PT  - JOURNAL ARTICLE
AU  - Kelli-Lee Harford
AU  - Supriya Jambhekar
AU  - Gulnur Com
AU  - Lisa Bylander
AU  - Kristi Pruss
AU  - Jana Teagle
AU  - Wendy Ward
TI  - An In-patient Model for Positive Airway Pressure Desensitization: A Report of 2 Pediatric Cases
AID  - 10.4187/respcare.01231
DP  - 2012 May 01
TA  - Respiratory Care
PG  - 802--807
VI  - 57
IP  - 5
4099  - http://rc.rcjournal.com/content/57/5/802.short
4100  - http://rc.rcjournal.com/content/57/5/802.full
AB  - Application of positive airway pressure is frequently indicated in pediatric patients with a diagnosis of obstructive sleep apnea. Adherence to equipment use is often less than optimal and can be more challenging when working with children with special needs. An in-patient protocol was designed utilizing various techniques and strategies from the medical adherence literature and applied to 2 cases. This protocol utilizes specialists from various disciplines, including respiratory therapists, psychologists, physicians, nurses, and child life therapists, as well as parental involvement. This paper outlines this protocol using 2 case studies. Both patients successfully used their equipment for greater than 4 hours at night by the end of their hospital stay of 4 days and maintained or advanced these gains at follow-up. These 2 cases suggest that more research should be conducted to further evaluate the effectiveness of similar programs.