Computer assisted pulse oximetry for detecting children with obstructive sleep apnea syndrome.

Abstract:

:A prospective study was carried out on 110 children undergoing tonsillectomy or adenotonsillectomy to evaluate the usefulness of computer assisted pulse oximetry (POM) as a screening tool for nocturnal obstructive sleep apnea episodes. Twenty-one healthy age-matched children served as a control group. A self-designed software (CAPO version 1.0) was used to analyse collected oximetric data. Pre-operatively up to 25% of children showed a characteristic pattern of repeated oxygen desaturations related to partial or complete airway obstruction, which was not seen in the matched group. Thirty-one percent had an oxygen desaturation index (ODI) of more than 2 phases/h, being significantly higher than in the matched group. These children could not be identified from history or clinical examination with an acceptable sensitivity. A second monitoring has been performed in 32 patients 5 days after surgery. The nocturnal cyclic oscillations of oxygen saturation resolved in almost all cases. Computer assisted POM is useful in predicting and grading nocturnal obstruction and adds decision making data for the treatment in children suspected of suffering from obstructive sleep apnea.

authors

Vavrina J

doi

10.1016/0165-5876(95)01217-6

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

239-48

issue

3

eissn

0165-5876

issn

1872-8464

pii

0165587695012176

journal_volume

33

pub_type

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