This was a case that I was consulted on today. 5 year old with OSA....body weight 42 kg scheduled for T&A. No sleep studies were available, but by history, this kid has a very high apnea/hyponea index. Case done in standard fashion...receives only 25 mcg of fentanyl. Patient emerges and extubates in the OR and transported to PACU. Patient now develops the typical severe sleep apnea post anesthesia clinical course. If you arouse the patient, he screams in pain and is combative, but once he calms down, he obstructs and becomes apneic leading to hypoxia. This goes on for 3 and a half hours before they ask me for help. What does everyone think and would like to do?