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New Proforma 3 months 6 months 12 months 2 years Date: Date: Date: Date: Exact age: Exact age: Exact age: Exact age: Growth Height: Weight: Centile Centile Vision: Growth Height: Weight: Centile Centile Vision – Clinical Examination/ Visual Behaviour Growth Height: Weight: Centile Centile Growth Height: Weight: Centile Centile Vision – Full Ophthalmology Assessment Neonatal Hearing Screen Full Audiological Assessment Audiology Review Neonatal TSH Screen Checked? – Yes/No Heart Thyroid Screening Thyroid Screening Other Medical Problems: Other Medical Problems: Other Medical Problems: Other Medical Problems: Areas of Developmental concern Areas of Developmental concern Areas of Developmental concern Areas of Developmental concern Discuss DLA/Benefits Formal Notification of SEN to Education Symptoms of OSAS Symptoms of OSAS Symptoms of OSAS Oximetry/ Sleep Studies Oximetry/ Sleep Studies
Sleep Apnoea Down Syndrome Study Under 5 History Telephone Normal Questionnaire and Sleep Study at Home With Capnography (Up to X2) Low Suspicion High Suspicion Abnormal Annual Screen Joint Respiratory Clinic ENT Polysomnography Other
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 and 10: Consequences of untreated OSA • P
Page 11 and 12: St George’s Hospital Study Stages
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: 2011: Implementation at SGH • Fol
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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