Sendon CS, Harrington JW and Chocano JHF
Adaptive Servo Ventilation to Treat an Infant with both Central and Obstructive Sleep Apnea
Tonsillectomy, adenoidectomy, and non-invasive positive pressure support, including continuous positive air pressure (CPAP) and bi-level positive air pressure (BiPAP), are used to treat sleep disordered breathing (SDB) in children. In a child with severe central and obstructive sleep apnea that the above interventions are not indicated or failed, a tracheostomy may be the only option. This case report involves such a child that was unresponsive to CPAP and BiPAP, however Adaptive servo ventilation (ASV) was applied with success.