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  • Contains 1 Component(s) Includes a Live Web Event on 03/07/2023 at 5:00 PM (EST)

    儿童阻塞性睡眠呼吸暂停(OSA)的影响of 2-3% of all children, however in light of the rising prevalence of childhood obesity, the estimated prevalence has increased to 6-10% of all children. While the first line of therapy for Pediatric OSA in children consists of upper airway surgery via surgical removal off the adenoids and tonsils, it has become increasingly clear that surgery efficacy is limited in older and//or obese children. As a result, alternative therapies, including positive airway pressure (PAP) therapy has become mainstay for a lot of children. The application of PAP devices in children is unique and requires further attention to ensure that PAP therapy is successful.

    儿童阻塞性睡眠呼吸暂停(OSA)的影响of 2-3% of all children, however in light of the rising prevalence of childhood obesity, the estimated prevalence has increased to 6-10% of all children. While the first line of therapy for Pediatric OSA in children consists of upper airway surgery via surgical removal off the adenoids and tonsils, it has become increasingly clear that surgery efficacy is limited in older and//or obese children. As a result, alternative therapies, including positive airway pressure (PAP) therapy has become mainstay for a lot of children. The application of PAP devices in children is unique and requires further attention to ensure that PAP therapy is successful.

    Objectives:

    1. Provide an overview of Obstructive Sleep Apnea in children
    2. Distinguish indications for Positive Airway Pressure (PAP) therapy in children
    3. Discuss obstacles of PAP adherence in children
    4. Share real world data of PAP adherence in children

    Rakesh Bhattacharjee, MD, FRCPC, DABP(SM), CBSM, DBSM, FAASM

    Director of Sleep Medicine, Rady Children’s Hospital

    Associate Clinical Professor of Pediatrics, UCSD

    Continuing Education:

    • 1 AAST CEC after passing a short knowledge assessment in the AAST Learning Center

    Access:

    • Freewith AAST Membership
    • $30for Non-Members
  • Contains 6 Component(s)

    Review of the PAP titration portion of a split night study in a 47-year-old woman. Criteria for increasing and decreasing pressure settings are reviewed. Differences between adequate, good, and optimal titrations are provided. The case is used as a springboard for a comparison of laboratory and home (APAP) titration results.

    Review of the PAP titration portion of a split night study in a 47-year-old woman. Criteria for increasing and decreasing pressure settings are reviewed. Differences between adequate, good, and optimal titrations are provided. The case is used as a springboard for a comparison of laboratory and home (APAP) titration results.

    Presenter: Richard S. Rosenberg, PhD

    Recorded: 11/13/2016

    CEC Credit(s): 1.0

    目标观众:睡眠的技术gists seeking a background in the science of sleep.

    长度:52分钟
    Category: Case of the Month

    Access Period: 30 days from date of purchase.

  • Contains 9 Component(s),Includes Credits

    Pediatric restless legs syndrome

    Description: Pediatric restless legs syndrome

    Presenter: Richard S. Rosenberg, PhD

    Recorded: 9/15/2018

    CEC Credit(s): 1.0

    目标观众:睡眠的技术gists and other allied health professionals.

    Estimated Time to Completion: 1 hour, 5 quiz questions
    Category: Case of the Month

    Access Period: 30 days from date of purchase.

  • Contains 12 Component(s),Includes Credits

    Is there a new pediatric sleep disorder on the horizon? This month we'll review the work of sleep physician and researcher Dr. Lourdes DelRosso to learn more about the distinction between Restless Sleep Disorder (RSD) and Restless Legs Syndrome (RLS) and what might be done about it.

    Description: Is there a new pediatric sleep disorder on the horizon? This month we'll review the work of sleep physician and researcher Dr. Lourdes DelRosso to learn more about the distinction between Restless Sleep Disorder (RSD) and Restless Legs Syndrome (RLS) and what might be done about it.

    Presenter: Tamara Sellman, RPSGT CCSH

    Recorded: 4/19/19

    CEC Credit(s): 1.0

    目标观众:睡眠的技术gists seeking a background in the science of sleep.

    Expected Completion Time: 1 Hour

    Category: Journal Club

    Access Period: 30 days from date of purchase.

  • Contains 9 Component(s),Includes Credits

    A patient with moderate hypopnea has a split night study using a variety of PAP platforms.

    Description: A patient with moderate hypopnea has a split night study using a variety of PAP platforms.

    Presenter: Richard S. Rosenberg, PhD

    Recorded: 7/12/2019

    CEC Credit(s): 1.0

    目标观众:睡眠的技术gists and other allied health professionals.

    Estimated Time to Completion: Approximately one hour

    Category: Case of the Month

    Access Period: 30 days from date of purchase.

