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How common is it? • General paediatric population • 0.7 – 2% • Down syndrome • 30-60% • 97% of those who snore in recent study from Sydney, Australia
Why is it common in DS? • Anatomical abnormalities • Narrow nasopharynx • Shortened palate • Midfacial hypoplasia • Small jaw • Large tongue • Generalised hypotonia • Immature immune system
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: Symptoms of OSA • Mouth breathing
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 and 32: Conclusion - Need for robust data f
Page 33: Acknowledgements • Dr R Chavasse-

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