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  • Title: Sleep physiology and sleep-disordered breathing: the essentials.
    Author: Primhak R, Kingshott R.
    Journal: Arch Dis Child; 2012 Jan; 97(1):54-8. PubMed ID: 21357242.
    Abstract:
    Sleep is essential, but poses a risk to breathing in some children. We have outlined the developmental changes in sleep patterns and physiology, and the evidence of deleterious effects of sleep deprivation and of sleep-related breathing disorder (SRBD). Some factors increase the risk of adenotonsillar surgery and should be excluded before contemplating surgery in a secondary care setting. Screening for SRBD is indicated in some conditions, which are discussed. Although simple studies may suffice for many patients, there are a few who need more detailed assessment with polysomnography. A managed clinical network would be the most appropriate model to ensure appropriate organisation and utilisation of scarce resources in this area.
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