Journal articles: 'Paediatric sleep'

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Devnani, Preeti. "Paediatric sleep medicine." Indian Journal of Sleep Medicine 5, no. 4 (2010): 105–10. http://dx.doi.org/10.5005/ijsm-5-4-105.

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Powell, S., H. Kubba, C. O'Brien, and M. Tremlett. "Paediatric obstructive sleep apnoea." BMJ 340, apr14 2 (April 14, 2010): c1918. http://dx.doi.org/10.1136/bmj.c1918.

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Reddy, K. R. Bharath Kumar. "Profile of paediatric sleep patients and polysomnography findings: Experience from an exclusive paediatric sleep clinic in India." Karnataka Pediatric Journal 36 (December 30, 2021): 119–22. http://dx.doi.org/10.25259/kpj_27_2021.

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Objectives: The objectives of the study were to describe the profile of patients attending an exclusive paediatric sleep clinic in India. Materials and Methods: Children aged 1 month–18 years, attending an exclusive paediatric sleep clinic, were assessed using standardized questionnaires. Children underwent sleep coaching, were treated medically, or underwent polysomnography based on the decision of the paediatric pulmonologist. Level 1 polysomnography was conducted by trained personnel. Results: Of 186 children, 36.5% were for infant sleep issues, 24.7% suspected obstructive sleep apnea (OSA), 18.2% neuromuscular diseases with sleep problems, 15.6% genetic disorders with sleep problems, 4.3% parasomnias, and 0.5% abnormal movements during sleep. Of the 85 paediatric polysomnographies conducted, 9.4% were normal studies, 87% had OSA, 1.1% restless leg syndrome, and 2.3% were inadequate studies. Conclusion: Sleep disorders in children are not uncommon and paediatricians need to be aware and identify them early. More number of exclusive paediatric sleep clinics need to be established in India.

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Morris, Simon, Rhodri Jones, Paramesh Mankunda Puttasiddaiah, Michael Eales, and Heikki Whittet. "Rationalising requests for preoperative sleep studies and postoperative HDU beds: a quality improvement project in paediatric ENT patients undergoing elective surgery." BMJ Open Quality 10, no. 4 (November 2021): e001378. http://dx.doi.org/10.1136/bmjoq-2021-001378.

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BackgroundSleep disordered breathing represents a spectrum of upper airway obstruction including snoring, increased respiratory effort and obstructive sleep apnoea. An increasing demand for paediatric preoperative sleep studies and postoperative high dependency unit (HDU) beds was having a significant impact on service delivery at this ear, nose and throat (ENT) unit.MethodsRetrospective and prospective review of all paediatric sleep study requests over a 30-month period in a single tertiary ENT department. Data were collected on indication for and result of sleep study, patient outcome, operative details and HDU bed occupancy. During the study period, a ‘Sleep Study’ proforma was introduced which incorporated the ‘I’m Sleepy Score’ (ISS) and ENT-UK national guidelines.ResultsRetrospective review included 198 sleep studies, of which 62% (n=118) showed no evidence of obstructive sleep apnoea (OSA). There was little consistency in patients’ sleep study results and need for monitoring on HDU following adenotonsillectomy. Prospective review following intervention included 60 patients, of which 62% (n=37) showed evidence of OSA. The mean ISS in this cohort was 4.7. Only those with moderate-to-severe OSA or with relevant risk factors underwent overnight HDU observation. The number of sleep study requests fell by >50%; from 11 per month to 5 per month. The total HDU bed occupancy was reduced by 50% following intervention (from n=18 to n=9).ConclusionThe use of the ISS and incorporation of ENTUK’s recommendations has reduced the number of negative sleep studies being requested and has rationalised the number of paediatric HDU bed requests being made. This has helped provide a prudent elective paediatric ENT service in this unit with corresponding cost benefits.

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Blenke, E. J. S. M., A. R. Anderson, Hemal Raja, S. Bew, and L. C. Knight. "Obstructive sleep apnoea adenotonsillectomy in children: when to refer to a centre with a paediatric intensive care unit?" Journal of Laryngology & Otology 122, no. 1 (April 3, 2007): 42–45. http://dx.doi.org/10.1017/s0022215107007566.

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AbstractObjective:To identify regional surgical referral patterns for adenotonsillectomy in children with obstructive sleep apnoea to our tertiary centre with paediatric intensive care unit facilities and to establish guidelines for elective paediatric intensive care unit referral and admission.Methods:Two methods were used. A questionnaire was sent to ENT consultants in five surrounding hospitals with no in-house paediatric intensive care facilities. The second was a prospective observational study undertaken in our tertiary centre for a sub-set of patients undergoing obstructive sleep apnoea adenotonsillectomy between January 2002 and February 2005. These children were considered high risk as judged clinically by an ENT surgeon. Most had obstructive sleep apnoea and a co-morbidity. Otherwise healthy children with simple obstructive sleep apnoea were excluded.Results:15 out of 20 consultants responded to the questionnaire. Four referred on the grounds of clinical history, five referred based on pulse oximetry, nine referred syndromal children and four did not refer electively. Of the 49 high risk patients operated on, only 12 required paediatric intensive care admission with no emergency paediatric intensive care admissions. No otherwise healthy children with uncomplicated obstructive sleep apnoea symptoms required paediatric intensive care admission during the study period.Conclusion:There was no regional consensus regarding paediatric intensive care unit referral for obstructive sleep apnoea adenotonsillectomy. Clinical judgement without complex sleep studies by those experienced in this area was sufficient to detect complicated cases of obstructive sleep apnoea with co-morbidity requiring paediatric intensive care.

