International Congress Barcelona 2013

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PG19 Obstructive sleep-disordered breathing throughout childhood: diagnosis, associated morbidity and treatment

Postgraduate Course
Chairs: P. Aurora (London, United Kingdom), W. De Backer (Antwerp, Belgium), A. Boudewyns (Edegem, Belgium)
Aims: The aims of this course are to: summarise main rules for staging sleep and scoring respiratory events and arousals in children; provide examples for the application of these rules using clinical cases; emphasize that obstructive sleep-disordered breathing in childhood is associated with morbidity mainly from the central nervous and cardiovascular systems; to summarize available treatment modalities for paediatric obstructive sleep-disordered breathing (administration of anti-inflammatory medications, adenotonsillectomy, weight loss, nasal CPAP/BiPAP, use of orthodontic appliances and craniofacial surgery) and their efficacy in improving polysomnography parameters; to propose indications for treatment of obstructive sleep-disordered breathing in childhood based on the available evidence that relief of upper airway obstruction reverses associated morbidity.
HERMES LINKS
PAEDIATRIC: Sleep medicine.

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Educational Material

Handout PG19 Open

Reading list PG19 Open

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Essentials of paediatric polysomnography scoring M. Villa (Rome, Italy)
Paediatric polysomnography reading: clinical cases S. Miano (Rome, Italy)
An overview of morbidity associated with obstructive sleep-disordered breathing and indications for treatment A. Kaditis (Piraeus, Greece)
What are the treatment options for obstructive sleep-disordered breathing in childhood? R. Ersu (Istanbul, Turkey)
Treatment for obstructive sleep-disordered breathing improves cardiovascular outcomes S. Verhulst (Edegem, Belgium)
Treatment for obstructive sleep-disordered breathing improves behavior, cognitive function learning and quality of life M. Alonso Alvarez (Burgos, Spain)
Ethical and practical choices for the most challenging cases: a case based discussion D. Urquhart (Edinburgh, United Kingdom)
Self-assessment, discussion and concluding remarks P. Aurora (London, United Kingdom)