chapter  23
10 Pages

Continuous positive airway pressure for sleep disordered breathing in children A K Simonds

Physiological considerations 324

Prevalence of sleep disordered breathing in children 324

Consequences of sleep disordered breathing 324

Sleep studies in children 325

Experience in managing sleep disordered breathing 326

Other treatments for obstructive sleep apnoea 328

Oral jaw positioning appliances 328

Practical tips on CPAP set-up 329

References 330

The indications for continuous positive airway pressure (CPAP) therapy in children are more wide ranging than in adults. While CPAP may be used infants and children to support ventilation during episodes of acute respiratory failure or post operatively, in this chapter the role of CPAP to control sleep disordered breathing is considered. The commonest cause of obstructive apnoeas and hyponoeas during sleep in childhood is enlargement of the tonsils and adenoids. This problem usually regresses naturally with age or can be dealt with by adenotonsillectomy. Other conditions associated with sleep disordered breathing where CPAP may have a role are listed in Box 23.1.