obstructive sleep apnoea in children

Question 1

obstructive sleep apnoea in children - clinical features that increase likelihood (5)

Answer 1

snoring for > 3nights per week
difficulty breathing while asleep - gasping, choking, snorting

witnessed OSA
parent worried about child’s health because of how they sleep

frequent daytime mouth breathing

Question 2

obstructive sleep apnoea in children - things to look for in examination

Answer 2

growth assessment
face, nasal septum - ?rhinitis
oral exam - look at tonsil size
pectus excavatum
cardiac exam - RV hypertrophy, pulmonary HTN, systemic HTN

Question 3

obstructive sleep apnoea in children - long term complications (4)

Answer 3

• learning issues
• behavioural issues
• cardiovascular issues
• growth issues

Question 4

obstructive sleep apnoea in children - management

Answer 4

primary treatment - adenotonsillectomy

dental therapies
anti inflammatories ( i guess if rhinitis is a feature)
* intranasal steroids - fluticasone propionate 50microg 1-2 sprays daily
* montelukast 10mg OD
CPAP