Research Needs Assessment for Children With Obstructive Sleep Apnea Undergoing Diagnostic or Surgical Procedures

Kimmo T Murto; Wesley Chen; Sherri L Katz; Deborah A Schwengel; Lisa M Elden; Kumar G Belani; David Gozal

doi:10.1213/ANE.0000000000003309

Research Needs Assessment for Children With Obstructive Sleep Apnea Undergoing Diagnostic or Surgical Procedures

Anesth Analg. 2018 Jul;127(1):198-201. doi: 10.1213/ANE.0000000000003309.

Authors

Kimmo T Murto^{1

2}, Wesley Chen³, Sherri L Katz⁴, Deborah A Schwengel⁵, Lisa M Elden⁶, Kumar G Belani⁷, David Gozal⁸

Affiliations

¹ From the Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, Ontario, Canada.
² Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
³ University of Ottawa Faculty of Health Sciences, Ottawa, Ontario, Canada.
⁴ Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.
⁵ Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
⁶ Department of Pediatric Otolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania.
⁷ Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota.
⁸ Department of Pediatrics, University of Chicago, Chicago, Illinois.

PMID: 29481438
DOI: 10.1213/ANE.0000000000003309

Abstract

Recent concerns have been raised about the quality and safety of adenotonsillectomy, a common surgery performed to treat obstructive sleep apnea (OSA) in children. OSA is a risk factor for opioid-related perioperative respiratory complications including those associated with anoxic brain injury or death. Our objective was to identify controversial issues related to the care of children with OSA. A standardized Delphi consensus technique involving an interdisciplinary group of 24 pediatric OSA experts identified 3 key issues: "postoperative disposition, preoperative screening, and pain management." These topics are prime candidates for future systematic reviews and will guide Society of Anesthesia and Sleep Medicine-related research endeavors.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adenoidectomy* / adverse effects
Age Factors
Biomedical Research / methods*
Consensus
Delphi Technique
Diagnostic Tests, Routine* / adverse effects
Female
Health Services Needs and Demand*
Humans
Male
Needs Assessment*
Pain Management / methods
Pain, Postoperative / etiology
Pain, Postoperative / prevention & control
Pediatrics / methods*
Preoperative Care / methods
Risk Assessment
Risk Factors
Sleep Apnea, Obstructive / complications*
Sleep Apnea, Obstructive / diagnosis
Sleep Apnea, Obstructive / physiopathology
Tonsillectomy* / adverse effects