An In-patient Model for Positive Airway Pressure Desensitization: A Report of 2 Pediatric Cases

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Abstract:

Application of positive airway pressure is frequently indicated in pediatric patients with a diagnosis of obstructive sleep apnea. Adherence to equipment use is often less than optimal and can be more challenging when working with children with special needs. An in-patient protocol was designed utilizing various techniques and strategies from the medical adherence literature and applied to 2 cases. This protocol utilizes specialists from various disciplines, including respiratory therapists, psychologists, physicians, nurses, and child life therapists, as well as parental involvement. This paper outlines this protocol using 2 case studies. Both patients successfully used their equipment for greater than 4 hours at night by the end of their hospital stay of 4 days and maintained or advanced these gains at follow-up. These 2 cases suggest that more research should be conducted to further evaluate the effectiveness of similar programs.

Keywords: PAP; pediatric; sleep apnea

Document Type: Research Article

DOI: http://dx.doi.org/10.4187/respcare.01231

Affiliations: Department of Orthopedics and Rehabilitation, University of Wisconsin Hospital and Clinics, Madison, Wisconsin, USA

Publication date: May 1, 2012

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