Home Sleep Testing in the Diagnosis and Treatment of Sleep Disordered Breathing

Patel, Minal R.; Davidson, Terence M.

doi:10.1016/j.otc.2007.04.012

Cited by 9 publications

(7 citation statements)

References 49 publications

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“…2 Such unfavourable developmental changes predispose the child to many problems, including obstructive sleep apnoea, which is now a growing public concern. 3,4 It has been maintained that enlarged adenoids are principally responsible for obstructive mouth breathing. 5,6 Yet, some children continue to breathe through their mouth even after surgical removal of their adenoids.…”

Section: Introductionmentioning

confidence: 99%

Computed tomographic evaluation of mouth breathers among paediatric patients

Farid

Metwalli²

2010

Dentomaxillofacial Radiology

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Section: Introductionmentioning

confidence: 99%

Computed tomographic evaluation of mouth breathers among paediatric patients

Farid

Metwalli²

2010

Dentomaxillofacial Radiology

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“…Other home sleep testing systems, however, use a reduced set of recording channels without EEG. Such systems have been proposed as cost-effective, patient-friendly and scientifically valid in the diagnosis of sleep-disordered breathing [34], although some controversy remains [35,36]. Indeed, it has recently been proposed that obstructive sleep apnoea can be detected from the electrocardiography (ECG) signal alone [37].…”

Section: Pharmaco-sleep Studiesmentioning

confidence: 99%

Guidelines for the Recording and Evaluation of Pharmaco-Sleep Studies in Man: The International Pharmaco-EEG Society (IPEG)

Jobert¹,

Wilson

Roth

et al. 2013

Neuropsychobiology

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The International Pharmaco-EEG Society (IPEG) presents guidelines summarising the requirements for the recording and computerised evaluation of pharmaco-sleep data in man. Over the past years, technical and data-processing methods have advanced steadily, thus enhancing data quality and expanding the palette of sleep assessment tools that can be used to investigate the activity of drugs on the central nervous system (CNS), determine the time course of effects and pharmacodynamic properties of novel therapeutics, hence enabling the study of the pharmacokinetic/pharmacodynamic relationship, and evaluate the CNS penetration or toxicity of compounds. However, despite the presence of robust guidelines on the scoring of polysomnography -recordings, a review of the literature reveals inconsistent -aspects in the operating procedures from one study to another. While this fact does not invalidate results, the lack of standardisation constitutes a regrettable shortcoming, especially in the context of drug development programmes. The present guidelines are intended to assist investigators, who are using pharmaco-sleep measures in clinical research, in an effort to provide clear and concise recommendations and thereby to standardise methodology and facilitate comparability of data across laboratories.

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“…Studies that evaluate the accuracy of sonography versus PSG in children have been reported and show a satisfactory correlation [19]. However, techniques like sonography, videotaping, nocturnal pulse oximetry, and daytime nap PSG are helpful if results are positive but have a poor predictive value if results are negative [29] Multichannel home sleep testing has been proposed as a cost-effective, patient-friendly, scientifically valid technique of evaluating patients who present with signs and symptoms of SDB, typically snoring or daytime sleepiness [26]. It can be dispensed from the physician's office and has a 95% successful recording rate, but little available data exists on Fig.…”

Section: Diagnosismentioning

confidence: 99%

Clinical practice

Vlastos

Hajiioannou

2009

Eur J Pediatr

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Obstructive sleep-disordered breathing in children is a relatively common problem, presenting in various ways, from primary snoring, without an apparent decrease in quality of life, to obstructive sleep apnea with cognitive, cardiac, and growth abnormalities. History, clinical examination, radiologic evaluations, sleep studies, and other diagnostic modalities are reviewed. Since application and interpretation of these methods are not consistent in studies of snoring, a consensus on optimal treatment options has not been established. Traditionally, adenotonsillectomy has long been the treatment of choice. Treatment failures or recurrences as well as the existence of causes and contributing factors other than adenotonsillar hypertrophy, like obesity, facial malformations, and Down syndrome, have changed the concept of adenotonsillectomy as the ultimate cure. Several other treatment options have been proposed on their own or in combination. Continuous positive airway pressure, anti-inflammatory medications, maxillofacial, and orthodontic treatments are reviewed suggesting the need of a multidisciplinary approach in some cases. Finally, at the end of the chapter, a diagnostic and treatment work up based on current evidence is proposed for otherwise normal children or children with specific conditions.

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Home Sleep Testing in the Diagnosis and Treatment of Sleep Disordered Breathing

Cited by 9 publications

References 49 publications

Computed tomographic evaluation of mouth breathers among paediatric patients

Computed tomographic evaluation of mouth breathers among paediatric patients

Guidelines for the Recording and Evaluation of Pharmaco-Sleep Studies in Man: The International Pharmaco-EEG Society (IPEG)

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