There has been substantial new clinical research related to the evaluation and management of obstructive sleep apnea in children since clinical practice guidelines were most recently published. As a result, a number of controversies exist in this area, including 1) home sleep apnea testing for the evaluation of OSA in children, 2) adenotonsillectomy for treatment of mild sleep-disordered breathing in children, and 3 the use of drug-induced sleep endoscopy for etiology of residual OSA following adenotonsillectomy. In this session, a panel of experts will review the state of the science and evidence for these topics in a pro/con format.
• Inform the clinicians and researchers about specific areas of debate in the evaluation and management of obstructive sleep apnea in children
• Apply state of the science to help the audience decide on appropriate uses of diagnostic and treatment modalities related to pediatric obstructive sleep apnea
• Identify key gaps for conditions mentioned in objectives 1 and 2 that should inform future research
Reshma Amin, MD
Ignacio Tapia, MD, MS
Rakesh Bhattacharjee, MD
Christopher Cielo, DO
Susan Redline, MD, MPH
Stijn Verhulst, MD, PhD, MSc
Reshma Amin, MD
Christine Heubi, MD
Zarmina Ehsan, MD
Christopher Cielo, DO
Reshma Amin, MD
Introduction
PRO: Home Sleep Apnea Testing Should Be Expanded to Include Children
CON: Home Sleep Apnea Testing Should Be Expanded to Include Children
Discussion: Home Sleep Apnea Testing for the Evaluation of OSA in Children
PRO: Adenotonsillectomy Should Be Used for the Treatment of Mild Sleep-Disordered Breathing in Children
CON: Adenotonsillectomy Should Be Used for the Treatment of Mild Sleep-Disordered Breathing in Children
Discussion: Adenotonsillectomy for the Treatment of Mild Sleep-Disordered Breathing in Children
PRO: Drug-Induced Sleep Endoscopy Should be Used for Etiology of Residual OSA Following Adenotonsillectomy
CON: Drug-Induced Sleep Endoscopy Should Be Used for Etiology of Residual OSA Following Adenotonsillectomy
Discussion: Drug-Induced Sleep Endoscopy for Evaluation of the Etiology of Residual OSA Following Adenotonsillectomy.
Future Directions