title: An in-patient model for positive airway pressure desensitization: a report of 2 pediatric cases.
abstract: Application of positive airway pressure is frequently indicated in pediatric patients with a diagnosis of obstructive sleep apnea. Adherence to equipment use is often less than optimal and can be more challenging when working with children with special needs. An in-patient protocol  was designed utilizing various techniques and strategies from the medical adherence literature and applied to 2 cases. This protocol utilizes specialists from various disciplines, including respiratory therapists, psychologists, physicians, nurses, and child life therapists, as well as parental  involvement. This paper outlines this protocol using 2 case studies. Both patients successfully used their equipment for greater than 4 hours at night by the end of their hospital stay of 4 days and maintained or advanced these gains at follow-up. These 2 cases suggest that more research should  be conducted to further evaluate the effectiveness of similar programs.
authors.affiliation: Department of Orthopedics and Rehabilitation, University of Wisconsin Hospital and Clinics, Madison, Wisconsin 53792, USA. kharford@uwhealth.org
authors.forename: Kelli-Lee
authors.initials: KL
authors.lastname: Harford
authors.forename: Supriya
authors.initials: S
authors.lastname: Jambhekar
authors.forename: Gulnur
authors.initials: G
authors.lastname: Com
authors.forename: Lisa
authors.initials: L
authors.lastname: Bylander
authors.forename: Kristi
authors.initials: K
authors.lastname: Pruss
authors.forename: Jana
authors.initials: J
authors.lastname: Teagle
authors.forename: Wendy
authors.initials: W
authors.lastname: Ward
mesh_terms: D002675:Child, Preschool; D002985:Clinical Protocols; D045422:Continuous Positive Airway Pressure; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D010348:Patient Care Team; D010349:Patient Compliance; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*