Sleep medicine in infants--practicability and limitations

Early Human Development
T Erler, E Wischniewski

Abstract

An increasing amount of polysomnographic studies are performed in early infancy. Complete pediatric sleep laboratory systems are commercially available and provide fast and exhaustive results if operated by trained personnel. Experience in evaluation is necessary, because a broad range of possible diagnostic findings exists, and artifacts are common. Based on longitudinal studies in 31 healthy infants, we present reference values for several polysomnographic parameters. Aberrant results must be interpreted in the context of patient's history, clinical state, and additional laboratory findings. In presence of a clearly defined indication for polysomnographic testing, clear therapeutic and interventional strategies can be derived. Possible consequences include the stimulation of the respiratory drive by drugs with subsequent polysomnographic control of therapeutic effect, a transfusion, the prescription of a home monitor, and the recommendation of further diagnostics or of control polysomnographies. In conclusion, infant polysomnography is an important diagnostic tool in pediatrics.

References

Nov 1, 1990·Klinische Pädiatrie·S ScholleB Scheidt
Sep 1, 1996·Klinische Pädiatrie·S Scholle, G Zwacka
Apr 22, 2011·Der Internist·J H Ficker

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Citations

Jun 9, 2004·Treatments in Respiratory Medicine·Thomas Erler, Ekkehart Paditz
Jun 12, 2004·Child: Care, Health and Development·P HarrisI Sánchez
Jan 24, 2006·Pediatric Pulmonology·Ignacio SanchezPaul Harris
May 25, 2005·International Journal of Pediatric Otorhinolaryngology·Lee Shing Yan RobertKwok Ka Li
Jan 26, 2013·Biomedizinische Technik. Biomedical Engineering·Konrad HeimannTobias G Wenzl

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