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Nieber, Karen, Esther Raskopf, Johanna Möller, Olaf Kelber, Robert Fürst, Kija Shah-Hosseini, Jaswinder Singh, Karin Kraft, and Ralph Mösgens. "Pharmaco-epidemiological research on herbal medicinal products in the paediatric population: data from the PhytoVIS study." European Journal of Pediatrics 179, no. 3 (December 11, 2019): 507–12. http://dx.doi.org/10.1007/s00431-019-03532-3.

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AbstractIn paediatrics, clinical study data are limited, especially on herbal medicinal products. To address this gap, 2063 datasets from the paediatric population were evaluated in the PhytoVIS data base. By screening for paediatric data, information on indication, gender, treatment, co-medication and tolerability were evaluated. The majority of patients was treated because of common cold, fever, digestive complaints, skin diseases, sleep disturbances and anxiety. The perceived effect of the therapy was rated in 84% of the patients as very good or good without adverse events. The data shed light on a still neglected field of phyto-pharmacotherapy by giving information on the use of herbal medicines in an unselected cohort of paediatric patients. The results confirm the good clinical effects and safety of herbal medicinal products in this patient population and show that they are widely used in Germany.What is Known:• In Germany, about 85% of children receive one or more herbal medicinal products per year.• Despite international initiatives to promote clinical research in paediatrics, there are still many gaps of knowledge in the use of drugs in paediatrics.What is New:• The PhytoVIS project evaluated 2063 data sets from the paediatric population using herbal medicinal products.• The majority of patients was treated because of common cold, fever, digestive complaints, skin diseases, sleep disturbances and anxiety, and 84% of the patients rated the therapy as very good or good without adverse events.

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Teng, Arthur Y., and David G. McNamara. "The Scope of Paediatric Sleep Medicine." Annals of the Academy of Medicine, Singapore 37, no. 8 (August 15, 2008): 695–700. http://dx.doi.org/10.47102/annals-acadmedsg.v37n8p695.

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Despite apparent similarities to adult sleep medicine, the disorders of paediatric sleep medicine have a distinct epidemiology and pathophysiology. During childhood, the physiology of sleep develops and matures, resulting in changing patterns of normal behaviours and of sleep disorders. Through a fictional case scenario, this article aims to convey the range and complexity of disorders that may be encountered and the various investigations and treatments available to the paediatric sleep physician. Key words: Child, Circadian rhythm, Neuromuscular diseases, Obstructive sleep apnoea, Restless leg syndrome

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Nixon, G. M. "Sleep {middle dot} 8: Paediatric obstructive sleep apnoea." Thorax 60, no. 6 (June 1, 2005): 511–16. http://dx.doi.org/10.1136/thx.2003.007203.

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Parkes, J. "BOOK REVIEWS: Paediatric Sleep Medicine." Journal of Neurology, Neurosurgery & Psychiatry 55, no. 9 (September 1, 1992): 862. http://dx.doi.org/10.1136/jnnp.55.9.862-b.

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Fauroux, Brigitte. "What's new in paediatric sleep?" Paediatric Respiratory Reviews 8, no. 1 (March 2007): 85–89. http://dx.doi.org/10.1016/j.prrv.2007.02.010.

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Wiggs, Luci D. "Paediatric sleep disorders: the need for multidisciplinary sleep clinics." International Journal of Pediatric Otorhinolaryngology 67 (December 2003): S115—S118. http://dx.doi.org/10.1016/j.ijporl.2003.08.008.

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Wiggs, Luci D. "Paediatric sleep disorders: the need for multidisciplinary sleep clinics." International Congress Series 1254 (November 2003): 185–90. http://dx.doi.org/10.1016/s0531-5131(03)01124-5.

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Walker, P., B. Whitehead, and M. Rowley. "Role of paediatric intensive care following adenotonsillectomy for severe obstructive sleep apnoea: criteria for elective admission." Journal of Laryngology & Otology 127, S1 (September 4, 2012): S26—S29. http://dx.doi.org/10.1017/s0022215112001739.

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AbstractAims:This study aimed to critically review our criteria for elective admission to the paediatric intensive care unit following adenotonsillectomy for obstructive sleep apnoea.Materials and methods:We reviewed 122 children electively admitted between 1997 and 2011. During this time, our criteria for admission evolved.Results:In these 122 children, the respiratory disturbance index during rapid eye movement sleep ranged from 6 to 159 (mean, 83). Forty-one per cent of the children had a recognised co-morbidity. Nine children required extra intervention, i.e. in addition to re-positioning and/or supplemental oxygen. One child was an unplanned re-admission after discharge from the paediatric intensive care unit. Over the same period, five children required unplanned transfers into the paediatric intensive care unit following adenotonsillectomy for sleep-disordered breathing.Conclusion:Based upon these results, we describe our current criteria for elective admission to the paediatric intensive care unit following adenotonsillectomy for severe obstructive sleep apnoea.

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McDonald, Eileen M., Amanda Davani, Akisha Price, Patricia Mahoney, Wendy Shields, Rashelle J. Musci, Barry S. Solomon, Elizabeth A. Stuart, and Andrea C. Gielen. "Health education intervention promoting infant safe sleep in paediatric primary care: randomised controlled trial." Injury Prevention 25, no. 3 (September 22, 2017): 146–51. http://dx.doi.org/10.1136/injuryprev-2017-042421.

