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References 1. Nixon GM, Kermack AS, Davis GM, Manoukian JJ. Planning Adenotonsillectomy in children with obstructive Sleep Apnoea: Thee role of overnight pulse oximetry. Paediatrics. 2004:113: 19-25 2. Caulfield, H. Investigations in paediatric obstructive sleep apnoea:do we need them? Int Journal of Pediatric Otorhinolarynogology (2003) 67s1, s107-110. 3. RCPCH Working Party on Sleep Physiology and Respiratory Control Disorders in Childhood. Sept 2009
Acknowledgements • Dr R Chavasse- Consultant Paediatric Respiratory Medicine, SGH • Dr Kilner –Consultant Paediatric Respiratory Medicine, GOSH • Dr Suzanne Crowley- Consultant Paediatric Respiratory Medicine • Dr Christos Tzivinikos- ST Paediatrics • Dr Helen Wolfenden- ST Paediatrics • Dr Sian Jenkins – ST Paediatrics • Dr Lauren Filby – ST Paediatrics
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 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: Conclusion - Need for robust data f

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