279 CARDIORESPIRATORY POLYGRAPHY IN PEDIATRICS FOR DIAGNOSIS AND EVALUATION OF SLEEP RELATED BREATHING DISORDERS (SRBD)

Abstract

Introduction: During the last several years SRBD in children has received considerable attention. Unfortunately only a few hospitals have facilities for all-night cardiorespiratory polygraphy. To improve this situation and to show the importance of diagnosis and evaluation of SRBD we use a special device. This could be available in any hospital to diagnose SRBD, e.g. periodic breathing, central, mixed and obstructive sleep apnea.Method: For diagnosing SRBD we use an integrated mobile 8 - 10 channel system (SIDAS 2010). The available parameters are thoracical and abdominal motion, nasal airflow, oxygen saturation and heart rate. Changes of intrathoracial pressures indirectly measured by means of an optical distance measuring device attached to the jugular. At least eye-movements by an EOG and body movements by an actigraph. Two additional channels permit the optional recording of EEG, ECG, EMG or blood pressure.Results: In our clinic we measured 140 childen with SIDAS 2010. Of these children 31% were premature infants, 69% of them infants/children. Pathological breathing was shown by 16 premature infants so a home-monitore was ordered. Obstructive sleep apnea was found in 14 children. Central sleep apnea was diagnosed in 2, alveolar hypoventilation in 1 infant.Conclusion: Often SRBD in pediatrics are ignored. The difficulty of these diseases is an objective diagnosis. This problem can be solved by the SIDAS 2010 system. It differentiates physiological and pathophysiological breathing during sleep and most of the forms of sleep related breathing disorders. So a especially therapy e.g. theophylline, nasal continouse airway pressure, surgery is possible.