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BackgroundFew randomised controlled trials (RCTs) have been conducted to improve infant sleep practices. There is limited research on how best to integrate safe sleep information into routine paediatric anticipatory guidance delivered at well child visits (WCVs). This protocol paper describes the design of the Safe Start Study, which aims to evaluate the impact of safe sleep interventions on parents’ knowledge, beliefs and behaviours related to creating and maintaining a safe sleep environment for their infants.MethodsSafe Start is a three-group RCT comparing a safe sleep health education intervention delivered as part of the 2-week WCV, an attention-matched control group that receives a scald burn prevention intervention, and a standard of care group. A baseline survey is completed at the 2-week WCV; follow-up surveys and observations are completed in the home at 2–4 weeks and 2–3 months. Participants include mother–baby dyads attending a large urban paediatric primary care practice and their paediatricians. Primary outcomes are self-reported behaviours (baby sleeps alone, on back, in crib and in a smoke-free environment), observations of the sleep environment, paediatricians’ anticipatory guidance counselling about safe sleep and participants’ reported exposure to an existing city-wide safe sleep campaign.DiscussionProviding a theory-driven and evidenced-based safe sleep intervention is both a research and a clinical practice priority. This study will advance the application of educational and environmental interventions in the primary care setting to improve the safety of infant sleep environments in high-risk families.Trial registration numberNCT03070639; Pre-results.

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Kumar, Vikram Sakaleshpur. "What’s new in paediatric sleep medicine?" Karnataka Pediatric Journal 36 (December 30, 2021): 144–47. http://dx.doi.org/10.25259/kpj_38_2021.

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Kirby, Tony. "Tonsillectomy for paediatric obstructive sleep apnoea." Lancet Respiratory Medicine 2, no. 2 (February 2014): 93. http://dx.doi.org/10.1016/s2213-2600(13)70271-6.

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&NA;. "Tackling sleep problems in paediatric patients." Inpharma Weekly &NA;, no. 1222 (January 2000): 5. http://dx.doi.org/10.2165/00128413-200012220-00012.

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Pabla, L., J. Duffin, L. Flood, and K. Blackmore. "Paediatric obstructive sleep apnoea: is our operative management evidence-based?" Journal of Laryngology & Otology 132, no. 4 (February 21, 2018): 293–98. http://dx.doi.org/10.1017/s002221511800021x.

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AbstractBackground:Despite the plethora of publications on the subject of paediatric obstructive sleep apnoea, there seems to be wide variability in the literature and in practice, regarding recourse to surgery, the operation chosen, the benefits gained and post-operative management. This may reflect a lack of high-level evidence.Methods:A systematic review of four significant controversies in paediatric ENT was conducted from the available literature: tonsillectomy versus tonsillotomy, focusing on the evidence base for each; anaesthetic considerations in paediatric obstructive sleep apnoea surgery; the objective evidence for the benefits of surgical treatment for obstructive sleep apnoea; and the medical treatment options for residual obstructive sleep apnoea after surgical treatment.Results and conclusion:There are many gaps in the evidence base for the surgical correction of obstructive sleep apnoea. There is emerging evidence favouring subtotal tonsillectomy. There is continuing uncertainty around the prediction of the level of post-operative care that any individual child might require. The long-term benefit of surgical correction is a particularly fertile ground for further research.

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Zaiwalla, Zenobia. "Sleep deprivation versus melatonin to induce sleep during paediatric electroencephalography." Developmental Medicine & Child Neurology 61, no. 2 (August 11, 2018): 114–15. http://dx.doi.org/10.1111/dmcn.13989.

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Garde, Alison J. B., Neil A. Gibson, Martin P. Samuels, and Hazel J. Evans. "Recent advances in paediatric sleep disordered breathing." Breathe 18, no. 3 (September 2022): 220151. http://dx.doi.org/10.1183/20734735.0151-2022.

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This article reviews the latest evidence pertaining to childhood sleep disordered breathing (SDB), which is associated with negative neurobehavioural, cardiovascular and growth outcomes. Polysomnography is the accepted gold standard for diagnosing SDB but is expensive and limited to specialist centres. Simpler tests such as cardiorespiratory polygraphy and pulse oximetry are probably sufficient for diagnosing obstructive sleep apnoea (OSA) in typically developing children, and new data-processing techniques may improve their accuracy. Adenotonsillectomy is the first-line treatment for OSA, with recent evidence showing that intracapsular tonsillectomy results in lower rates of adverse events than traditional techniques. Anti-inflammatory medication and positive airway pressure respiratory support are not always suitable or successful, although weight loss and hypoglossal nerve stimulation may help in select comorbid conditions.Educational aimsTo understand the clinical impact of childhood sleep disordered breathing (SDB).To understand that, while sleep laboratory polysomnography has been the gold standard for diagnosis of SDB, other diagnostic techniques exist with their own benefits and limitations.To recognise that adenotonsillectomy and positive pressure respiratory support are the mainstays of treating childhood SDB, but different approaches may be indicated in certain patient groups.

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Forer, Ester, Inbal Golan Tripto, Romi Bari, David Shaki, Aviv Goldbart, and Amir Horev. "Effect of Paediatric Atopic Dermatitis on Parental Sleep Quality." Acta Dermato-Venereologica 103 (March 2, 2023): adv00879. http://dx.doi.org/10.2340/actadv.v103.4872.

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Data on the impact of paediatric atopic dermatitis on parental sleep are scarce. The aim of this study was to examine the effects of paediatric atopic dermatitis on the quality of parents’ sleep. This cross-sectional study included parents of patients with atopic dermatitis and parents of healthy children who completed validated Pittsburgh Sleep Quality Index questionnaires. The study and control groups were compared, as were results for mild and moderate atopic dermatitis with severe atopic dermatitis, mothers and fathers, and different ethnic groups. A total of 200 parents were enrolled. Sleep latency was significantly longer in the study group compared with the control group. Sleep duration was shorter in the parents of the mild AD group compared with the moderate-severe and control groups. Parents in the control group reported more daytime dysfunction than parents in the AD group. Fathers of children with AD reported more sleep disturbance than mothers.

