Document Detail


[Postoperative monitoring of children with obstructive sleep apnea syndrome].
MedLine Citation:
PMID:  24776384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Treatment of pediatric obstructive sleep apnea syndrome is surgical. The incidence of postoperative respiratory complications in this population is 5-25%.
AIM: The aim of the authors was to present the preoperative evaluation and monitoring procedure elaborated in Heim Pál Children Hospital, Budapest.
METHOD: 142 patients were involved in the study. Patient history was obtained and physical examination was performed in all cases. Thereafter, polysomnography was carried out, the severity of the obstructive sleep apnea syndrome was determined, and the patients underwent tonsilloadenotomy.
RESULTS: 45 patients with mild, 50 patients with moderate and 47 patients with severe obstructive sleep apnea syndrome were diagnosed. There was no complication in patients with mild disease, while complications were observed in 6 patients in the moderate group and 24 patients in the severe group (desaturation, apnea, stridor, stop breathing) (p<0.000). In patients with severe obstructive sleep apnea syndrome, no significant difference was noted in preoperative apnoea-hypapnea index (p = 0.23) and in nadir oxygen saturation values (p = 0.73) between patients with and without complication.
CONCLUSIONS: Patients with severe obstructive sleep apnea syndrome should be treated in hospital where pediatric intensive care unit is available.
Abstract available from the publisher.
Authors:
Pálma Benedek; Gabriella Kiss; Eszter Csábi; Gábor Katona
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Orvosi hetilap     Volume:  155     ISSN:  0030-6002     ISO Abbreviation:  Orv Hetil     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-04-29     Completed Date:  2014-06-30     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  0376412     Medline TA:  Orv Hetil     Country:  Hungary    
Other Details:
Languages:  hun     Pagination:  703-7     Citation Subset:  IM    
Vernacular Title:
Obstruktív alvási apnoe szindrómában szenvedő gyermekek posztoperatív monitorozása.
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MeSH Terms
Descriptor/Qualifier:
Adenoidectomy / adverse effects*
Adolescent
Child
Child, Preschool
Female
Humans
Male
Oxygen / blood
Polysomnography
Postoperative Complications / diagnosis,  etiology,  prevention & control*
Respiration
Respiratory Insufficiency / diagnosis,  etiology,  prevention & control*
Severity of Illness Index
Sleep Apnea, Obstructive / surgery*
Tonsillectomy / adverse effects*
Treatment Outcome
Chemical
Reg. No./Substance:
S88TT14065/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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