Pediatric obstructive sleep apnea: Preoperative and neurocognitive considerations for perioperative management

Arvind Chandrakantan, Mary F. Musso, Thomas Floyd, Adam C. Adler

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Obstructive sleep apnea (OSA) affects up to 7.5% of the pediatric population and is associated with a variety of behavioral and neurocognitive sequelae. Prompt diagnosis and treatment is critical to halting and potentially reversing these changes. Depending on the severity of the OSA and comorbid conditions, different treatment paradigms can be pursued, each of which has its own unique risk:benefit ratio. Adenotonsillectomy is first-line recommended surgical treatment for pediatric OSA. However, it carries its own perioperative risks and the decision regarding surgical timing is therefore made in the context of procedural risk versus patient benefit. This article presents the seminal perioperative and neurocognitive risks from pediatric OSA to aid with perioperative management.

Original languageEnglish (US)
Pages (from-to)529-536
Number of pages8
JournalPaediatric anaesthesia
Volume30
Issue number5
DOIs
StatePublished - May 1 2020

Keywords

  • adenotonsillectomy
  • attention deficit hyperactivity disorder
  • learning and memory
  • obstructive sleep-disordered breathing
  • pediatric obstructive sleep apnea

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Anesthesiology and Pain Medicine

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