Right, that was the key parameter to look at in detail. It's overall behavior during the night, % of Time at different ranges (as you see, those values should have been reported out) and observed peak during the night.-SWS wrote:The automated ET CO2 reports show no data variability whatsoever. That, of course, makes me wonder about the accuracy of ET CO2 data collection during the PSG.
And ET CO2 is presumably central to diagnosis and treatment. SAG?
Some of this data appears in the text report. It looks like the ETCO2 ranged from 44-56 mmHg with a peak of 58 mmHg when supplemental oxygen was used. I wonder when that went on, maybe after that initial burst of desats.
Perhaps they couldn't interface the ETCO2 monitor to the PSG and manually plugged in 50.3 to the ETCO2 channel, that would explain the fixed value.
Oh well, we got what we got (akin to "It is what it is.")
And what we got is at least 3 ALTEs in a relatively older child, so perhaps therapy is geared toward prevention of another one of those. If that's the case, then maybe it's the alarm system of the machine that becomes the priority.
On the other hand, a garden-variety ALTE doesn't leave you intubated for a month.
She still could be/was a surgical candidate.
I don't think so, the ETCO2 doesn't appear to be high enough, long enough, and the CT and MRI appear to be abnormal.-SWS wrote:I also wonder if Congenital Central Hypoventilation Syndrome (CCHS) is what we're looking at
SAG