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respiratory_obstructive sleep apnea (history (night (loud snoring,…
respiratory_obstructive sleep apnea
history
night
loud snoring, witnessed pauses in breathing, disturbed sleep and restlessness
day
excessive daytime sleepiness, learning and behavioral problems, psychological distress
growth failure, acute life-threatening cardiorespiratory events, secondary hypertension/pulmonary hypertension
causes
central control of breathing
congenital central hypoventilation syndrome
hypotonia, relax during REM sleep
Down syndrome, cerebral palsy
anatomical
adenotonsillar hypertrophy
complications
investigations
(frequency and severity of desaturation: SpO2 <92%) overnight pulse oximetry
(heart rate, respiratory effort, airflow, arterial pCO2, video recording) limited polysomnography
adenotonsillar hypertrophy
adenotonsillectomy
CPAP/BiPAP