Kids Shouldn't wait for help with Neurological Development
Awareness of sleep disordered breathing in the pediatric population is a priority for the ABCDSM
Even though we are all aware of the challenges of clinical equipoise in providing definitive treatment protocols for any patient population, the pediatric population has it's own complex considerations. However, these considerations are exponentially more important to consider because children are developing their bodies and brains while some are potentially being underserved by the healthcare provider who chooses to look the other way when treating a child who is not receiving the benefits of restorative sleep.
The American Board of Craniofacial Dental Sleep Medicine welcomes providers who are passionate supporters of incorporating awareness and treatment for pediatric sleep disordered breathing.
Adults are simply children who have developed complex compensations for the neural circuits and structural form required for successful sleep architecture, metrics and quality of life.
The ABCDSM encourages providers to consider their responsibilities to their patients by valuing their epistemological responsibility to practice evidence based medicine considering the emerging research on the importance of neural circuits and pediatric development.
An epistemological shift: from evidence-based medicine to epistemological responsibility
Sophie van Baalen 1, Mieke Boon
https://pubmed.ncbi.nlm.nih.gov/25394168/
"Instead of deferring part of the professional responsibility to strict clinical guidelines, as EBM allows for, our alternative epistemology holds doctors accountable for epistemic considerations in clinical decision making towards the diagnosis and treatment plan of individual patients. One of the key intellectual challenges of doctors is the ability to bring together heterogeneous pieces of information to construct a coherent 'picture' of a specific patient. In the proposed epistemology, we consider this 'picture' as an epistemological tool that may then be employed in the diagnosis and treatment of a specific patient."
Literature references for pediatric SBD and OSA
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