😴 Obstructive Sleep Apnea (OSA) · Nelson Ch 31

Etiology, clinical presentation, polysomnography (PSG), adenotonsillectomy, CPAP, and special populations (Down syndrome, obesity). OSA affects 1-4% of children and is associated with neurobehavioral morbidity, cardiovascular effects, and growth failure. Nelson Textbook of Pediatrics 22nd Edition.

🌐 paeds.online — Pediatric Learning Platform

📝 25 Clinical Scenarios — Pediatric OSA

📇 High‑Yield Review Cards — OSA

🩺 Clinical Correlates: OSA Presentation & Diagnosis

Select a topic for clinical guidance on pediatric obstructive sleep apnea.

📋 Stepwise Management of Pediatric OSA

🔑 AAP Clinical Practice Guideline (2012) — Key Action Statements
• Screening: Ask about snoring at every visit.
• Diagnosis: Polysomnography (PSG) is gold standard for children with snoring and symptoms/signs of OSA.
• Treatment: Adenotonsillectomy is first-line for children with OSA and adenotonsillar hypertrophy.
• High-risk patients: Monitor postoperatively as inpatients (young children, severe OSA, comorbidities).
• Residual OSA: Reevaluate; consider CPAP if persistent.

    ⚡ Reflex Prompts — OSA Scenarios

    📖 Summary: Pediatric Obstructive Sleep Apnea