Pediatric Polysomnography

Program Description

This course is targeted towards experienced sleep practitioners seeking a more advanced, but still practical approach to polysomnography procedures in infants, children and adolescents. Highlights include improving practices and lab environmentto accommodate infants with apnea, updates on PAP masks for pediatric populations including mask fitting and desensitization, updates on best practices for positive airway pressure (PAP) titration in the sleep laboratory, overview of advance PAP and respiratory support strategies commonly performed in the sleep laboratory, and recognition of key PSG features or artifacts unique to or typically encountered with pediatric patients. Further skills in polysomnography and multiple sleep latency testing and interpretation will be promoted by experts in the field.

Overall Educational Objectives

At the conclusion of this conference attendees should be able to:

  • Discuss current understanding and best practices for infant apnea evaluation and management
  • Select PAP masks that work best for children (infants to obese teens; craniofacial disorders) and list tips for mask fitting in children and principles of mask desensitization
  • Describe best practices for PAP titrations in children
  • Understand options and approaches for evaluating advanced respiratory support therapies (including: auto-titration devices, bi-level pressure support, adherence monitoring and advanced diagnostics) commonly encountered in the sleep laboratory
  • Identify limitations and practical approaches to MSLT protocols for children and the unique diagnostic features of sleep physiology of patients with narcolepsy that can be identified on polysomnography and multiple sleep latency tests
  • Identify nocturnal biomarkers that aid in pediatric narcolepsy diagnosis
  • Recognize normal respiratory and non-respiratory features, variants, artifacts and PSG patterns of sleep and breathing in childhood

Target Audience

Intermediate to advanced sleep medicine specialists, fellows, psychologists, physicians, nurses, nurse practitioners, polysomnography technicians and technologists, respiratory therapists. Instructional level: intermediate

Schedule - Thursday, November 14, 2019
12:00–12:55 pm Registration and Lunches
12:55–1:00 Welcome, Overview, and Logistics
Co-Chairs: Kiran Maski, MD and Carol L. Rosen, MD 
1:00–1:45 Mastering PAP Masks
Dominic B. Gault, MD
1:45–2:30 Mastering PAP Titration
Narong Simakajornboon, MD
2:30–2:45 Break
2:45–3:30 Mastering NIV Options in the Sleep Lab
Umakanth Katwa, MD
3:30–4:15 Mastering Apnea Evaluation in Infants Beyond the Nursery
Eliot S. Katz, MD
4:15–4:30 Break
Mastering the Hypersomnia Evaluation in Children
Kiran Maski, MD, MPH
5:15–6:00 pm Fun With Sleep Fragments
Carol L. Rosen, MD