A child with Down syndrome who has sleepdisordered breathing with
obstructive sleep apnea continues to have symptoms in spite of tonsillectomy and adenoidectomy and treatment with a leukotriene receptor antagonist medication and a nasal steroid spray. The primary care pediatric nurse practitioner will refer the child to a sleep disorder clinic to discuss which therapy?

Question

A child with Down syndrome who has sleep­disordered breathing with
obstructive sleep apnea continues to have symptoms in spite of tonsillectomy and adenoidectomy and treatment with a leukotriene receptor antagonist medication and a nasal steroid spray. The primary care pediatric nurse practitioner will refer the child to a sleep disorder clinic to discuss which therapy?

Quizplus · Accepted Answer

Positive airway pressure therapy, such as continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP), is the most effective treatment for obstructive sleep apnea in children. This therapy involves delivering pressurized air through a mask to keep the airway open during sleep. It is effective in improving symptoms and quality of life for children with Down syndrome and sleep-disordered breathing. Craniofacial surgery and oral appliances may be options in some cases, but are typically considered after CPAP/BiPAP therapy has been attempted. Supplemental oxygen is not effective in treating obstructive sleep apnea.

A Child with Down Syndrome Who Has Sleep­disordered Breathing with

A Child with Down Syndrome Who Has Sleepdisordered Breathing with