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Screening and Investigation • Clinical history • Oximetry- measurement of blood oxygen levels • Capnography- measurement of blood CO2 levels • Polysomnography- O2, CO2, eye movements, airflow, brain activity, chest movement and video
St George’s Hospital Study Stages • Stage 1. 2007: Initial study prevalence and symptoms • Stage 2. 2010: Repeat study of symptoms and inclusion of oximetry +/- polysomnography 2009: RCPCH guideline • Stage 3. 2011: New proforma, all offered oximetry, capnography +/- polysomnography
Page 1 and 2: Dr I Hadjikoumi, Dr S Jheeta, Dr M
Page 3 and 4: What is it? • Upper airway at the
Page 5 and 6: Symptoms of OSA • Mouth breathing
Page 7 and 8: Why is it common in DS? • Anatomi
Page 9: Consequences of untreated OSA • P
Page 13 and 14: Retrospective analysis • 44 patie
Page 15 and 16: Results • 16% - diagnosed OSA by
Page 17 and 18: Stage 2- repeat questionnaire • 8
Page 19 and 20: 2011: Implementation at SGH • Fol
Page 21 and 22: Sleep Apnoea Down Syndrome Study Un
Page 23 and 24: Telephone questionnaire n=10 • 3
Page 25 and 26: Equipment used • TOSCA 500 device
Page 27 and 28: Criteria for a screening programme
Page 29 and 30: Questions • Is capnography useful
Page 31 and 32: Conclusion - Need for robust data f
Page 33: Acknowledgements • Dr R Chavasse-

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