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Wu, D., X. Li, X. Guo, J. Qin, and S. Li. "A simple diagnostic scale based on the analysis and screening of clinical parameters in paediatric obstructive sleep apnoea hypopnea syndrome." Journal of Laryngology & Otology 131, no. 4 (February 28, 2017): 363–67. http://dx.doi.org/10.1017/s0022215117000238.

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AbstractObjective:This study aimed to develop a simple and accurate method to diagnose paediatric obstructive sleep apnoea hypopnea syndrome.Methods:A total of 311 children with suspected paediatric obstructive sleep apnoea hypopnea syndrome were included in the study. Multiple clinical parameters, including sex, age, body mass index, history of snoring or gasping, history of nasal obstruction, history of running nose, palatine tonsil size, adenoid to nasopharynx ratio, and tympanogram type, were compared with polysomnography results using relevant correlation and regression analyses. A diagnostic scale was established using the regression equation and the correlation between the polysomnography result and scale result was determined.Results:The apnoea–hypopnea index correlated significantly with a history of snoring or gasping, palatine tonsil size, and tympanogram type. Stepwise logistic regression analysis revealed that the polysomnography result correlated significantly with a history of snoring or gasping, palatine tonsil size, and the adenoid to nasopharynx ratio. The percentage correlation between the scale and polysomnography results was 77.8 per cent.Conclusion:The diagnostic scale can be used to diagnose paediatric obstructive sleep apnoea hypopnea syndrome for clinical application when polysomnography cannot be performed. However, it is not suitable for assessing the severity of paediatric obstructive sleep apnoea hypopnea syndrome.

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Sharma, S. D., H. Kanona, G. Kumar, and B. Kotecha. "Latest trends in the assessment and management of paediatric snoring and sleep apnoea." Journal of Laryngology & Otology 130, no. 5 (April 20, 2016): 482–89. http://dx.doi.org/10.1017/s0022215116000980.

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AbstractObjective:To investigate the assessment and management of paediatric snoring and obstructive sleep apnoea in UK otolaryngology departments.Method:A telephone questionnaire survey of UK otolaryngology departments was conducted over a 16-week period.Results:The response rate was 61 per cent (85 out of 139 trusts). Use of pre-operative pulse oximetry was reported by 84 per cent of respondents, mainly to diagnose obstructive sleep apnoea (73 per cent) or stratify post-operative risk (46 per cent). Thirty-one per cent of respondents reported using post-operative pulse oximetry. Twenty-five per cent of respondents have a dedicated management protocol for paediatric obstructive sleep apnoea and snoring. Thirty-four per cent require prior clinical commissioning group approval before performing surgery. Fifty-eight per cent of respondents reported following up their obstructive sleep apnoea patients after surgery. The mean follow-up period (±standard deviation) was 6.8 ± 1.2 weeks.Conclusion:There is variation in the assessment and management of paediatric snoring and obstructive sleep apnoea across the UK, particularly in the use of pre- and post-operative pulse oximetry monitoring, and further guidelines regarding this are necessary.

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Daniel, Lauren C., and Lamia P. Barakat. "A Review of Sleep Concerns in Paediatric Sickle Cell Disease." European Oncology & Haematology 08, no. 01 (2012): 58. http://dx.doi.org/10.17925/eoh.2012.08.01.58.

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Children with sickle cell disease (SCD) are at an increased risk for sleep disorders as compared to healthy children, possibly because of disease processes, pain, minority status and living in an urban environment. Adequate sleep is an essential component of typical development, moodand- affect regulation and health maintenance, but more research is needed to understand the contribution of sleep to health outcomes in children with SCD. AS SCD is a chronic disease that can be affected by environmental, health, and behavioural factors, understanding the impact of the disease on sleep is important to maximise the quality of life in these children. If the disease causes poor sleep quality, then children may be at risk for a host of developmental and psychosocial problems, beyond those caused by SCD, as a result of inadequate sleep. Also, poor sleep may affect the disease course, thus exacerbating symptoms. Prevalent sleep disorders in this population are reviewed, including sleep-disordered breathing, periodic limb movements, restless legs syndrome and nocturnal enuresis. Also, the contribution of the disease symptoms pain, hypoxaemia, daytime tiredness and fatigue to disrupted sleep are examined. Finally, the effects of sociodemographic factors, such as poverty and minority status, are described, as these contextual factors significantly impact sleep across several chronic conditions in paediatrics. Frequent monitoring for sleep disruptions can be essential to improving health outcomes and quality of life in children with SCD.

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Talukder, Debesh Chandra, Nadira Musabbir, and Mohammad Saiful Islam. "Paediatric Obstructive Sleep Apnea: A Review Article." Journal of Dhaka Medical College 25, no. 2 (September 13, 2017): 124–28. http://dx.doi.org/10.3329/jdmc.v25i2.33979.

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Obstructive sleep apnea (OSA) is one of the most common causes of sleep disordered breathing in children. However, it is associated with significant morbidity, potentially impacting on long term neurocognitive and behavioural development, as well as cardiovascular outcomes and metabolic homeostasis. Diagnosis and treatment of this condition in children differs in many aspects from that in adults. In this review article, we will describe the pathophysiology, clinical features and laboratory testing and measures needed for treatment of this disease.J Dhaka Medical College, Vol. 25, No.2, October, 2016, Page 124-128

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McDonald, Aoife, and Desaline Joseph. "Paediatric neurodisability and sleep disorders: clinical pathways and management strategies." BMJ Paediatrics Open 3, no. 1 (March 2019): bmjpo—2018–000290. http://dx.doi.org/10.1136/bmjpo-2018-000290.