  • Contains 11 Component(s),Includes Credits

    A patient with COPD has a diagnostic portion with OSA and has a split night study using a variety of PAP platforms.

    Description: A patient with COPD has a diagnostic portion with OSA and has a split night study using a variety of PAP platforms.

    Presenter: Richard S. Rosenberg, PhD

    Recorded: 7/12/2019

    CEC Credit(s): 1.0

    目标观众:睡眠的技术gists and other allied health professionals.

    Estimated Time to Completion: Approximately one hour

    Category: Case of the Month

    Access Period: 30 days from date of purchase.

  • Contains 10 Component(s),Includes Credits

    A patient with Cheyne-Stokes Breathing pattern receives a diagnosis and treatment.

    Description: A patient with Cheyne-Stokes Breathing pattern receives a diagnosis and treatment.

    Presenter: Richard S. Rosenberg, PhD

    Recorded: 7/12/2019

    CEC Credit(s): 1.0

    目标观众:睡眠的技术gists and other allied health professionals.

    Estimated Time to Completion: Approximately one hour

    Category: Case of the Month

    Access Period: 30 days from date of purchase.

  • Contains 9 Component(s),Includes Credits

    The diagnostic portion of a sleep study shows severe OSA. But how do we know it's severe? The debate between AHI and other markers of apnea severity is reviewed, including the positions of Drs. Rapaport and Punjabi. The treatment portion of the recording makes it clear that the AHI is inadequate as the technologist attempts to normalize the patient's breathing during sleep.

    Description: The diagnostic portion of a sleep study shows severe OSA. But how do we know it's severe? The debate between AHI and other markers of apnea severity is reviewed, including the positions of Drs. Rapaport and Punjabi. The treatment portion of the recording makes it clear that the AHI is inadequate as the technologist attempts to normalize the patient's breathing during sleep.

    Presenter: Richard S. Rosenberg, PhD

    CEC Credit(s): 1.0

    目标观众:睡眠的技术gists and other allied health professionals.

    Estimated Time to Completion: Approximately one hour

    Category: Case of the Month

    Access Period: 30 days from date of purchase.

  • Contains 8 Component(s),Includes Credits

    Alpha-Delta Sleep. Does it exist? Is it "alpha intrusion" instead? We explore frequency analysis of two patients to attempt to explain why one is tagged with this finding and the other is not.

    Description: Alpha-Delta Sleep. Does it exist? Is it "alpha intrusion" instead? We explore frequency analysis of two patients to attempt to explain why one is tagged with this finding and the other is not.

    Presenter: Richard S. Rosenberg, PhD

    CEC Credit(s): 1.0

    目标观众:睡眠的技术gists and other allied health professionals.

    Estimated Time to Completion: Approximately one hour

    Category: Case of the Month

    Access Period: 30 days from date of purchase.

  • Contains 10 Component(s),Includes Credits

    Up until now, sleep specialists have only presumed that childhood OSA could be linked to adult health concerns, such as cardiovascular issues and metabolic syndrome. In 2022, researchers followed up on a cohort of patients diagnosed with OSA two decades ago as children. NOSETTI, et al sought to identify any patterns in outcomes as well as potentially determine whether AHI in childhood for those with OSA—especially severe OSA—might accurately predict health problems for them in adulthood. This small study cracks open a lot of big questions about sleep apnea as a lifelong illness. It also reveals some interesting and unexpected findings that emerged during research conducted in a hotspot during the earlier part of the pandemic. It deserves a sidebar discussion on the global challenges that researchers now face as a result of performing studies in the shadow of COVID-19, especially among patient cohorts facing sleep-disrupting conditions worldwide.

    Description: Up until now, sleep specialists have only presumed that childhood OSA could be linked to adult health concerns, such as cardiovascular issues and metabolic syndrome. In 2022, researchers followed up on a cohort of patients diagnosed with OSA two decades ago as children. NOSETTI, et al sought to identify any patterns in outcomes as well as potentially determine whether AHI in childhood for those with OSA—especially severe OSA—might accurately predict health problems for them in adulthood. This small study cracks open a lot of big questions about sleep apnea as a lifelong illness. It also reveals some interesting and unexpected findings that emerged during research conducted in a hotspot during the earlier part of the pandemic. It deserves a sidebar discussion on the global challenges that researchers now face as a result of performing studies in the shadow of COVID-19, especially among patient cohorts facing sleep-disrupting conditions worldwide.

    Recorded: 6/15/2022

    CEC Credit(s): 1.0

    目标观众:睡眠的技术gists

    Length: 1-hour

    Category: Journal Club

    Access Period: 30 days from date of purchase.

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