Guía de práctica clínica para el diagnóstico y tratamiento quirúrgico del síndrome de apnea obstructiva del sueño en pacientes de dos a ocho años de edad
Revista ORL(2019)
摘要
Introduction and objective: The adenotonsillar hypertrophy is the fundamental cause
of childhood obstructive sleep apnea syndrome (OSAS), a frequent pathology that can cause a series of
important complications. In certain circumstances, it can be diagnosed without the need of complex tests
and treated effectively, with adenotonsillectomy being the choice; since, with the current resources, assuming
all the recommendations of the main guidelines are impractical, the number of children that would
require referral for diagnostic polysomnography (PSG) and adenotonsillectomy would exceed our capacity.
Limiting the guidelines to available means would significantly ignore the health repercussions of childhood
OSA, making it difficult to recognize children at risk, as well as being able to offer adequate treatment. Our
objective is to establish the recommendations based on the best available scientific evidence to increase,
in an efficient way, the diagnosis of pediatric OSAS and to establish the adequate surgical recomendation
as well as the safety in the perioperative procedure. Sections: Review of the bibliography of national and
international guidelines on the management of childhood OSAS and assessment of own experience derived
from clinical practice and prospective follow-up studies of operated patients. Summary of the evidence
on childhood OSAS. Resolution of disagreements between scientific evidence and current clinical practice
with proposals to minimize them. Recommendations for the diagnostic procedure and the surgical
procedure. Perioperative management scheme and post-surgical follow-up. Conclusions: The application
of the suggested changes regarding the management of children with suspected OSAS will allow: 1) greater
prominence in the process of Primary and Secondary Care provided by general pediatricians to consider
adenotonsillectomy; 2) the widespread use of specific questionnaires for the detection of OSAS, nocturnal
oximetry and video recording during sleep as assessment tools; and 3) greater availability of complex sleep
studies (PSG) to meet international standards for certain conditions.
更多查看译文
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要