Sleep Apnoea and Neuro-Muscular Disorders - Children Flashcards
Describe newborns respiratory and sleeping patterns
Resp - periodic before 36 weeks, regular after
Sleep - 18 hrs in 3-4 alternating cycles
Sleep pattern of a 6 month ?
15 hrs sleep needed
2 long periods at night and 1-2 day naps
2 year old sleep pattern?
12 hours needed
1 daytime nap
How is the sleep of adolescent children vs pre-adolescent kids?
Increased awakenings
Not enough sleep usually
Younger kids have more efficient sleep
What assesments can be done in children?
Polysomnography Time-lapse vids Movement sensors in cot mattress O2/CO2 monitors Direct behavioral observation
What causes sleeplessness in kids?
Behavioral problems - self soothers vs criers
Medication
Neurological disorders
What causes excessive sleepiness?
Non-enough sleep at night
OSA
Narcolepsy
What does primary snoring mean?
Snoring not from a secondary cause - apnea, hypoventilation etc
Who does OSA affect more in adults and how does this compare to kids?
Males more in adults
Equal in both sexes in kids
What can OSA lead to in kids?
Failure to thrive
Neuro-cognitive defects - ADHD
Systemic hypertension
Cor pulmonale
OSA symptoms specifically common for children?
Mouth breathing
Enlarged tonsils
Hypoventilation rather than apnoea for obstructive aspect
Treatment for OSA in kids?
Adenotonsillectomy
CPAP
Weight loss
Name some neurological disorders that affect sleep
Down syndrome
Cerebral palsy
Prader-Willi syndrome
Duchennes
What does downs s. cause?
OSA
What doe prader-willi s. do?
Exessive daytime sleepiness
