Talks：

Challenges & Special Considerations in Performing Sleep Studies in Children: One size Does not Fit All !

Name：

Umakanth Katwa, MD

Position：

Director, Sleep Laboratory

Affiliation：

Harvard Medical School Boston Children’s Hospital

Email：

Umakanth.katwa@childrens.harvard.edu

Photo：

Research Interests：

-Phenotyping Obstructive Sleep Disordered Breathing -Disorders of Respiratory Control -Craniofacial consideration in pediatric OSA

Selected Publications：

◆ Rosen R, Amirault J, Johnston N, Haver K, Khatwa U, Rubinstein E, Nurko S.The utility of endoscopy and multichannel intraluminal impedance testing in children with cough and wheezing. Pediatr Pulmonol. 2014 Nov;49(11):1090-6 ◆ Khwaja OS, Ho E, Barnes KV, O'Leary HM, Pereira LM, Finkelstein Y, Nelson CA 3rd, Vogel-Farley V, DeGregorio G, Holm IA, Khatwa U, Kapur K, Alexander ME, Finnegan DM, Cantwell NG, Walco AC, Rappaport L, Gregas M, Fichorova RN, Shannon MW, Sur M, Kaufmann WE. Safety, pharmacokinetics, and preliminary assessment of efficacy of mecasermin (recombinant human IGF-1) for the treatment of Rett syndrome. Proc Natl Acad Sci U S A. 2014 Mar 25;111(12): ◆ Rosen R, Amirault J, Heinz N, Litman H, Khatwa U. The sensitivity of acoustic cough recording relative to intraesophageal pressure recording and patient report during reflux testing. Neurogastroenterol Motil. 2014 Nov;26(11):1635-41 ◆ Rosen R, Amirault J, Liu H, Mitchell P, Hu L, Khatwa U, Onderdonk A. Changes in gastric and lung microflora with acid suppression: acid suppression and bacterial growth. JAMA Pediatr. 2014 Oct; 168(10):932-7 ◆ Yeung JC, Katwa UA, Lee GS. Sleep Disordered Breathing in Bardet Biedel Syndrome. Inter J Pediatr Otolarygo 2017 Nov;102:127-132 ◆ Khatwa UA, Dy FJ. Pulmonary Manifestations of Neuromuscular Diseases.Indian J Pediatr. 2015 Sep; 82 (9):841-51

Abstract：

In this talk the speaker will discuss the special considerations one has to keep in mind when performing pediatric sleep studies. Children are not small adults. Performing sleep studies with several leads for 8-10 hours overnight at the stretch is very challenging. It is not only stressful for the patient, it is also very disturbing for the parent to see their child cry and resist application of the leads. When the signals are very poor due to non-tolerance of leads and nasal cannula, interpretation of sleep studies becomes very challenging and the diagnosis may be missed and no useful data can be obtained in spite all the trouble. Technicians performing sleep studies in children should be very comfortable working with children and use non-conventional and role play techniques to obtain data successfully. The speaker will review several aspects and challenges of performing sleep studies in kids.