Sleep and Breathing the First Night After Adenotonsillectomy in Obese Children With Obstructive Sleep Apnea
| Autor: | Nathan Gonik, Ngoc Nguyen-Famulare, Carmen R. Isasi, Temima Waltuch, Aliva De, Hiren Muzumdar, Raanan Arens, Sanghun Sin, John P. Bent |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male Respiratory complications Adolescent Polysomnography Severity of Illness Index Adenoidectomy 03 medical and health sciences 0302 clinical medicine Postoperative Complications 030202 anesthesiology Sleep and breathing Risk Factors Medicine Humans Adenotonsillar hypertrophy Obesity Postoperative Period Prospective Studies Child Tonsillectomy Inpatients Sleep Apnea Obstructive business.industry medicine.disease Scientific Investigations respiratory tract diseases Obstructive sleep apnea Neurology Anesthesia Commentary Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine. 13(6) |
| ISSN: | 1550-9397 |
| Popis: | There are few studies measuring postoperative respiratory complications in obese children with obstructive sleep apnea (OSA) undergoing adenotonsillectomy (AT). These complications are further compounded by perioperative medications. Our objective was to study obese children with OSA for their respiratory characteristics and sleep architecture on the night of AT.This was a prospective study at a tertiary pediatric hospital between January 2009-February 2012. Twenty obese children between 8-17 years of age with OSA and adenotonsillar hypertrophy were recruited. Patients underwent baseline polysomnography (PSG) and AT with or without additional debulking procedures, followed by a second PSG on the night of surgery. Demographic and clinical variables, surgical details, perioperative anesthetics and analgesics, and PSG respiratory and sleep architecture parameters were recorded. Statistical tests included Pearson correlation coefficient for correlation between continuous variables and chi-square and Wilcoxon rank-sum tests for differences between groups.Baseline PSG showed OSA with mean obstructive apnea-hypopnea index (oAHI) 27.1 ± 22.9, SpOObese children undergoing AT for OSA are at increased risk for residual OSA on the night of surgery. Special considerations should be taken for postoperative monitoring and treatment of these children.A commentary on this article appears in this issue on page 775. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|