The Cribsiders S5 Ep104: Snoring is Never Boring: Pediatric Obstructive Sleep Apnea
Feb 28, 2024
Dr. Ignacio Tapia, the Chief of Pediatric Pulmonology at the University of Miami, delves into pediatric obstructive sleep apnea (OSA). He shares pivotal insights on risk factors such as obesity and genetics, and discusses its behavioral links to irritability and ADHD-like symptoms. The conversation covers screening methods and treatments, including the importance of comprehensive patient assessments and access disparities in care. Tapia also reflects on his inspiring journey from Chile to Miami, showcasing a passionate commitment to lifelong learning in medicine.
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Pillow Analogy for OSA
- Dr. Ignacio Tapia uses a pillow analogy to explain obstructive sleep apnea to parents.
- He describes how the body reacts to airway blockage during sleep by trying to fight off a pillow pressing on the face.
Comprehensive Sleep History
- Start the sleep history by assessing bedtime routines and sleep environment.
- Ask about snoring frequency, labored breathing, pauses, and night wakings to identify obstructive sleep apnea symptoms.
Screening with Sleep Questionnaires
- Use the pediatric sleep questionnaire to screen for obstructive sleep apnea in primary care.
- Prioritize sleep studies for children with scores indicating moderate or greater risk.