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Sleep disorders are common in children with neurodisability. Their presentation is often complex. This complexity of presentation can make sleep disorders in children with neurodisability daunting to diagnose and manage. Both parents and healthcare professionals have identified sleep disorders as a healthcare outcome that they prioritise in children with neurodisability. We aim to explore the challenges of diagnosing sleep problems, discuss common difficulties with sleep in children with neurodisability and will touch on how to set up a service to support and manage sleep, working through case examples.

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Mindell, Jodi A., and Lisa J. Meltzer. "Behavioural Sleep Disorders in Children and Adolescents." Annals of the Academy of Medicine, Singapore 37, no. 8 (August 15, 2008): 722–28. http://dx.doi.org/10.47102/annals-acadmedsg.v37n8p722.

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Studies indicate that sleep problems in children and adolescents are highly prevalent, with prevalence rates ranging from 25% to 40%. They are even more common in special populations, especially children with psychiatric issues. Furthermore, sleep issues are often persistent. Unfortunately, sleep disturbances often do not receive the attention that they deserve, especially since they are often highly amenable to intervention. Sleep problems, in general, range from those that are physiologically-based, such as obstructive sleep apnoea and restless legs syndrome, to those that are behaviorally-based. The behaviourally-based sleep disorders are reviewed, including a discussion of assessment, prevalence and treatment. Non-pharmacologic approaches are usually the preferred treatment and have received the most empirical support in paediatric populations. It is strongly recommended that all paediatric healthcare providers consider sleep issues in their comprehensive assessment of all children and adolescents, especially those with psychiatric issues, and provide preventive education as part of their usual standard of care. Key words: Adolescents, Behaviour, Children, Non-pharmacological treatments, Sleep

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Wood, J. M., M. Cho, and A. S. Carney. "Role of subtotal tonsillectomy (‘tonsillotomy’) in children with sleep disordered breathing." Journal of Laryngology & Otology 128, S1 (November 26, 2013): S3—S7. http://dx.doi.org/10.1017/s0022215113003058.

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AbstractIntroduction:Sleep disordered breathing in children causes disturbance in behaviour and also in cardiorespiratory and neurocognitive function. Subtotal tonsillectomy (‘tonsillotomy’) has been performed to treat sleep disordered breathing, with outcomes comparable to established therapies such as total tonsillectomy or adenoidectomy. This review critically assesses the role of subtotal tonsillectomy in a paediatric setting.Method:The Medline database (1966 to October 2012) was electronically searched using key terms including subtotal or intracapsular tonsillectomy, tonsillotomy, tonsillectomy, paediatrics, and sleep disordered breathing.Results:Eighteen papers were identified and reviewed. Subtotal tonsillectomy would appear to have an efficacy equal to that of total tonsillectomy for the treatment of sleep disordered breathing, and has significant benefits in reducing post-operative pain and analgesia use. Subtotal tonsillectomy patients appear to have less frequent post-operative haemorrhage compared with total tonsillectomy patients.Conclusion:In children, subtotal tonsillectomy is associated with fewer post-operative complications whilst having a comparable effect in improving sleep disordered breathing, compared with total tonsillectomy.

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Richardson, C., M. Ree, R. S. Bucks, and M. Gradisar. "Paediatric sleep literacy in australian health professionals." Sleep Medicine 81 (May 2021): 327–35. http://dx.doi.org/10.1016/j.sleep.2021.02.035.

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Lasley, M. V. "Seasonal Variability in Paediatric Obstructive Sleep Apnoea." PEDIATRICS 132, Supplement (October 1, 2013): S30—S31. http://dx.doi.org/10.1542/peds.2013-2294ww.

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Sumpter, Ruth E., Liam Dorris, Thomas Kelly, and Thomas M. McMillan. "Sleep difficulties after paediatric traumatic brain injury." Developmental Medicine & Child Neurology 56, no. 2 (October 5, 2013): 194. http://dx.doi.org/10.1111/dmcn.12291.

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Walter, L. M., L. C. Nisbet, G. M. Nixon, M. J. Davey, V. Anderson, J. Trinder, A. M. Walker, and R. S. C. Horne. "Seasonal variability in paediatric obstructive sleep apnoea." Archives of Disease in Childhood 98, no. 3 (December 20, 2012): 208–10. http://dx.doi.org/10.1136/archdischild-2012-302599.

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Coyle, P., S. D. Marzouk, M. Gerolympou, and J. Marais. "Hot tonsillectomy for paediatric obstructive sleep apnoea." Case Reports 2014, jun06 1 (June 6, 2014): bcr2013203378. http://dx.doi.org/10.1136/bcr-2013-203378.

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Fauroux, Brigitte, Guillaume Aubertin, and Annick Clément. "What's new in paediatric sleep in 2007?" Paediatric Respiratory Reviews 9, no. 2 (June 2008): 139–43. http://dx.doi.org/10.1016/j.prrv.2007.12.005.

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Ngiam, Joachim, and Peter A. Cistulli. "Dental Treatment for Paediatric Obstructive Sleep Apnea." Paediatric Respiratory Reviews 16, no. 3 (June 2015): 174–81. http://dx.doi.org/10.1016/j.prrv.2014.11.002.

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Fisher, Edward, Robin Youngs, Musheer Hussain, and Jonathan Fishman. "A focus on paediatric obstructive sleep apnoea." Journal of Laryngology & Otology 132, no. 4 (April 2018): 283. http://dx.doi.org/10.1017/s002221511800049x.

