Carolyn Grad

18 statements · 1 topic

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▶ Ep 3 · 11:15
The American Academy of Sleep Medicine does not recommend home sleep apnea testing for children because pediatric sleep is more complex than adult sleep and changes over time.
guideline · Obstructive Sleep Apnea
▶ Ep 3 · 47:50
Adult studies show poorer surgical outcomes following bariatric surgery when OSA is untreated pre-operatively, likely due to reduced tissue oxygenation and cardiac stress.
clinical · Obstructive Sleep Apnea

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Carolyn's statements about Obstructive Sleep Apnea 18 statements

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Take My Breath Away - Carolyn Grad, Mark Washam, & Katie Holtman - APP Conference 2026

▶ Ep 3 · 3:58
epidemiological Obstructive sleep apnea accounts for over 95% of pediatric sleep apnea cases. ↗
▶ Ep 3 · 4:10
clinical Central sleep apnea is characterized by decreased or absent respiratory drive rather than physical airway obstruction. ↗
▶ Ep 3 · 8:05
quote It's not like asthma where your kid's actively wheezing or coughing in front of you. You may not see it because everybody's sleeping at night. ↗
▶ Ep 3 · 8:40
clinical Untreated sleep apnea causes low-grade suffocation at the tissue and cellular level, preventing oxygen delivery to brain and body. ↗
▶ Ep 3 · 8:55
quote It's kind of like low-grade suffocation, right? So you're in that stress state all night instead of sleeping. ↗
▶ Ep 3 · 9:05
clinical The brain wakes the patient to restore breathing during apneic events, resulting in fragmented sleep and insomnia. ↗
▶ Ep 3 · 9:35
clinical Untreated OSA can cause cardiac enlargement and dysfunction because the heart works harder without adequate oxygen. ↗
▶ Ep 3 · 9:50
clinical Sleep deprivation from OSA leads to insulin resistance, metabolic dysfunction, and poor dietary choices. ↗
▶ Ep 3 · 10:05
clinical OSA commonly presents with school difficulties including attention problems, focus issues, and academic decline that may be mistaken for ADHD. ↗
▶ Ep 3 · 10:40
guideline In-laboratory polysomnography is the gold standard for diagnosing pediatric sleep apnea as of today. ↗
▶ Ep 3 · 10:55
clinical Home oximetry studies show oxygen fluctuation but cannot assess airflow, sleep state, or definitively diagnose OSA. ↗
▶ Ep 3 · 11:15
guideline The American Academy of Sleep Medicine does not recommend home sleep apnea testing for children because pediatric sleep is more complex than adult sleep and changes over time. ↗
▶ Ep 3 · 11:40
clinical Polycythemia on CBC can indicate the body is compensating for chronic hypoxia from untreated sleep apnea. ↗
▶ Ep 3 · 11:50
clinical Brain conditions like Chiari malformations or brain injuries can cause central sleep apnea by affecting respiratory drive. ↗
▶ Ep 3 · 47:50
clinical Adult studies show poorer surgical outcomes following bariatric surgery when OSA is untreated pre-operatively, likely due to reduced tissue oxygenation and cardiac stress. ↗
▶ Ep 3 · 50:50
clinical While awaiting sleep clinic appointments, interim management includes positioning (upright, side-lying), intranasal fluticasone, and home video documentation of sleep. ↗
▶ Ep 3 · 52:35
clinical The American Academy of Sleep Medicine has a panel currently evaluating alternative methods to assess pediatric sleep apnea beyond in-laboratory polysomnography due to access, cost, and tolerance barriers. ↗
▶ Ep 3 · 56:40
clinical The Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD) assesses daytime sleepiness in age-appropriate scenarios. ↗