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Table 3 Questions with consensus and without consensus

From: Management of obstructive sleep apnea in children: a Canada-wide survey

Consensus

No consensus

1. OSA is objectivized clinically ± with a video from parents and enlarged adenoids and tonsils are objectivized clinically and with a flexible scope in the office

1. Role of PSG, nocturnal oximetry, questionnaire and cavum X-ray in the assessment of pediatric OSA

2. PSG is not widely used before T&A

2. The role of the Brodsky tonsil scale in the surgical decision

3. T&A is the first action undertaken for the treatment of pediatric OSA

3. The role of age and certain other patient’s characteristics in the decision to perform DISE before T&A

4. DISE is globally not performed before T&A

4. The role of DISE after an unsuccessful T&A

5. Non-hypertrophic tonsils and discordance between clinical findings and severity of apnea are elements influencing the decision to perform DISE before T&A

5. The ideal anesthetic agent and other supportive agents

6.The airway subsites assessed during DISE are the nasal cavities to the subglottis, whereas bronchi are generally not examined

6. The evaluation of the trachea during DISE performance

7. Cine-MRI is not used before DISE for assessment of airway obstruction

 

8. DISE findings are not widely used to perform a surgical procedure in the same general anesthesia session