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Vaughan, Elizabeth, Donald Urquhart, Mary-Louise Montague, Nicola Stirrat, David Fynn, and Alok Sharma. "Perioperative management of paediatric obstructive sleep apnoea." International Journal of Surgery 11, no. 8 (October 2013): 640. http://dx.doi.org/10.1016/j.ijsu.2013.06.285.

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Panzarella, Vera, Giovanna Giuliana, Paola Spinuzza, Gaetano La Mantia, Laura Maniscalco, Giuseppe Pizzo, and Domenica Matranga. "Paediatric Sleep Questionnaire for Obstructive Sleep Apnoea Syndrome Screening: Is Sleep Quality Worthy of Note?" Applied Sciences 11, no. 4 (February 5, 2021): 1440. http://dx.doi.org/10.3390/app11041440.

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Obstructive sleep apnoea syndrome (OSAS) is the most severe condition on the spectrum of sleep-related breathing disorders (SRBDs). The Paediatric Sleep Questionnaire (PSQ) is one of the most used and validated screening tools, but it lacks the comprehensive assessment of some determinants of OSAS, specifically anamnestic assessment and sleep quality. This study aims to assess the accuracy of some specific items added to the original PSQ, particularly related to the patient’s anamnestic history and to the quality of sleep, for the screening of OSAS in a paediatric population living in Sicily (Italy). Fifteen specific items, divided into “anamnestic” and “related to sleep quality” were added to the original PSQ. The whole questionnaire was administered via a digital form to the parents of children at 4 schools (age range: 3–13 years). For each item, sensitivity and specificity, positive and negative predictive values, and positive and negative likelihood ratios were calculated. The highest sensitivity (80.0, 95% CI: 28.4; 99.5), in combination with the highest specificity (61.1, 95% CI: 35.7; 82.7), was found for the Item 32 (“assumption of bizarre or abnormal positions during sleep”). This item was found statistically significant for predicting the occurrence of OSAS in children (p-value ≤0.003). The study demonstrates the accuracy of specific items related to sleep quality disturbance for the preliminary assessment of the disease. Although these results should be validated on a larger sample of subjects, they suggest that including the factors discriminating sleep quality could further increase the efficiency and accuracy of PSQ.

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Griffiths, A., A. Mukushi, and A. Adams. "P043 Telehealth-supported Level 2 paediatric home polysomnography." SLEEP Advances 2, Supplement_1 (October 1, 2021): A35. http://dx.doi.org/10.1093/sleepadvances/zpab014.091.

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Abstract Introduction The gold standard for diagnosis of paediatric obstructive sleep apnoea (OSA) is attended in-laboratory level 1 polysomnography (PSG). In our service, we select some children for unattended home level 2 PSG (HPSG) with telehealth support. We audited our HPSG service from 2013 to 2020. Methods We retrospectively audited level 2 home PSG reports in children aged 5–18 years referred for suspected OSA between 2013 and 2020. Tests were performed with the Compumedics Somte PSG acquisition device. The primary outcome was % of studies achieving a technically adequate diagnosis. Secondary outcomes included sleep duration, sleep efficiency and parental acceptance by non-validated service-specific questionnaire. Data was analysed using descriptive & inferential statistics. χ² tests were used for categorical variables. Results There were 235 (140 male, 59.6%) patients studied between 2013 and 2020 (7 years). The mean age was 10.8 (SD 3.6) years. 69 patients (29.4%) had co-morbidities. Repeat studies were indicated in 10.2% (24/235) due to technical failure. There was no significant difference between failed studies set up by HITH nurses compared with Sleep scientists (p=0.1). A technically acceptable diagnosis was made in 87% (205/235) patients, with no reason for under-estimation in 74.9%, and potential under-estimation in 17.9%. No diagnosis was achieved in 7.2%. 6 hrs or more sleep was obtained in 83%. Parental questionnaires revealed 89% perceived high-level care, 91% perceived increased convenience and 76% good/excellent telehealth support. Discussion Telehealth-supported paediatric HPSG achieves a technically adequate diagnosis in 87%, with 83% achieving ≥6 hrs sleep duration, and excellent family acceptability.

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Gentin, N., T. Howarth, and S. Heraganahally. "O039 Access to sleep health services for Indigenous children in the Northern Territory of Australia." SLEEP Advances 3, Supplement_1 (October 1, 2022): A15—A17. http://dx.doi.org/10.1093/sleepadvances/zpac029.038.

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Abstract Paediatric sleep disorders have significant impacts on physical and mental health, growth and development. Indigenous children may be further impacted due to high prevalence of other medical conditions, socioeconomic disparity and reduced access to healthcare. In 2016, a local paediatric sleep service in the Northern Territory (NT) was created. We assessed demographics and referral patterns of Indigenous and non-Indigenous paediatric patients referred to this service. Paediatric patients referred for a sleep study between 2016- 2020 were included. Demographics, referral source, time from consult to study and follow up were assessed and compared between Indigenous and non-Indigenous patients. There were 923 children referred for sleep studies. Indigenous patients made up 20%. Indigenous patients were older (median 7 vs. 5 years) and more likely to live remotely (24% vs. 10%). Most Indigenous patients were referred from the public hospital system (62%) and by a paediatrician (56%); while most non-Indigenous patients were referred from the private system (56%) and by an otorhinolaryngologist (55%). Indigenous patients had a median 33 days between referral and initial consult compared with 21 days for non-Indigenous patients (p<0.05). Reviews were scheduled for 81% of Indigenous and 77% of non-Indigenous patients, of which 6% and 2% respectively did not attend. Indigenous patients showed different demographic and referral patterns to non-Indigenous patients. Despite improvements made to sleep service access for NT Indigenous children; there are still barriers to treatment. Reasons for this and ways to overcome these barriers are important for the health and wellbeing of Indigenous people.

