sleep medicine in children Flashcards
how much normal hours of sleep do infants get?
16-18 hours
how would you assess someones sleep?
Polysomnography behavioural observation time lapse video movement sensors in cot mattress oxygen/co2 monitoring
would it be abnormal if a baby 1 yr slept 8 hours at night and does not nap?
yes
do toddlers sleepwalk?
they shouldnt
reasons for excessive sleep
Insufficient sleep
OSAS
Narcolepsy
whats the definition of primary snoring?
snoring without apnea, hypoventilation, hypoxia, hypercarbia, daytime symptoms
what does apnea mean?
temporary cessation of breathing, especially during sleep.
what is treatment for obstructive sleep apnea
Adenotonsillectomy
(CPAP)
Weight loss
Avoid environmental tobacco smoke
what are some respiratory disorders that contribute to sleep apnea
Chronic neonatal lung disease
Cystic fibrosis
Asthma
how does chronic neonatal lung disease affect sleep?
hypoxaemia in REM sleep (similar COPD)
cardiac complications
how does cystic fibrosis affect sleep
FEV1 30-60% associated with SaO2 (~8%)
less REM/more awakenings
what are the neurologic disorders that affect sleep?
cerebral palsy
down syndrome
prader-willi syndrome
how does cerebral palsy effect sleep?
fragmented sleep/delayed onset
melatonin
how does down syndrome effect sleep?
osas
how does prader-willi syndrome effect sleep?
excessive daytime sleepiness
