Clinical Pediatric Literature Updates from September 2012

Effects of Positive Airway Pressure Therapy on Neurobehavioral Outcomes in Children with Obstructive Sleep Apnea

These results indicate that, despite suboptimal adherence use, there was significant improvement in neurobehavioral function in children after 3 months of positive airway pressure therapy, even in developmentally delayed children.

http://www.ncbi.nlm.nih.gov/pubmed

Changes in Neuropsychological and Behavioral Functioning in Children with and without Obstructive Sleep Apnea Following Tonsillectomy

These findings call into question the expectation that AT resolves most or all behavioral and cognitive difficulties in children with clinical, office-based diagnoses of SDB.

http://www.ncbi.nlm.nih.gov/pubmed/22272653

Challenges in Paediatric Ambulatory Anesthesia

Children with obstructive sleep apnea under 3 years of age and those with severe obstructive sleep apnea and comorbidities are not candidates for ambulatory surgery. Polysomnography has specific preoperative indications.

http://www.ncbi.nlm.nih.gov/pubmed/22552530