Sleep disordered breathing in children: what a pediatrician needs to know?

Obstructive sleep disordered breathing (SDB) is defined by the presence of recurrent partial or complete upper airway obstruction (hypopneas, obstructive or mixed apneas) with disruption of normal oxygenation, ventilation and sleep pattern. SDB is quite common in otherwise healthy children but the...

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Main Author: Alessandro Amaddeo
Format: Article
Language:English
Published: Hrvatski liječnički zbor 2023-01-01
Series:Liječnički vjesnik
Subjects:
Online Access:https://hrcak.srce.hr/file/445807
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author Alessandro Amaddeo
author_facet Alessandro Amaddeo
author_sort Alessandro Amaddeo
collection DOAJ
description Obstructive sleep disordered breathing (SDB) is defined by the presence of recurrent partial or complete upper airway obstruction (hypopneas, obstructive or mixed apneas) with disruption of normal oxygenation, ventilation and sleep pattern. SDB is quite common in otherwise healthy children but the prevalence in children with congenital and genetic diseases is higher often with a more severe form of OSAS. Its consequences encompassed metabolic, cardiovascular and neurocognitive alterations. Clinical symptoms vary according to age, with some diurnal and nocturnal symptoms. No questionnaire had demonstrated a good reliability for the diagnosis of SDB and for the prediction of its severity. The mainstem of treatment is represented by adenotonsillectomy, with a good response in almost two tiers of patients. For those who failed to improve or who relapse other therapeutic options may be continuous positive pressure (CPAP) or noninvasive ventilation (NIV).
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spelling doaj.art-1cccab28f6e6481192316f41c74276a52024-04-15T18:57:54ZengHrvatski liječnički zborLiječnički vjesnik0024-34771849-21772023-01-01145Supp 53610.26800/LV-145-supl5-1Sleep disordered breathing in children: what a pediatrician needs to know?Alessandro Amaddeo0Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, ItalyObstructive sleep disordered breathing (SDB) is defined by the presence of recurrent partial or complete upper airway obstruction (hypopneas, obstructive or mixed apneas) with disruption of normal oxygenation, ventilation and sleep pattern. SDB is quite common in otherwise healthy children but the prevalence in children with congenital and genetic diseases is higher often with a more severe form of OSAS. Its consequences encompassed metabolic, cardiovascular and neurocognitive alterations. Clinical symptoms vary according to age, with some diurnal and nocturnal symptoms. No questionnaire had demonstrated a good reliability for the diagnosis of SDB and for the prediction of its severity. The mainstem of treatment is represented by adenotonsillectomy, with a good response in almost two tiers of patients. For those who failed to improve or who relapse other therapeutic options may be continuous positive pressure (CPAP) or noninvasive ventilation (NIV).https://hrcak.srce.hr/file/445807SLEEP, OBSTRUCTIVE SLEEP APNEA, CONTINUOUS POSITIVE AIRWAY PRESSURE, NONINVASIVE VENTILATION
spellingShingle Alessandro Amaddeo
Sleep disordered breathing in children: what a pediatrician needs to know?
Liječnički vjesnik
SLEEP, OBSTRUCTIVE SLEEP APNEA, CONTINUOUS POSITIVE AIRWAY PRESSURE, NONINVASIVE VENTILATION
title Sleep disordered breathing in children: what a pediatrician needs to know?
title_full Sleep disordered breathing in children: what a pediatrician needs to know?
title_fullStr Sleep disordered breathing in children: what a pediatrician needs to know?
title_full_unstemmed Sleep disordered breathing in children: what a pediatrician needs to know?
title_short Sleep disordered breathing in children: what a pediatrician needs to know?
title_sort sleep disordered breathing in children what a pediatrician needs to know
topic SLEEP, OBSTRUCTIVE SLEEP APNEA, CONTINUOUS POSITIVE AIRWAY PRESSURE, NONINVASIVE VENTILATION
url https://hrcak.srce.hr/file/445807
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