing the recommendations outlined in this review, healthcare providers can enhance the effectiveness, accessibility, and safety of pulse oximetry monitoring, ultimately improving patient outcomes and quality of care.

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Use of pulse oximetry as an investigative test for paediatric respiratory sleep disorders

Cited by 3 publications

References 24 publications

Paediatric sleep diagnostics in the 21st century: the era of “sleep-omics”?

Paediatric sleep diagnostics in the 21st century: the era of “sleep-omics”?

Pediatric masks of obstructive sleep apnea syndrome

Pulse oximetry in pediatric care: Balancing advantages and limitations

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