Home advanced search ebm search evidence-based practice: pediatric obstructive sleep apnea. viagra 40 mg reviews Otolaryngologic clinics of north america [otolaryngol clin north am] journal article abstract full citation full text related articles email this citation title evidence-based practice: pediatric obstructive sleep apnea. cheap viagra online Author(s) ishman sl  institution departments of otolaryngology - head and neck surgery, pediatrics and internal medicine, division of pulmonary and critical care medicine, johns hopkins school of medicine, 601 north caroline street, baltimore, md 21287, usa. can you buy viagra over counter spain Electronic address: sishman1@jhmi. viagra generic name funny Edu. viagra overnight Source otolaryngol clin north am 2012 oct; 45(5):1055-69. viagra canada Abstract diagnosis of sleep-disordered breathing (sdb) is most accurately obtained with a nocturnal polysomnogram. However, limitations on availability make alternative screening tools necessary. buying generic viagra online Nocturnal oximetry studies or nap polysomnography can be useful if positive; however, further testing is necessary to if these tests are negative. buy online viagra History and physical examination have insufficient sensitivity and specificity for diagnosingpediatric sdb. Adenotonsillectomy remains first-line therapy for pediatric sdb and obstructive sleep apnea (osa). Additional study of limited therapies for mild osa are necessary to determine if these are reasonable primary methods of treatment or if they should be reserved for children with persistent osa. Language eng pub type(s) journal article pubmed id 22980685      home | about | feedback | disclaimer | privacy policy ©2000-2012 unbound medicine, inc. All rights reserved.. The following behaviors? Continuous loud snoring failure to thrive (not gaining weight, not growing) enlarged tonsils and adenoids episodes of not breathing at night (apneas) mouth breathing daytime behavioral problems including adhd-like behavior bedwetting abnormal sleep positions sleepiness during the day; needs frequent naps headaches in the morning problems paying attention in school if you answered yes to any of the above questions, you will want to have your child evaluated for sleep apnea. Diagnosis when parents or referring physicians call about a patient with sleep apnea, your child will be referred to the clinic, where your pediatric ent will make a determination. how to buy generic viagra