Juan C. Martinez, M.D., FAAP, and Scott E. Brietzke, M.D., M.P.H., will present “Pediatric
Sleep Apnea: Evaluation and Management (S4086)” from 4-5:30 p.m. Tuesday, Nov. 6,
in room W311EF of the convention center.
Dr. Martinez is medical director, Division of Pediatric Pulmonology and Cystic Fibrosis,
and director of the Pediatric Sleep Laboratory at Joe DiMaggio Children's Hospital,
Hollywood, Fla. Dr. Brietzke is an otolaryngologist and sleep medicine specialist
at Joe DiMaggio Children’s Hospital.
In the following Q&A, Dr. Martinez and Dr. Brietzke discuss session highlights and
why pediatricians should attend.
Q: What are the key things you will be covering?
Dr. Brietzke: The purpose of this session is to compare and contrast recent clinical
practice guidelines for the management of pediatric obstructive sleep apnea (OSA)
that come from different sources. These include the AAP, the American Academy of Otolaryngology,
the American Academy of Sleep Medicine and other sources. It is interesting and educational
to review the details of these guidelines and consider why there might be similarities
or differences regarding recommendations for the same precise clinical topic.
Dr. Martinez: Our session aims to summarize these discrepancies in the hope of arriving
at basic common threads that will help guide clinicians in the management of these
Q: Why do you think the evaluation and management of sleep apnea is an important topic
for pediatricians to learn more about?
Dr. Brietzke: The prevalence of pediatric sleep-disordered breathing is clearly rising
and permeates almost all aspects of pediatric care. The ideal management of pediatric
sleep disorders truly embodies multidisciplinary care, and it is very beneficial for
pediatricians to consider and better understand the clinical viewpoint of pediatrics
as well as other specialties that participate in the care of patients with pediatric
obstructive sleep apnea.
Q: How many children/adolescents suffer from sleep apnea?
Dr. Martinez: Estimates of the prevalence of OSA vary in children, but recently specialists
have estimated prevalence in the range of 5%-6%, compared to previously suspected
lower rates. Precise studies are still lacking. The epidemic of childhood obesity
will likely contribute to higher levels of prevalence in the coming years.
Q: What is the take-home message?
Dr. Brietzke: The optimal management of pediatric sleep-disordered breathing is in
the context of multidisciplinary care. Each specialty that participates in this care
has its own unique viewpoint, and for each specialty to understand the viewpoint of
the other specialties leads to improved communication and more seamless care of these
Q: Is there anything else you would like to add?
Dr. Martinez: Formal pediatric sleep training programs are adding specialists and
viewpoints. The debate of evaluation and management and opinions are always welcome.