Adaptive Servo Ventilation to Treat an Infant with both Central and Obstructive Sleep Apnea

Adaptive Servo Ventilation to Treat an Infant with both Central and Obstructive Sleep Apnea

Tonsillectomy, adenoidectomy, and non-invasive positive pressure support, including continuous positive air pressure (CPAP) and bi-level positive air pressure (BiPAP), are used to treat sleep disordered breathing (SDB) in children. In a child with severe central and obstructive sleep apnea that the above interventions are not indicated or failed, a tracheostomy may be the only option. This case report involves such a child that was unresponsive to CPAP and BiPAP, however Adaptive servo ventilation (ASV) was applied with success.