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Pham, H., T. Saunders, and M. Vandeleur. "O016 Actigraphy: A review of practice down under." SLEEP Advances 3, Supplement_1 (October 1, 2022): A7. http://dx.doi.org/10.1093/sleepadvances/zpac029.015.

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Abstract Background In 2018, the American Academy of Sleep Medicine (AASM) published practice guidelines for use of actigraphy in evaluating adult and paediatric patients with suspected sleep disorders. Whilst there is significant evidence of actigraphy use in research, this study aims to evaluate current and future intended use of actigraphy in paediatric clinical cohorts across Australia and New Zealand (NZ). Methods A 16-item survey was electronically distributed to medical leads from Australian and NZ paediatric sleep centres. Questions enquired on sleep centre logistics, current actigraphy practice behaviours and qualitative assessments on future use. Progress to date The survey was distributed on July 22nd. Thus far, 8 responses have been returned, representing a range of locales, centre types and actigraphy practices. Findings will be collated and presented. Intended outcome and impact This study will provide an understanding for the contemporary trends in actigraphy use through Australia and NZ. This is particularly relevant given changes across recent years with both an increase in commercial prevalence for consumer sleep health devices as well as a surge in ambulatory medical services following the COVID-19 pandemic. It will identify barriers limiting its universal utility and explore clinician preferences for future practice. Such findings can guide actions around improving clinical services, product design and government funding advocacy.

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Midulla, Fabio, Enrico Lombardi, Marielle Pijnenburg, Ian M. Balfour-Lynn, Jonathan Grigg, Kajsa Bohlin, Franca Rusconi, Petr Pohunek, and Ernst Eber. "Paediatrics: messages from Munich." ERJ Open Research 1, no. 1 (May 2015): 00016–2015. http://dx.doi.org/10.1183/23120541.00016-2015.

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The aim of this article is to describe paediatric highlights from the 2014 European Respiratory Society (ERS) International Congress in Munich, Germany. Abstracts from the seven groups of the ERS Paediatric Assembly (Respiratory Physiology and Sleep, Asthma and Allergy, Cystic Fibrosis, Respiratory Infection and Immunology, Neonatology and Paediatric Intensive Care, Respiratory Epidemiology, and Bronchology) are presented in the context of the current literature.

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Khalid-Raja, M., and K. Tzifa. "Current demand of paediatric otolaryngology input for children with Down's syndrome in a tertiary referral centre." Journal of Laryngology & Otology 130, no. 11 (October 6, 2016): 995–1000. http://dx.doi.org/10.1017/s0022215116008963.

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AbstractObjective:This study aimed to evaluate the activity of paediatric otolaryngology services required for children with Down's syndrome in a tertiary referral centre.Methods:A review of the paediatric otolaryngology input for children with Down's syndrome was performed; data were obtained from the coding department for a two-year period and compared with other surgical specialties.Results:Between June 2011 and May 2013, 106 otolaryngology procedures were performed on children with Down's syndrome. This compared to 87 cardiac and 81 general paediatrics cases. The most common pathologies in children with Down's syndrome were obstructive sleep apnoea, otitis media, hearing loss and cardiac disease. The most common otolaryngology procedures performed were adenoidectomy, tonsillectomy, grommet insertion and bone-anchored hearing aid implant surgery.Conclusion:ENT manifestations of Down's syndrome are common. Greater provisions need to be made to streamline the otolaryngology services for children and improve transition of care to adult services.

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Shamil, E., M. J. Rouhani, A. C. Panayi, J. Lynch, J. Tysome, and N. Jonas. "Investigating the effect of a nasal decongestant on post-adenotonsillectomy respiratory complications in 25 paediatric patients with obstructive sleep apnoea: a pilot study." Journal of Laryngology & Otology 133, no. 2 (February 2019): 110–14. http://dx.doi.org/10.1017/s0022215119000033.

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AbstractObjectiveAdenotonsillectomy is frequently performed for obstructive sleep apnoea, but is associated with post-operative respiratory morbidity. This study assessed the effect of paediatric Otrivine (0.05 per cent xylometazoline hydrochloride) on post-operative respiratory compromise.MethodsPaediatric patients undergoing adenotonsillectomy for obstructive sleep apnoea were included. The control group (n = 24) received no intervention and the intervention group (n = 25) received intra-operative paediatric Otrivine during induction using a nasal patty. Post-operative outcomes included pain, respiratory distress signs and medical intervention level required (simple, intermediate and major).ResultsPost-operative respiratory distress signs were exhibited by 4 per cent of the Otrivine group and 21 per cent of the control group. Sixty-eight per cent of the Otrivine group required simple medical interventions post-operatively, compared to 42 per cent of the control group. In the Otrivine group, 4 per cent required intermediate interventions; none required major interventions. In the control group, 12.5 per cent required both intermediate and major interventions. Fifty per cent of the control group reported pain post-operatively, compared with 40 per cent in the Otrivine group.ConclusionIntra-operative paediatric Otrivine may reduce post-operative respiratory compromise in paediatric patients undergoing adenotonsillectomy for obstructive sleep apnoea. A randomised controlled trial is required.

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Palm, Lars. "A clinical guide to paediatric sleep: diagnosis and management of sleep problems." Acta Paediatrica 99, no. 8 (April 30, 2010): 1276. http://dx.doi.org/10.1111/j.1651-2227.2010.01853.x.

