Management of paediatric sleep-disordered breathing.
| Title: | Management of paediatric sleep-disordered breathing. |
|---|---|
| Authors: | Springford LR; Department of Ear, Nose, Throat and Head and Neck Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK.; Griffiths M; Central London School of Anaesthesia, London, UK.; Bajaj Y; Department of Ear, Nose, Throat and Head and Neck Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK. |
| Source: | British journal of hospital medicine (London, England : 2005) [Br J Hosp Med (Lond)] 2024 Feb 02; Vol. 85 (2), pp. 1-6. Date of Electronic Publication: 2024 Feb 20. |
| Publication Type: | Journal Article; Review |
| Language: | English |
| Journal Info: | Publisher: MA Healthcare Country of Publication: England NLM ID: 101257109 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1750-8460 (Print) Linking ISSN: 17508460 NLM ISO Abbreviation: Br J Hosp Med (Lond) Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : MA Healthcare, c2005- |
| MeSH Terms: | Sleep Apnea Syndromes*/diagnosis ; Sleep Apnea Syndromes*/therapy ; Sleep Apnea, Obstructive*/diagnosis ; Sleep Apnea, Obstructive*/therapy ; Tonsillectomy*; Child ; Humans ; Adenoidectomy |
| Abstract: | Paediatric sleep-disordered breathing is a common condition which varies in severity from snoring to obstructive sleep apnoea. Paediatric sleep-disordered breathing is usually diagnosed clinically, with investigations such as polysomnography reserved for more complex cases. Management can involve watching and waiting, medical or adjunct treatments and adenotonsillectomy. National working groups have sought to standardise the pathway for surgery and improve the management of surgical and anaesthetic complications. Current guidelines use age, weight and comorbidities to stratify risk for these surgical cases. This article summarises these recommendations and outlines the important factors that indicate cases that may be more suitable for management in secondary and tertiary units. Appropriate case selection will reduce pressure on tertiary units while maintaining training opportunities in district general hospitals. |
| Contributed Indexing: | Keywords: Obstructive sleep apnoea; Obstructive sleep-disordered breathing; Otorhinolaryngology; Paediatric; Paediatric respiratory; Sleep-disordered breathing; Tertiary care |
| Entry Date(s): | Date Created: 20240228 Date Completed: 20240229 Latest Revision: 20240229 |
| Update Code: | 20260130 |
| DOI: | 10.12968/hmed.2023.0275 |
| PMID: | 38416524 |
| Database: | MEDLINE |
Journal Article; Review