Hypoglossal Nerve Stimulator Placement for Pediatric Trisomy 21 Patients with Refractory Obstructive Sleep Apnea: A Case Series

被引:8
|
作者
Karlik, Joelle B. [1 ]
Raol, Nikhila [2 ]
Gilbertson, Laura [1 ]
机构
[1] Emory Univ, Egleston Childrens Hosp Childrens Healthcare Atla, Dept Anesthesiol, Sch Med, 1405 Clifton Dr, Atlanta, GA 30307 USA
[2] Emory Univ, Sch Med, Dept Otolaryngol, Egleston Childrens Hosp Childrens Healthcare Atla, 1405 Clifton Dr, Atlanta, GA 30307 USA
来源
CHILDREN-BASEL | 2020年 / 7卷 / 08期
关键词
hypoglossal nerve; trisomy; 21; obstructive sleep apnea; implantable neurostimulators; airway management; airway obstruction; UPPER-AIRWAY STIMULATION; DOWN-SYNDROME; CHILDREN; ADENOTONSILLECTOMY;
D O I
10.3390/children7080081
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: Hypoglossal nerve stimulators (HNS) are an increasingly popular form of upper airway stimulation for obstructive sleep apnea (OSA) in adults who are unable to tolerate positive pressure treatment. However, HNS use is currently limited in the pediatric population. Case presentation: We present a case series detailing the anesthetic management of three pediatric trisomy 21 patients receiving HNS for refractory obstructive sleep apnea. The patients tolerated the procedure well and experienced no complications. The average obstructive apnea-hypopnea index (AHI) change was 87.4% with the HNS. Conclusions: Proper anxiolysis, safe and controlled induction, multimodal analgesia, and minimization of post-operative respiratory compromise are all necessary to ensure anesthetic and surgical success. After a tailored anesthetic regimen, proper device placement and close follow-up, our patients had a marked improvement in obstructive symptoms.
引用
收藏
页数:7
相关论文
共 50 条
  • [21] Electrical stimulation of the whole hypoglossal nerve in patients with obstructive sleep apnea
    Oliven, A.
    Dotan, Y.
    Golibroda, T.
    Somri, M.
    Oliven, R.
    Schwartz, A. R.
    SLEEP AND BREATHING, 2020, 24 (04) : 1473 - 1480
  • [22] Pediatric hypoglossal nerve stimulator implantation with postoperative assessment using home sleep apnea testing
    Kay, Hannah G.
    Kent, David T.
    Phillips, James D.
    OTOLARYNGOLOGY CASE REPORTS, 2021, 19
  • [23] Treating Obstructive Sleep Apnea with Hypoglossal Nerve Stimulation
    Eastwood, Peter R.
    Barnes, Maree
    Walsh, Jennifer H.
    Maddison, Kathleen J.
    Hee, Geoffrey
    Schwartz, Alan R.
    Smith, Philip L.
    Malhotra, Atul
    McEvoy, R. Douglas
    Wheatley, John R.
    O'Donoghue, Fergal J.
    Rochford, Peter D.
    Churchward, Tom
    Campbell, Matthew C.
    Paime, Carsten E.
    Robinson, Sam
    Goding, George S.
    Eckert, Danny J.
    Jordan, Amy S.
    Catcheside, Peter G.
    Tyler, Louise
    Antic, Nick A.
    Worsnop, Christopher J.
    Kerzirian, Eric J.
    Hillman, David R.
    SLEEP, 2011, 34 (11) : 1479 - 1486
  • [24] Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (OSA)
    Govil N.
    Soose R.J.
    Current Otorhinolaryngology Reports, 2016, 4 (1) : 6 - 12
  • [25] Hypoglossal Nerve Stimulation in Veterans with Obstructive Sleep Apnea
    Sarber, Kathleen M.
    Chang, Katherine W.
    Epperson, Madison, V
    Tabangin, Meredith E.
    Altaye, Mekibib
    Ishman, Stacey L.
    Patil, Reena Dhanda
    LARYNGOSCOPE, 2020, 130 (09): : 2275 - 2280
  • [26] Hypoglossal-Nerve Stimulation for Obstructive Sleep Apnea
    Malhotra, Atul
    NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (02): : 170 - 171
  • [27] Hypoglossal nerve stimulation for adults with obstructive sleep apnea
    Hardin, Laura
    JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS, 2023, 36 (12): : 24 - 29
  • [28] Treating obstructive sleep apnea with hypoglossal nerve stimulation
    Oliven, Arie
    CURRENT OPINION IN PULMONARY MEDICINE, 2011, 17 (06) : 419 - 424
  • [29] Hypoglossal nerve stimulation in the treatment of obstructive sleep apnea
    Ben Salah, Ghada
    Abbes, Karim
    Abdelmoula, Chokri
    Masmoudi, Mohamed
    2017 14TH INTERNATIONAL MULTI-CONFERENCE ON SYSTEMS, SIGNALS & DEVICES (SSD), 2017, : 429 - 433
  • [30] HYPOGLOSSAL NERVE CONDUCTION FINDINGS IN OBSTRUCTIVE SLEEP APNEA
    Ramchandren, Sindhu
    Gruis, Kirsten L.
    Chervin, Ronald D.
    Lisabeth, Lynda D.
    Concannon, Maryann
    Wolfe, James
    Albers, James W.
    Brown, Devin L.
    MUSCLE & NERVE, 2010, 42 (02) : 257 - 261