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Noone, A., Y. Lao, T. Crawford, D. Kennedy, J. Martin, A. Ferrante, D. Wabnitz, and A. Kontos. "O035 Elevated liver enzymes in paediatric sleep disordered breathing." SLEEP Advances 3, Supplement_1 (October 1, 2022): A14. http://dx.doi.org/10.1093/sleepadvances/zpac029.034.

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Abstract Introduction Paediatric sleep disordered breathing (SDB) is associated with adverse cardiovascular outcomes. Non-alcoholic fatty liver disease (NAFLD) and dyslipidaemia are potential modifiable risk factors for cardiovascular disease, often coexisting in adults with SDB. Increases in lipid outputs from the liver have been identified in obese adults and children with SDB. Whether children with SDB compared to healthy non-snoring controls have evidence of elevated serum lipids and associated liver enzyme changes were assessed. Methods Seventy-five children (SDB=49, controls=26) between the ages of 6-17 years matched for age, gender and BMI underwent overnight polysomnography to measure SDB severity and provided a fasting blood sample to assess lipid and liver panels. Results OAHI was significantly increased in children with SDB compared to healthy non-snoring controls (p < 0.05). Serum potassium, alanine aminotransferase and lactate dehydrogenase were significantly increased in children with SDB, while albumin was significantly decreased (p < 0.05). No differences were found between serum lipid levels. Conclusion The presence of paediatric SDB may increase the risk of developing NAFLD. Further investigation is required to determine whether routine assessment of liver enzymes should be implemented in paediatric SDB. Whether surgical removal of the adenoids and tonsils to treat paediatric SDB can stabilise liver enzyme levels requires further research.

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Pang, Kenny Peter, and Abhilash Balakrishnan. "Paediatric obstructive sleep apnoea: is a polysomnogram always necessary?" Journal of Laryngology & Otology 118, no. 4 (April 2004): 275–78. http://dx.doi.org/10.1258/002221504323012012.

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Obstructive sleep apnoea (OSA) is a common entity in children, most present with sleep disturbances such as snoring, choking during sleep, enuresis, restless sleep, or apnoeic spells. Other symptoms include poor school performance, hyperactivity, failure to thrive,heart failure and cor pulmonale. Most authors would concur that the polysomnogram (PSG) is the gold standard for the diagnosis of OSA, and that adenotonsillectomy is the surgical procedure of choice, with high curative rates and relatively low morbidity. Close post-operative monitoring of all children with OSA cannot be over-emphasized. The focus has been, traditionally, to anticipate post-operative airway and respiratory complications in this group of children. We present 73 children with clinical OSA and 36 children with proven OSA on PSG, with only one child having respiratory complications (mixed apnoea), and all with uneventful recovery. In view of ourlow complication rates, low post-operative morbidity, cost and facility factor, the need for a mandatory overnight PSG pre-operatively is questioned, and clinical criteria for performing a PSG preoperatively are suggested.

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El Arab, Rabie Adel, Manuel Sánchez-de-la-Torre, Fran Valenzuela-Pascual, Esther Rubinat-Arnaldo, Joan Blanco-Blanco, Francesc Rubí-Carnacea, Oriol Martinez-Navarro, Olga Mediano, and Montserrat Gea-Sánchez. "Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature Review." Applied Sciences 13, no. 6 (March 9, 2023): 3516. http://dx.doi.org/10.3390/app13063516.

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Background: obstructive sleep apnoea is a common and burdensome condition, characterised by obstruction of the airway during sleep at the level of the pharynx, which may occur with symptoms or without any symptoms. The most common place for obstructive sleep apnoea management is in specialised sleep units. Aim: to identify what is known about nurses’ role in comprehensive management of obstructive sleep apnoea, and to determine the effectiveness of nurse-led interventions as well as the cost effectiveness of management of obstructive sleep apnoea in primary care settings. Methods: a scoping review was carried out by searching PubMed/Medline, CINAHL, Scopus, Cochrane Database of Systematic Reviews and ScienceDirect. The study findings were synthesised using a thematic analysis approach. Results: In this review, 12 articles were included, and three key themes emerged, namely the role of nurses in the diagnosis of obstructive sleep apnoea, role of nurses in the follow up and support of obstructive sleep apnoea patients, and role of nurses in the management of obstructive sleep apnoea in primary care and the cost-effectiveness. Conclusion: Nurses can play a critical role in obstructive sleep apnoea. There are many ways in which nurses can contribute, including screening, assessment, diagnosis, promotion of therapy adherence, and following up with patients, including monitoring for any side effects associated with the CPAP machine, such as irritation of the face. Additionally, nurses can provide patient education and coordinate with other health care providers. Nursing interventions such as patient education have been demonstrated to be highly effective in promoting adherence to PAP therapy in both sleep units and primary care settings. Based on the findings of this review, the primary care model is more cost-effective than the sleep unit model in the management of obstructive sleep apnoea patients. The role of nurses in managing Obstructive Sleep Apnoea in both paediatric and adult populations shares similarities, but also includes differences that should be carefully considered and explored. In this review, one article only explored the role of nurses in paediatric OSA care. Thus, there is a need to identify the potential role of nursing in the comprehensive management of paediatric obstructive sleep apnoea, as well as to explore alternative cost-effective approaches that include primary care settings.

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Suresh, S., and C. Parsley. "The challenge in paediatric sleep: What is normal?" Indian Journal of Sleep Medicine 4, no. 2 (2009): 39–42. http://dx.doi.org/10.5005/ijsm-4-2-39.

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&NA;. "Intranasal corticosteroids may help paediatric obstructive sleep apnoea." Inpharma Weekly &NA;, no. 1297 (July 2001): 19. http://dx.doi.org/10.2165/00128413-200112970-00049.

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Journal articles on the topic 'Paediatric sleep'

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