Clinician's Guide to Pediatric Sleep Disorders by Mark Richardson, Norman Friedman

By Mark Richardson, Norman Friedman

Affecting 20 to 30 % of youngsters less than the age of 5, sleep issues can heavily have an effect on a kid's wellbeing and fitness. This authoritative advisor illustrates the results of sleep disordered respiring and gives a state of the art assessment of the way to determine, diagnose, and deal with sleep issues in youngsters. overlaying the newest learn with regards to the scientific and surgical administration of illness, high-risk teams, psychosocial results, and the exam of sleep research effects, this resource is helping practitioners comprehend basic sleep styles, realize universal sleep stipulations, and enforce applicable care protocols for maximum sufferer healthiness.

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American thoracic society. Standards and indications for cardiopulmonary sleep studies in children. Am J Respir Crit Care Med 1996; 153:866– 878. Pediatric Sleep Disorders 17 36. Bao G, Guilleminault C. Upper airway resistance syndrome—one decade later. Curr Opin Pulm Med 2004; 10:461– 467. 37. Tauman R, O’Brien LM, Holbrook CR, Gozal D. Sleep pressure score: a new index of sleep disruption in snoring children. Sleep 2004; 27:274– 278. 38. O’Brien LM, Tauman R, Gozal D. Sleep pressure correlates of cognitive and behavioral morbidity in snoring children.

6. 5 events/hr (18). Obstructive hypopneas, a decrease in airflow during breathing, are fairly frequent during childhood sleep and their effect on ventilation is similar to an obstructive apnea. Pediatric Sleep-Disordered Breathing (Table 2) OSA is a type of SDB (19). Central apneas, which frequently occur in normal infants and toddlers, are in the spectrum of SDB. The incidence of central apnea diminishes over time and is less common in adulthood. On the other end of the spectrum is OSA. In between these two extremes are primary snoring and upper airway resistance syndrome (13).

Lancet 1990; 335:249 – 253. 12. Weissbluth M, Davis AT, Poncher J, Reiff J. Signs of airway obstruction during sleep and behavioral, developmental, and academic problems. J Dev Behav Pediatr 1983; 4:119– 121. 13. Gozal D. Sleep-disordered breathing and school performance in children. Pediatrics 1998; 102:616 –620. 14. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2002; 109:704– 712. 16 Bower and Ray 15. Wiet GJ, Bower C, Seibert R, Griebel M.

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