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Clinical Guidelines on Sleep Apnoea in Children Published

In the September issue of Pediatrics, the American Academy of Paediatrics (AAP) has published the clinical practice guideline ‘Diagnosis and Management of Childhood Obstructive Sleep Apnoea’, in which it recommends that children who frequently snore should be tested for obstructive sleep apnoea (OSA).

The practice guideline focuses on uncomplicated childhood OSA and is intended for use by primary care clinicians.

Recommendations stated in the practice guideline include:

• All children/adolescents should be screened for snoring as part of routine clinician visits
• In-lab polysomnography should be performed in children/adolescents with snoring and symptoms/signs of OSA (if polysomnography is not available, then alternative diagnostic tests or a referral to a specialist should be considered)
• Adenotonosillectomy as the first-line treatment for children with sleep apnoea
• High-risk patients should be monitored as inpatients postoperatively
• Patients should be re-evaluated postoperatively to determine whether further treatment is required
• CPAP therapy if surgery is ineffective or not conducted
• Weight loss in obese patients
• Intranasal corticosteroids as an option for children with mild OSA

The practice guideline is available to view for free from the Pediatrics journal website.

ResMed PEI offers a variety of CPAP therapy solutions for children suffering from OSA, including CPAP
masks designed specifically for children.


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