Preoperative identification of children at high risk of obstructive sleep apnea

Mon Ohn; Peter Eastwood; Britta S. Ungern-Sternberg; Thomas Engelhardt

doi:10.1111/pan.13788

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Preoperative identification of children at high risk of obstructive sleep apnea

Journal article

Peer reviewed

Preoperative identification of children at high risk of obstructive sleep apnea

Mon Ohn, Peter Eastwood, Britta S. Ungern-Sternberg and Thomas Engelhardt

Pediatric anesthesia, Vol.30(3), pp.221-231

2020

DOI: https://doi.org/10.1111/pan.13788

PMID: 31841240

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Abstract

anesthesia awareness

child

obstructive sleep apnea

risk assessment

surgery

Obstructive sleep apnea is a common childhood disorder which can lead to serious health problems if left untreated. Enlarged adenoid and tonsils are the commonest causes, and adenotonsillectomy is the recommended first line of treatment. Obstructive sleep apnea poses as an anesthetic challenge, and it is a well-known risk factor for perioperative adverse events. The presence and severity of an obstructive sleep apnea diagnosis will influence anesthesia, pain management, and level of monitoring in recovery period. Preoperative obstructive sleep apnea assessment is necessary, and anesthetists are ideally placed to do so. Currently, there is no standardized approach to the best method of preoperative screening for obstructive sleep apnea. Focused history, clinical assessments, and knowledge regarding the strengths and limitations of available obstructive sleep apnea assessment tools will help recognize a child with obstructive sleep apnea in the preoperative setting.

Details

Title: Preoperative identification of children at high risk of obstructive sleep apnea
Authors/Creators: Mon Ohn - Princess Margaret Hospital for Children
Peter Eastwood - The University of Western Australia
Britta S. Ungern-Sternberg - Princess Margaret Hospital for Children
Thomas Engelhardt
Publication Details: Pediatric anesthesia, Vol.30(3), pp.221-231
Number of pages: 11
Identifiers: 991005592650407891
Murdoch Affiliation: Vice Chancellery
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.137 Sleep Science & Circadian Systems; 1.137.382 Obstructive Sleep Apnea
Web Of Science research areas: Anesthesiology; Pediatrics
ESI research areas: Clinical Medicine