Posted in
Clinical Pediatric, Literature Updates
Posted:
July 1, 2012
Authors: Bradley J, Galland BC, Bakker JP, Tan E, Gray A, Taylor BJ, Dawes PJ.
Contributors: Kimmo Murto
Published: Arch Otolaryngol Head Neck Surg. 2012 Apr;138(4):398–403.
Pulse transit time shows promise as a screening test for SDB associated with an AHI greater than 3. For less severe SDB, the validity of using the PTT to separate these conditions from primary snoring has not been demonstrated in a clinical setting.
http://www.ncbi.nlm.nih.gov/pubmed/22508624
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 1, 2012
Authors: Malakasioti G, Gourgoulianis K, Chrousos G, Kaditis A
Contributors: Kimmo Murto
Published: Pediatr Pulmonol. 2011 Nov;46(11):1047–54. doi: 10.1002/ppul.21497.
When one of the two disorders is diagnosed, the possibility of the other disease being present should be entertained.
http://www.ncbi.nlm.nih.gov/pubmed/21809473
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 1, 2012
Authors: Revenaugh PC, Chmielewski LJ, Edwards T, Krishna J, Krakovitz P, Anne S
Contributors: Kimmo Murto
Published: Arch Otolaryngol Head Neck Surg. 2011 Dec;137(12):1269–75.
The lack of clinically relevant findings during preoperative cardiac evaluations suggests that aggressive cardiac workup in pediatric patients with OSA may not be indicated unless dictated by comorbidities
http://www.ncbi.nlm.nih.gov/pubmed/22183910
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 1, 2012
Authors: Byars KC, Yolton K, Rausch J, Lanphear B, Beebe DW
Contributors: Kimmo Murto
Published: Pediatrics. 2012 Feb;129(2):e276-84.
Ten percent of children are reported to have a sleep problem at any given point during early childhood.
http://www.ncbi.nlm.nih.gov/pubmed/22218837
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 1, 2012
Authors: Galland BC, Kennedy GJ, Mitchell EA, Taylor BJ
Contributors: Kimmo Murto
Published: Algorithms for using an activity-based accelerometer for identification of infant sleep-wake states during nap studies.Sleep Med. 2012 Apr 27. [Epub ahead of print]
The Actical accelerometer, designed to measure physical activity, can reliably identify sleep in infants during napping…
http://www.ncbi.nlm.nih.gov/pubmed/22542788
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2012
Authors: Kim GH, Lee JJ, Choi SJ, Shin BS, Lee AR, Lee SH, Kim MH
Contributors: Nabil Elkassabany, Stavros Memtsoudis, Ken Solt, Susana Vacas, Frances Chung
Published: Anaesthesia. 2012 Jul;67(7):755–9.
This study assessed the relationship between the occurrence of apnoea-hypopnoea during propofol sedation for spinal anaesthesia and two different predictive tests of sleep apnoea: the STOP-Bang score (snoring while sleeping, daytime tiredness, observed breathing stoppages, high blood pressure-body mass index, age, neck circumference, gender); and the obstructive sleep apnoea (OSA) score. Both assessment tools have some predictive value for the occurrence of apnoea-hypopnoea during propofol sedation in patients undergoing spinal anaesthesia.
http://www.ncbi.nlm.nih.gov/pubmed/22506571
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2012
Authors: Chau Edmond, Lam David, Wong Jean, Mokhlesi Babak, Chung Frances
Contributors: Nabil Elkassabany, Stavros Memtsoudis, Ken Solt, Susana Vacas, Frances Chung
Published: 2012 July;117(1): 188–205
Obesity hypoventilation syndrome (OHS) is defined by the triad of obesity, daytime hypoventilation, and sleep-disordered breathing without an alternative neuromuscular, mechanical, or metabolic cause of hypoventilation. It is a disease entity distinct from simple obesity and obstructive sleep apnea. OHS is often undiagnosed but its prevalence is estimated to be 10–20% in obese patients with obstructive sleep apnea and 0.15–0.3% in the general adult population. Compared with eucapnic obese patients, those with OHS present with severe upper airway obstruction, restrictive chest physiology, blunted central respiratory drive, pulmonary hypertension, and increased mortality.
http://www.ncbi.nlm.nih.gov/pubmed/22614131
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2012
Authors: Chemali JJ, Van Dort CJ, Brown EN, Solt K
Contributors: Nabil Elkassabany, Stavros Memtsoudis, Ken Solt, Susana Vacas, Frances Chung
Published: Anesthesiology. 2012;116(5):998‑1005.
In this study, Chemali et al. demonstrate in rats that methylphenidate (Ritalin) not only decreases time to emergence after a single bolus of propofol, but also induces emergence during continuous propofol general anesthesia. These findings suggest that methylphenidate may be a useful arousal-promoting agent for patients oversedated with propofol.
http://www.ncbi.nlm.nih.gov/pubmed/22446983
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2012
Authors: Mason KP, Lubisch N, Robinson F, Roskos R, Epstein MA
Contributors: Nabil Elkassabany, Stavros Memtsoudis, Ken Solt, Susana Vacas, Frances Chung
Published: J Pediatr. 2012 Jun 14
This article studies the administration of dexmedetomidine through IM route, as an efficacious drug that preserves background EEG activity to provide safe and effective sedation for EEG studies.
http://www.ncbi.nlm.nih.gov/pubmed/22704249
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2012
Authors: Constant I, Sabourdin N
Contributors: Nabil Elkassabany, Stavros Memtsoudis, Ken Solt, Susana Vacas, Frances Chung
Published: Paediatr Anaesth. 2012 Jun;22(6):539–52.
This review presents the main features of EEG, in adults and children, during the awake state and during sleep and also updates how anesthetic drugs(particularly hypnotics) influence the EEG signal, and how the main available monitors analyze these drug-induced modifications.
http://www.ncbi.nlm.nih.gov/pubmed/22594406
