Practice Guidelines: Pediatric Sleep Disturbance

2006 ◽  
pp. 524-530
Author(s):  
Brie A. Moore
Keyword(s):  
Sleep Disturbance ◽  
Practice Guidelines ◽  
Pediatric Sleep

scholarly journals 557 PROMIS pediatric sleep-wake function measures correlate with objective sleep disturbance in atopic dermatitis

2018 ◽  
Vol 138 (5) ◽  
pp. S95
Author(s):  
A.B. Fishbein ◽  
F.J. Penedo ◽  
E. Furgis ◽  
C.B. Forrest ◽  
A.S. Paller
Keyword(s):  
Atopic Dermatitis ◽  
Sleep Disturbance ◽  
Pediatric Sleep

scholarly journals Development and validation of the PROMIS Pediatric Sleep Disturbance and Sleep-Related Impairment item banks

SLEEP ◽  
2018 ◽  
Vol 41 (6) ◽  
Author(s):  
Christopher B Forrest ◽  
Lisa J Meltzer ◽  
Carole L Marcus ◽  
Anna de la Motte ◽  
Amy Kratchman ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Item Banks ◽  
Development And Validation ◽  
Pediatric Sleep

scholarly journals (A109) Systematic Literature Review on Pediatric Sleep Disturbance Management Post-Disaster: Implications of Post-Disaster Pediatric Clinical Management in Developing Countries

2011 ◽  
Vol 26 (S1) ◽  
pp. s38-s38
Author(s):  
E.Y.Y. Chan ◽  
S.D. Koo
Keyword(s):  
Developing Countries ◽  
Sleep Disturbance ◽  
Clinical Management ◽  
Sleep Disturbances ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Traumatic Events ◽  
Clinical Effectiveness ◽  
Post Disaster ◽  
Pediatric Sleep

IntroductionSleep disturbances are common symptoms during the immediate and long-term aftermath of exposure of traumatic events. While stress affects sleep in all age groups, due to differences in physiological, psychological, and socio-behavorial risk factors, the clinical management of pediatric patients with sleep disturbances post-disaster might be different. This study aims to systematically review scientific literature on the clinical management of pediatric sleep disturbances post-disaster and its clinical implication in developing countries. Methods: A keyword-based, systematic review was conducted for scientific publication in academic and disaster literature databases (Medline, PUBMED, Academic Search Premier, Google Scholar, ELDIS, PsycINFO, PILOTS and RELIEFWEB) until October 2010. Abstracts of all the hits were inspected to remove non-relevant articles, and all relevant articles were reviewed and scored by two reviewers to determine relevancy before being included in the final study database. Quality, relevance, and applicability of the reported literature were examined critically with the EBM level of evidence and EPPHPPQ (2003) assessment tool.Results and DiscussionThe literature disproportionally emphasized the clinical effects and psychological impacts of traumatic events on pediatric patients, and most reported studies were reported as a subset within PTSD study literature. Management of younger children, gender differences, clinical effectiveness of cross-disciplinary management modalities, and experiences in middle- and low-income countries were extremely limited. While principles of sleep hygiene and clinical guidelines for management of adult sleep disturbance are available, the application of clinical effectiveness and appropriateness of these guidelines in pediatric population must be examined further.Conclusion and ImplicationsCurrently, there is limited literature on the acute management of pediatric sleep disturbances post-disaster in developing countries. Evidence-based studies are needed to identify the appropriate clinical approaches to support the pediatric population with sleep disturbances post-disaster.

High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Oxygen Therapy ◽  
Respiratory Illness ◽  
High Flow ◽  
Oral Feeding ◽  
Respiratory Support ◽  
Acute Respiratory Illness ◽  
High Flow Oxygen

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.

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