Sleep Disordered Breathing in Children: A Comprehensive Clinical Guide to Evaluation and Treatment is a comprehensive, timely and up-to-date review of pediatric sleep disordered breathing (SDB) and offers a thorough focus on several key areas: namely, the normal development and maturation of the airway and breathing during sleep, the techniques that are in place for assessment of SDB in children, the clinical manifestations and characteristics of several pediatric populations at risk for SDB, the implications of SDB in various end-organ systems, and, finally, a critical review of the evidence on current therapeutic approaches.
This unique and complete text is of welcome interest to all practicing physicians and healthcare professionals who evaluate children with sleep problems — namely pulmonologists, pediatricians, sleep physicians, pediatric neurologists, pediatric otolaryngologists, and family practitioners, as well as clinical researchers, pediatric nurse practitioners and respiratory therapists. Written by a distinguished and international panel of authors who are renowned experts in their field and who offer an expanded view of the problems associated with SDB, Sleep Disordered Breathing in Children: A Comprehensive Clinical Guide to Evaluation and Treatment is an indispensible resource for all physicians who evaluate children for sleep-disordered breathing. Sleep is central to a healthy childhood, and sleep-disordered breathing (SDB)—the disruption of normal respiratory patterns and ventilation during sleep—is implicated in several behavioral and physical health issues. Although we now have strong evidence that chronic, unchecked obstructive sleep apnea (OSA) can lead to hypertension, cardiovascular disease, metabolic disorders, obesity, and neuropsychiatric and developmental issues, the full scope of the effect of SDB on health remains underappreciated by many clinicians. Sleep disordered breathing (SDB) is an abnormal breathing pattern during sleep. This can range from simple snoring to repetitive pauses in breathing (called sleep apnea). Air flows through the nose and mouth into the throat before it enters the lungs. The throat is a soft, floppy tube that contains the adenoids, tonsils, soft palate, tongue, and voice box. When children sleep, the muscles that hold the throat open relax, and the structures in the tube can collapse against each other and make it difficult for air to pass. This is called upper airway obstruction. Snoring is the sound produced when those structures vibrate against one another as the passage narrows. Sometimes there is complete collapse or blockage, which produces a short pause in breathing. Repetitive pauses in breathing are called sleep apnea.
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