Sleep Disturbance - Kids

Question 1

How do we assess a childs sleep pattern?

Answer 1

Polysomnography
Direct Behavioural Observation
Time lapse overnight video
In cot movement sensors
O2/CO2 monitoring

Question 2

What could cause a child to be excessively sleepy?

Answer 2

Not enough Sleep
OSA
Narcolepsy
Prader-Willis Syndrome

Question 3

What often causes OSA in children?

Answer 3

Enlarged Tonsils

Question 4

How is OSA treated in kids?

Answer 4

Adenotonsilectomy
CPAP
Weight Loss
Avoid enviromental tobacco

Question 5

What can kids with OSA develop as a consequence?

Answer 5

Failure to Thrive
Neurocognitive Defect
Hypertension
Cor Pulmonale

Question 6

What potentially worrying conditions are normal in kids?

Answer 6

Napping/Enuresis is only ‘relatively’ abnormal after 3-5 yrs.
Sleep walking is normal
Sleep terrors & hypnogogic Jerks

Question 7

How does Duchenne’s muscular dystrophy affect kids and how is it treateD?

Answer 7

It causes nocturnal desaturation and can progress to resp. failure and death.
ITs treated with BiPAP (Bilevel Positive Airway Pressure)

Question 8

How does cerebral palsy affect sleep in kids/treatment?

Answer 8

IT causes delayed or fragmented sleep and we treat with melatonin

Question 9

What other resp. conditions can affect kids sleep?

Answer 9

Cystic Fibrosis
Snoring can progress to OSA
Chronic Neonatal Lung Disease
Downs can lead to OSA