Ppt on obstructive sleep apnea

Obstructive sleep apneaObstructive sleep apnea (OSA) is a common sleep apnea caused by obstruction of the airway.  It is characterized by pauses in.

 The Epstein-Barr virus, for example, is known to be able to dramatically increase the size of lymphoid tissue during acute infection, and obstructive sleep apnea is fairly common in acute cases of severe infectious mononucleosis.  Temporary spells of obstructive sleep apnea syndrome may also occur in individuals who are under the influence of a drug (such as alcohol) that may relax their body tone excessively/


Dr. Shais S. Jallu Dr M.J. Mador. Obstructive sleep apnea: Cardinal features include: Perturbations of a regular respiratory pattern during sleep including.

and current smokers. Prevalence Elevetated AHI -27-35%in men and 9-12% in women OSA - 3-7% in men and 2-5% in women Age African-Americans Obstructive sleep apnea: Polysomnogram is the gold-standard diagnostic test: ApneasApnea is airflow less than 20 percent of baseline for at least ten seconds in adults Hypopneas —decrease (>50 percent) in the amplitude of breathing during/


Oral Appliances for Snoring, UARS and Obstructive Sleep Apnea Bruce W. Roman, DDS, D. ABDSM Diplomate, American Board of Orthodontics Diplomate, American.

initiate respirations. © 2015 Bruce W. Roman, DDS, PC Obstructive Sleep Apnea Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that involves a RERA (respiratory effort-related arousal), decrease (hypopnea) or complete halt (apnea) in breathing despite an ongoing effort to breathe. © 2015 Bruce W. Roman, DDS, PC Complex or Mixed Sleep Apnea Mixed sleep apnea is a combination of both central sleep apnea and obstructive sleep apnea. © 2015 Bruce W. Roman, DDS, PC If your/


Sleep-Disordered Breathing and Stroke Klar Yaggi, M.D., M.P.H. Assistant Professor Yale University School of Medicine Clinical Epidemiology Research Center.

Death 3-6 years of follow-up Kaplan-Meier Estimates of the Probability of Event-free Survival among Patients with the Obstructive Sleep Apnea Syndrome and Controls Yaggi, H. et al. N Engl J Med 2005;353:2034-2041 Event-free Survival (TIA,/, myocardial infarction, hospitalization for CHF, or death Intention-to-treat, CPAP use category (pre-specified) Prevalence of Obstructive Sleep Apnea CharacteristicBaseline Sleep Study90-day Sleep Study OSA prevalence n/N (%) 12/21 (57) 27/45 (59) AHI: Mean (+/-SD)11.1 /


VITAMIN D AND OBSTRUCTIVE SLEEP APNEA IN CHILDREN Alexandra Dati UF Dietetic Intern June 17, 2015.

Dati UF Dietetic Intern June 17, 2015 OUTLINE  Objectives  Review of sleep apneaSleep apnea in children  Vitamin D and sleep apnea  Implications for practice OBJECTIVES  Obtain basic knowledge of obstructive sleep apnea  Understand obstructive sleep apnea in children  Recognize relationship of vitamin D and obstructive sleep apnea  Learn clinical approaches to vitamin D and obstructive sleep apnea OBSTRUCTIVE SLEEP APNEA WHAT IS IT?  A sleep disorder that is marked by pauses in breathing of ten/


Automatic Positive Airway Pressure For Sleep Related Breathing Disorders BY AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura Faculty Of Medicine.

150 is intended to provide ventilation for non-dependent, spontaneously breathing adult and pediatric patients (30 lb/13 kg and above) with respiratory insufficiency, or respiratory failure, with or without obstructive sleep apnea. The device is for noninvasive use, or invasive use (with the use of the ResMed Leak Valve). Operation of the device includes both stationary, such as in hospital or home/


Sleep disordered breathing in restrictive thoracic cage and lung disease BY AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura Faculty of Medicine.

