[Postoperative monitoring of children with obstructive sleep apnea syndrome].
BACKGROUND
Treatment of pediatric obstructive sleep apnea syndrome is surgical. The incidence of postoperative respiratory complications in this population is 5-25%.


OBJECTIVE
The aim of the authors was to present the preoperative evaluation and monitoring procedure elaborated in Heim Pál Children Hospital, Budapest.


METHODS
142 patients were involved in the study. Patient history was obtained and physical examination was performed in all cases. Thereafter, polysomnography was carried out, the severity of the obstructive sleep apnea syndrome was determined, and the patients underwent tonsilloadenotomy.


RESULTS
45 patients with mild, 50 patients with moderate and 47 patients with severe obstructive sleep apnea syndrome were diagnosed. There was no complication in patients with mild disease, while complications were observed in 6 patients in the moderate group and 24 patients in the severe group (desaturation, apnea, stridor, stop breathing) (p<0.000). In patients with severe obstructive sleep apnea syndrome, no significant difference was noted in preoperative apnoea-hypapnea index (p = 0.23) and in nadir oxygen saturation values (p = 0.73) between patients with and without complication.


CONCLUSIONS
Patients with severe obstructive sleep apnea syndrome should be treated in hospital where pediatric intensive care unit is available.
Heim Pál Gyermekkórház Fül-orr-gégészeti és Bronchológiai Osztály Budapest Üllői út. 86. 1089.
Pálma
P
Benedek
Heim Pál Gyermekkórház Aneszteziológiai és Intenzív Terápiás Osztály Budapest.
Gabriella
G
Kiss
Szegedi Tudományegyetem, Általános Orvostudományi Kar Pszichológia Intézet, Kognitív és Neuropszichológia Tanszék Szeged.
Eszter
E
Csábi
Heim Pál Gyermekkórház Fül-orr-gégészeti és Bronchológiai Osztály Budapest Üllői út. 86. 1089.
Gábor
G
Katona
D000233:Adenoidectomy / Q000009:adverse effects*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010100:Oxygen / Q000097:blood; D017286:Polysomnography; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D012119:Respiration; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000601:surgery*; D014068:Tonsillectomy / Q000009:adverse effects*; D016896:Treatment Outcome
D010100:Oxygen
children; gyermek; obstructive sleep apnea syndrome; obstruktív alvási apnoe szindróma; postoperative complications; posztoperatív komplikáció