Is Your Child at Risk from Sleep-Disordered Breathing?
Does your child snore? A screening questionnaire used by anesthesia professionals may help identify undetected sleep-disordered breathing issues that could put your child at risk during surgery.
"Parents are oftern unaware of the potential problems related to their child's snoring. Recognition of this condition is of utmost importance, as children have died after routine tonsillectomies after receiving too much pain medication," says Karrey L. Terry, CRNA, DNP, lead author and researcher on a quality improvement project involving the Snoring, Trouble Breathing, Un-Refreshed (STBUR) Screening Questionnaire.
If your child's snoring prompts you to answer yes to any of the following questions, it is best to consult with your pediatrician or primary care physician about the possibility of a sleep-disordered breathing issue.
- Does your child snore more than half the time?
- Does your child snore loudly?
- Does your child have trouble breathing, or struggle to breathe?
- Does your child ever stop breathing during the night?
- Does your child wake up feeling un-refreshed?
The importance of identifying those at risk is paramount: the likelihood of developing a perioperative respiratory adverse event (PRAE) increases three-fold in the presence of any three STBUR symptoms, and by 10-fold when all five symptoms are present.
Anesthesia Professionals Key to Identifying Pediatric Patients at Risk for Sleep-Disordered Breathing Prior to Surgery
AANA Journal: "Snoring, Trouble Breathing, Un-Refreshed (STBUR) Screening Questionnaire to Reduce Perioperative Respiratory Adverse Events in Pediatric Surgical Patients: A Quality Improvement Project