Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyDrug Reaction DataReferences
Obstructive sleep apnea in Child
Other Resources UpToDate PubMed

Obstructive sleep apnea in Child

Contributors: Michael W. Winter MD, Paritosh Prasad MD
Other Resources UpToDate PubMed

Synopsis

Obstructive sleep apnea (OSA) is a syndrome characterized by upper airway obstruction that impairs normal sleep patterns and ventilation. It is a common condition in pediatrics, with an increasing prevalence coinciding with rising rates of childhood obesity. Adenotonsillar hypertrophy, craniofacial abnormalities (eg, micrognathia), and neuromuscular disorders also pose a risk for OSA in the pediatric population.

Typical symptoms include snoring, respiratory pauses during sleep, daytime fatigue, headaches, behavioral disturbances, or neurocognitive impairment. Affected individuals are at risk for impaired growth, learning or behavioral problems, motor vehicle accidents (for patients old enough to drive), cardiovascular disease (eg, congestive heart failure), and perioperative anesthesia complications.

All patients should be screened for OSA with questionnaires asking about snoring and other typical symptoms. OSA is treatable either through modifiable lifestyle changes, breathing devices, or surgery and, if managed early and appropriately, many of the downstream sequelae can be avoided.

Codes

ICD10CM:
G47.33 – Obstructive sleep apnea (adult) (pediatric)

SNOMEDCT:
78275009 – Obstructive sleep apnea syndrome

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

Subscription Required

References

Subscription Required

Last Reviewed:06/18/2018
Last Updated:06/18/2018
Copyright © 2022 VisualDx®. All rights reserved.
Obstructive sleep apnea in Child
Print  
A medical illustration showing key findings of Obstructive sleep apnea : Apnea, Insomnia, Irritability, Sleep disturbance, Drowsiness, Hypercapnia, Bradypnea, Snoring
Copyright © 2022 VisualDx®. All rights reserved.