PMID: 1552007Jan 1, 1992

Polygraphic investigation of respiration during sleep in infants and children

Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
C Guilleminault, P Philip

Abstract

Controls of respiration have different settings during sleep than during wakefulness. Respiration will also be influenced by sleep state organization and circadian rhythm. Polygraphic monitorings in infants and children must take into account the timing of the longest sleep and longest wakeful periods and the distribution of sleep states. Attention must be given not only to "apneas" and blood gas changes monitored noninvasively but also to breathing frequency, upper airway resistance, and the impact of respiratory changes on the cardiovascular system and sleep continuity. Respiratory efforts and upper airway resistance are responsible for important mechanical intrathoracic changes, which must be evaluated, since they have clinical consequences. For example, infants with an apparent life-threatening event may have an unrecognized increase in upper airway resistance long before having a mixed or obstructive sleep apnea. Muscle disorders in young children require regular sleep monitoring whose results will strongly influence therapeutic approaches. Therapy may change over time, depending on the prominence of the inspiratory muscle weakness or the importance of the mandibular abnormalities induced by the muscle disorder and its imp...Continue Reading

Citations

Nov 1, 2003·Sleep Medicine·C HedmanV V Myllylä
Nov 8, 2003·Pediatric Research·C GuilleminaultSusmita Chowdhuri
May 30, 2013·Journal of Paediatrics and Child Health·Dawn E ElderDuncan Galletly
Dec 1, 1995·The Journal of Pediatrics·C GuilleminaultR C Bocian
Jul 11, 2013·PloS One·Erwan Stéphan-BlanchardFrédéric Telliez
May 8, 2014·Epilepsy & Behavior : E&B·Marco CarotenutoMaurizio Elia
Mar 12, 2002·Acta Neurologica Scandinavica·C HedmanV V Myllylä
Dec 1, 1996·Journal of Applied Physiology·F McNamaraC E Sullivan
Feb 9, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·E A SiskR M Pauli

Related Concepts

Airway Resistance
Circadian Rhythms
Electroencephalogram
Biphasic Intermittent Positive Airway Pressure
Monitoring, Physiologic
Signal Processing, Digital
Hypersomnia With Periodic Respiration
Sleep Stages
Sudden Infant Death Syndrome

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