Expert view on treatment approach to children with persistent obstructive sleep apnoea

Prevalence of unresolved obstructive sleep apnoea after adenotonsillectomy (persistent obstructive sleep apnoea) is high in children with obesity, underlying medical conditions such as Down syndrome or craniofacial disorders but can be also seen in otherwise healthy children. If persistent obstructive sleep apnoea is not diagnosed and treated timely, it may be associated with significant morbidity beyond childhood. Positive airway pressure therapy is considered the main treatment option for persistent childhood obstructive sleep apnoea. However, using a personalized approach to treatment in children with persistent obstructive sleep apnoea may increase treatment success as positive airway pressure treatment has low adherence rates in children, usually needs to be used for prolonged periods of time and maybe associated with mid-face hypoplasia. These new approaches will be discussed during this webinar as well as strategies to improve adherence to positive airway pressure treatment.

Educational aims

• To review the indications and use of drug induced sleep endoscopy in management of children with persistent obstructive sleep apnoea
• To review the indications and limitations of positive airway pressure therapy and to develop strategies to improve adherence
• To list the new treatment options for management of obstructive sleep apnoea including high flow nasal cannula, hypoglossal nerve stimulation and positional therapy and develop strategies to personalize treatment approach for these children

Topics

Approach to treatment in children with obstructive sleep apnoea persisting after adenotonsillectomy including use of drug induced sleep endoscopy, positive airway pressure therapy and new treatment options.

Format

Three 15 minute lectures followed by 15 minute discussion

Learning outcomes

Following the webinar, participants will:

• Learn how drug induced sleep endoscopy can help to guide treatment and increase treatment success in children with persistent obstructive sleep apnoea
• Know the indications and limitations of positive airway pressure therapy and learn strategies to improve adherence in children with persistent obstructive sleep apnoea
• Learn about new treatment options for management of obstructive sleep apnoea including high flow nasal cannula, hypoglossal nerve stimulation and positional therapy and how can we personalize treatment of children using these new tools

CME credit

An application for accreditation of this webinar has been made to the European Board for Accreditation in Pneumology (EBAP) for 1 CME credit per 1-hour attendance. If accredited, the CME credit will be granted upon attendance of at least 60 minutes during the live webinar only.

What is a webinar?

The webinar closely simulates a lecture-based teaching experience. The speaker can interact with the audience, just as in a classroom setting.

This webinar comprises a 45-minute lecture followed by a 15-minute question-and-answer session and discussion. During the webinar, you will be asked to share your opinion on issues related to the topic using interactive polls.

All participants will be able to hear the speakers and see the slides throughout the presentation. As a participant you will be able to pose questions or discuss ideas with the other participants via the text chat facility and the speaker will respond to the questions via the microphone.

Login guidelines

More information will be communicated in due course.

• Please log in to the webinar 20 minutes before it is scheduled to commence. If you have any technical difficulties whilst trying to log in or during the session please contact e-learning@ersnet.org.
• Check Central European Time.
• To achieve the best quality, we recommend to avoid downloading anything from the internet during your connection to the lecture and stopping all other programmes.
• Please also ensure that your audio settings are not set to mute and adjust the volume to a comfortable level.