Abstract
Obstructive sleep apnea syndrome is probably the most frequent indication for continuous positive airway pressure in children. In some cases, non-invasive two-level ventilation is necessary. Many interfaces are commercially available for children, allowing personalized treatment: nasal or facial masks, or nasal prongs. There are no validated criteria, in terms of age or the disease, for initiating CPAP therapy in children. Close surveillance of facial growth is indispensable.
Highlights
Obstructive sleep apnea syndrome is probably the most frequent indication for continuous positive airway pressure in children
Other than in neuromuscular pathology[9], there are no guidelines on initiating ventilation in children
continuous positive airway pressure (CPAP) is usually implemented for a limited time in childhood obstructive sleep apnea syndrome (OSAS) without associated comorbidity, allowing continued facial bone growth, but may sometimes be prolonged
Summary
Obstructive sleep apnea syndrome is probably the most frequent indication for continuous positive airway pressure in children. There are no validated criteria, in terms of age or the disease, for initiating CPAP therapy in children. Nocturnal respiratory assistance using continuous positive airway pressure (CPAP). Is one means of treating childhood obstructive sleep apnea syndrome (OSAS). CPAP has been shown to be effective in reducing OSAS symptoms[4] and complications: nocturnal gas exchange anomalies, increased respiratory effort, impaired growth, metabolic syndrome and neurocognitive impact. The “fixed” CPAP technique maintains constant airway opening throughout the respiratory cycle by delivering constant pressure. CPAP should be initiated rapidly in case of nocturnal gas exchange anomaly. In OSAS, CPAP rapidly improves sleep quality and quality of life[4], but neurocognitive benefit is generally slow to manifest and is not always substantial[3]
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