P140 Non-invasive Ventilation prior to Adenotonsillectomy

Abstract Introduction Prolonged wait times to ENT surgery, combined with the risk for post-operative respiratory events in children severe OSA led a clinical pathway of implementing CPAP therapy whilst on waiting lists adenotonsillectomy. This study evaluated impact this care these patients. Methods A retrospective review medical records patients under 18yrs age diagnosed and initiated awaiting by / Adenotonsillectomy, between January 2019 December 2020. Results 36 were identified, 4.3 ± 3.2 years, 86% male, 80.6% had comorbidities. 16 (44.4%) overweight or obese, 8 (22.2%) obesity was primary comorbidity. Mean delays: Sleep Referral = 4.5 10.5 weeks, NIV initiation 5.6 8.7 surgery 13.6 weeks. Total delay from referral 19.6 19.4 31 (86%) hospital, five (13.9%) non-compliant therapy. Discussion Current delays identified sleep average 5 months. Where is sufficient recommend majority (80%) tolerated while they await surgery. We suggest that benefits obtained are can be instituted more rapidly than where able use it reduced requirement high-dependency intensive admission post-operatively.