Review article

https://doi.org/10.26800/LV-145-supl5-1

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

Alessandro Amaddeo ; Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy *

* Corresponding author.

Abstract

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).

Keywords

SLEEP, OBSTRUCTIVE SLEEP APNEA, CONTINUOUS POSITIVE AIRWAY PRESSURE, NONINVASIVE VENTILATION

Hrčak ID:

308849

URI

https://hrcak.srce.hr/308849

Publication date:

10.10.2023.

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