Treatment of sleep disordered breathing with non-invasive positive pressure ventilation (NIV) – our experience

Česká verzia

Authors: Šutvajová Dominika; Igaz Matúš; Kvaššayová Júlia; Remeň Lukáš; Babničová Michaela; Dvoran Pavol
Authors place of work: Klinika detí a dorastu, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave
Published in the journal: Čes-slov Pediat 2022; 77 (6): 345-352.
Category: Original Papers
doi: https://doi.org/10.55095/CSPediatrie2022/061

Summary

Introduction: The most common group of sleep disorders in the pediatric population is sleep disordered breathing. Obstructive sleep apnea (OSA) in the pediatric population can be considered a relatively common disease with serious clinical consequences. One of the treatment options for severe sleep disordered breathing is treatment with non-invasive positive airway pressure (NIV).

Objective: The aim of this work is to evaluate the effectiveness of NIV in children with sleep disordered breathing in Slovakia.

Methodology: The study was realised in the children’s sleep laboratory at the Klinika detí a dorastu JLF UK a UNM. Patients were screened for sleep disordered breathing, then patients underwent diagnostic all-night PSG with flow capnography based on which they determined the degree and type of sleep disordered breathing. After undergoing diagnostic overnight PSG, patients were initiated for NIV treatment. Patients on NIV treatment after titration were further regularly monitored by a specialist physician in the sleep laboratory.

Results: From 2016 to 2020, we indicated 17 pediatric patients with severe respiratory disorders at the NIV in the KDaD UNM children’s sleep laboratory. 9 (52.94%) patients were set to CPAP mode and 8 (47.06%) patients to BiPAP mode. The most numerous group of patients set for NIV treatment were obese patients (12–70.59%). In obese patients, after titration on a NIV device, we observed a significant improvement in respiratory PSG parameters.

Conclusion: The issue of secondary consequences of obstructive sleep apnea syndrome in children and adults is a highly topical issue in the context of the management of this disease. Proper diagnosis and treatment of sleepdisordered breathing in children is very important for improving the quality of life of these children. NIV treatment is one of the treatment options for OSA with a demonstrably good effect.

Keywords:

obesity – non-invasive ventilation – CPAP – BIPAP – child – sleep disordered breathing – obstructive sleep apnoe

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