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Grand Rounds: Role of Sleep Service in Children with Special Needs: Focus on Down, Prader-Willi Syndromes and Achondroplasia


By Jyoti Krishna, MD , Director, Sleep Medicine, Akron Children’s Hospital, Akron, OH

Sleep Medicine

More about Jyoti Krishna, MD, FAAP, FAASM

Objectives (Educational Content) :

1. Summarize AAP guidelines relative to sleep disorders in children with Down syndrome, achondroplasia, and Prader-Willi Syndrome. 2. Describe the various factors that place children with Down Syndrome at a high risk for OSA and describe a novel therapeutic advance in these children. 3. Illustrate the need for a multidisciplinary approach in the treatment of sleep disorders in children with Down Syndrome, achondroplasia, and Prader-Willi Syndrome.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Update on treatment of sleep disorders in children with special needs.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


The speaker, Jyoti Krishna, MD, has returned the disclosure form indicating the following commercial/financial relationship: -Oxford University Press: Receives royalties for editing a book titled: Sleep Disorders - A case a week from the Cleveland Clinic. The commercial/financial relationship listed for this individual has been mitigated.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Bull MJ, Trotter T, Santoro SL, et al; AAP Council on Genetics. Health Supervision for Children and Adolescents With Down Syndrome. Pediatrics. 2022;149(5):e2022057010

Duis J, Pullen LC, Picone M, Friedman N, Hawkins S, Sannar E, Pfalzer AC, Shelton AR, Singh D, Zee PC, Glaze DG, Revana A. Diagnosis and management of sleep disorders in Prader-Willi syndrome. J Clin Sleep Med. 2022 Feb 18. doi: 10.5664/jcsm.9938. Epub ahead of print. PMID: 35172921.

Hoover-Fong J, Scott CI, Jones MC, AAP COMMITTEE ON GENETICS. Health Supervision for People With Achondroplasia. Pediatrics. 2020;145(6):e20201010

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