• Kelli-Lee Harford, Supriya Jambhekar, Gulnur Com, Lisa Bylander, Kristi Pruss, Jana Teagle, and Wendy Ward.
• Department of Orthopedics and Rehabilitation, University of Wisconsin Hospital and Clinics, Madison, Wisconsin 53792, USA. kharford@uwhealth.org
• Resp Care. 2012 May 1;57(5):802-7.

AbstractApplication of positive airway pressure is frequently indicated in pediatric patients with a diagnosis of obstructive sleep apnea. Adherence to equipment use is often less than optimal and can be more challenging when working with children with special needs. An in-patient protocol was designed utilizing various techniques and strategies from the medical adherence literature and applied to 2 cases. This protocol utilizes specialists from various disciplines, including respiratory therapists, psychologists, physicians, nurses, and child life therapists, as well as parental involvement. This paper outlines this protocol using 2 case studies. Both patients successfully used their equipment for greater than 4 hours at night by the end of their hospital stay of 4 days and maintained or advanced these gains at follow-up. These 2 cases suggest that more research should be conducted to further evaluate the effectiveness of similar programs.

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