title: Anesthetic dilemmas for dynamic evaluation of the pediatric upper airway.
abstract: Sleep cine magnetic resonance imaging and drug-induced sleep endoscopy are currently used to examine the patterns of dynamic airway collapse in children with obstructive sleep apnea. Providing anesthesia that mimics physiologic sleep in these children is a challenge but is critical for accurate interpretation of the airway evaluation. Anesthetic agents might negatively affect the upper airway evaluation. The anesthetic technique in these patients must be tailored to improve patient safety and obtain optimal study. This review focuses on the periprocedural challenges and anesthetic management of children presenting for dynamic evaluation of the upper airway.
authors.affiliation: Children's Hospital Colorado, University of Colorado School of Medicine, Denver, CO, USA.
authors.forename: Debnath
authors.initials: D
authors.lastname: Chatterjee
authors.affiliation: Children's Hospital Colorado, University of Colorado School of Medicine, Denver, CO, USA.
authors.forename: Norman
authors.initials: N
authors.lastname: Friedman
authors.affiliation: Cincinnati Children Medical Hospital Center, Cincinnati, OH, USA.
authors.forename: Sally
authors.initials: S
authors.lastname: Shott
authors.affiliation: Cincinnati Children Medical Hospital Center, Cincinnati, OH, USA mohamed.mahmoud@cchmc.org.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Mahmoud
mesh_terms: D000758:Anesthesia / Q000009:adverse effects / Q000379:methods*; D000777:Anesthetics / Q000008:administration & dosage* / Q000009:adverse effects; D002648:Child; D004724:Endoscopy / Q000379:methods; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods; D012890:Sleep / Q000502:physiology; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000503:physiopathology
chemical_list: D000777:Anesthetics
keywords: children; dexmedetomidine and propofol; dynamic evaluation; obstructive sleep apnea; upper airway