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Latest trends in the assessment and management of paediatric snoring and sleep apnoea

Published online by Cambridge University Press:  20 April 2016

S D Sharma ,
H Kanona ,
G Kumar  and
B Kotecha
S D Sharma*
Affiliation:
Department of Otorhinolaryngology, Queen's Hospital, Romford, UK
H Kanona
Affiliation:
Department of Otorhinolaryngology, Queen's Hospital, Romford, UK
G Kumar
Affiliation:
Department of Otorhinolaryngology, Queen's Hospital, Romford, UK
B Kotecha
Affiliation:
Department of Otorhinolaryngology, Queen's Hospital, Romford, UK
*
Address for correspondence: Mr Sunil Sharma, Department of Otorhinolaryngology, Queen's Hospital, Rom Valley Way, Romford RM7 0AG, UK Fax: +44 (0)1708 435 096 E-mail: sunilsharma@doctors.org.uk
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Abstract

Objective:

To investigate the assessment and management of paediatric snoring and obstructive sleep apnoea in UK otolaryngology departments.

Method:

A telephone questionnaire survey of UK otolaryngology departments was conducted over a 16-week period.

Results:

The response rate was 61 per cent (85 out of 139 trusts). Use of pre-operative pulse oximetry was reported by 84 per cent of respondents, mainly to diagnose obstructive sleep apnoea (73 per cent) or stratify post-operative risk (46 per cent). Thirty-one per cent of respondents reported using post-operative pulse oximetry. Twenty-five per cent of respondents have a dedicated management protocol for paediatric obstructive sleep apnoea and snoring. Thirty-four per cent require prior clinical commissioning group approval before performing surgery. Fifty-eight per cent of respondents reported following up their obstructive sleep apnoea patients after surgery. The mean follow-up period (±standard deviation) was 6.8 ± 1.2 weeks.

Conclusion:

There is variation in the assessment and management of paediatric snoring and obstructive sleep apnoea across the UK, particularly in the use of pre- and post-operative pulse oximetry monitoring, and further guidelines regarding this are necessary.

Keywords

Obstructive Sleep Apnea SyndromePediatricsPulse Oximetry
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 5 , May 2016 , pp. 482 - 489
Copyright
Copyright © JLO (1984) Limited 2016 

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