RT Journal Article
SR Electronic
T1 An In-patient Model for Positive Airway Pressure Desensitization: A Report of 2 Pediatric Cases
JF Respiratory Care
FD American Association for Respiratory Care
SP 802
OP 807
DO 10.4187/respcare.01231
VO 57
IS 5
A1 Kelli-Lee Harford
A1 Supriya Jambhekar
A1 Gulnur Com
A1 Lisa Bylander
A1 Kristi Pruss
A1 Jana Teagle
A1 Wendy Ward
YR 2012
UL http://rc.rcjournal.com/content/57/5/802.abstract
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.