Therapeutic possibilities from central sleep apnoea syndrome in the paediatric age group: Scopping review

Silva, Ellidynaary Matias da

http://hdl.handle.net/10400.22/29629

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Authors

Silva, Ellidynaary Matias da

Advisor(s)

Alexandrino, Ana

Azevedo, Natália

Abstract(s)

Central sleep apnea (CSA) i sone of the most common repiratory sleep disorders in the pediatric population and is considered a complex pathology that is rarely the primary diagnosis. When not treated properly, it becomes a public health problema, potentially triggerin the development or worsening of a series of systematic diseases with negative repercussions on the development and quality of life of children. To map the most frequently refrred to therapeutic interventions in the literature, including those within the scope of physiotherapy practice, for the treatment of pediatric central sleep apnea in diferente contexts. This Scoping Review was prepared according to the recommendations of the Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Review (PRISMA-ScR). A search for studies was conducted in the age group of 0 to 18 years, in tretament for CSA, in the contexto of hospitalization, outpatient or home care. Studies written in English or Portuguese, published between 2012 and 2024. Of the 4,665 studies initally identified, 101 articles were selected, according to the inclusion and exclusion criteria, most of them observational or Coorte and retrospective. The results show a more frequente use of otolaryngological surgery 830.76%), followed by Positive Airway Pressure (PAP) therapy (26.92%), mainly in the hospital setting, associated or not with outpatient and home care settings. The physioterapist collaborated in 42.30% of the prescribed therapeutic interventions, mainly in PAP therapy and oxygen therapy. Otalaryngological surgeries and Positive Airway Pressure were the most frequente therapeutic interventions in the treatment of pediatric central sleep apnea, mainly in the hospital setting. The physioterapist has an importante role in the adaptation and monitoring of patients on Positive Airway Pressure and oxygen therapy.

Keywords

Central sleep apnoea Invasive ventilation Positive airway pressure Non-invasive ventilation Respiratory physioteraphy Surgery Pharmacological treatment Oxygen therapy Child Pediatrics