Hari Bandla, MD
Hari Bandla, MD is starting his first year as
a member of the Childhood Sleep Disorders
and Development Section. He is an Associate
Professor at the University of Chicago and Chief
of the Division of Pediatric Sleep Medicine. He
specializes in the comprehensive management
of sleep disorders in children and infants, with
a special interest in the treatment of children
needing home ventilation. Also an active
physician scientist, Dr. Bandla’s research has
focused on pediatric sleep disorders associated
with other health conditions, including obesity,
cystic fibrosis and gastroesophageal reflux
disease (GERD).
Beth Malow, MD
Beth Malow, MD is starting her first year as a
member of the Childhood Sleep Disorders and
Development Section. She is a Professor of
Neurology and Pediatrics and Burry Chair in
Cognitive Childhood Development at Vanderbilt
University School of Medicine, where she directs
the Sleep Division. Her research has emphasized
the interface of sleep and epilepsy, autism, and
related disorders of neurodevelopment. She also
serves as Associate Director of the Vanderbilt
Clinical Research Center and Director of the
Vanderbilt Sleep Core, and principal investigator
for the Vanderbilt site of the NeuroNEXT
Network (NINDS Network of Excellence in
Neuroscience Clinical Trials) and the Autism
Speaks Autism Treatment Network. She has led
federally-funded treatment trials of melatonin
for sleep in children with autism as well as
behavioral sleep education in this population.
Nanci Yuan, MD
Nanci Yuan, MD is also starting her first year
as a member of the Childhood Sleep Disorders
and Development Section. She is an Associate
Professor at Lucile Packard Children’s Hospital
at Stanford where she is the Medical Director
for their Pediatric Sleep Center. Her research
interests are concentrated on the pulmonary
complications due to neuromuscular disease,
cerebral palsy/hypertonicity, scoliosis, and sleep
disorders in the pediatric population.
■
AASM Membership Sections Newsletter
■
Issue # 4
5
It is to be noted that the new definition takes on a slight
change from the previously recommended rule for mixed
apnea:
Score a respiratory event as mixed apnea if :
1.
Event lasts for at least 2 missed breaths
2.
The event is associated with a >90% fall in the
signal amplitude for >90% of the entire respi-
ratory event compared to the pre-event baseline
amplitude
3.
The event is associated with absent inspiratory
effort in the initial portion of the event, followed
by resumption of inspiratory effort before the end
of the event
In the event illustrated here, please note that inspiratory
effort was present in the first part of the event, and absent
later in the event, consistent with the new definition for a
mixed apnea.
Special thank you to Vijaya Yelisetty, MD and Luke
Goodpaster, BA, RPSGT, RST
for putting the case
together.
If you have any interesting case to share, please feel
free to send it to the Childhood Sleep Disorders and
Committee by way of
■