. SDB is most often due to nocturnal hypoventilation. However, nocturnal hypoventilation may be complicated by obstructive sleep apnea (OSA) or central sleep apnea (CSA). In some patients, sleep apnea per se may be the predominant abnormality. Sleep in Patients with Respiratory Muscle Weakness All humans are vulnerable to respiratory impairment in sleep, REM sleep. Sleep-related physiologic changes interact with a compromised neuromuscular system to create conditions that result in different/


Pediatric Sleep Medicine: A brief overview from A to Zzzzzz….

are generally absent – –Treatment options are the same as those for obstructive sleep apnea syndrome Obstructive Sleep Apnea Syndrome: n n A syndrome occurring during sleep characterized by: – –Obstructive apnea – –Partial upper airway obstruction – –Hypoventilation – –Hypoxemia n n Incidence thought to be 1-3% of all children: – –Up to 40% of specialty referred patients with snoring Obstructive apnea with desaturation Obstructive Sleep Apnea: n Imbalance of forces: –Airway opening and closing pressures –An/


Obstructive Sleep Apnea: when dreams turn deadly Troy Glembot, MD MBA CPE FACS FASMBS Medical Director Winchester Medical Center Bariatric Program.

 Treatment options for patients who have OSA  OSA and potential safety issues in the workplace Define OSA Sleep disordered breathing (SDB) Obstructive sleep apnea (OSA) Sleep apnea/hypopnea (SAH) Sleep apnea/hypopnea syndrome (SAHS) Obstructive sleep apnea syndrome (OSAS) Obstructive Sleep Apnea  OSA is characterized by intermittent airway obstruction Results in nocturnal desaturations hypercapnea Results in nocturnal desaturations hypercapnea Increased inspiratory efforts lead to awakenings resulting in/


Correlation of CPAP, BiPAP, and AutoPAP use with intraocular Correlation of CPAP, BiPAP, and AutoPAP use with intraocular pressure in patients with sleep.

2 Department of Ophthalmology, Loyola University Chicago Stritch School of Medicine, Maywood, IL Introduction Several studies have shown that obstructive sleep apnea (OSA) is related to pathology of the eye. Correlations between OSA and floppy eyelid syndrome, primary open angle /other pathologies that inhibit blood supply to the cells and the optic nerve are also implicated in glaucoma including obstructive sleep apnea [4]. Prevalence of glaucoma is 2% of the population >40 years old. It is estimated that /


Interpreting Sleep Study Reports: A Primer for Pulmonary Fellows

RDI: 55 Notice difference in RDI 55 from AHI 17 – moderate vs. severe OSA. The patient does not desaturate frequently but clearly has sleep disruption from respiratory events. Sample PSG Report Events by sleep stage & position This patient had severe obstructive sleep apnea (AHI 39), no central events and had frequent desaturation Respiratory Events by Position   TST in Position: % of TST Supine Prone Left Right/


Central Sleep Apnea Syndromes 6 th Annual Conference Northwest Ohio Southeast Michigan Sleep Society May 1, 2009 Navin K Jain, MD.

for chronic pain (even non malignant disorders) Most experts believe – respiratory tolerance develops and respiratory depression is absent or mild During wakefulness, chronic respiratory acidosis is absent or mild While sleeping, 30-90% patients will have sleep apnea (central or obstructive) – may contribute to mortality Obesity Hypoventilation Syndrome Obesity – BMI > 35 Alveolar Hypoventilation (PaCO2 >45 mm Hg) while awake Hypoventilation worsens during non-REM/


BY AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE

Mansoura Faculty Of Medicine Several conditions can cause sleep related breathing disorders, including: Obstructive sleep apnea (OSA) syndrome in which inadequate ventilation occurs despite continued efforts to breath due to upper airway obstruction. Central sleep apnea (CSA) syndrome in which inadequate ventilation resulting from absent or diminished respiratory effort. Complex sleep apnea syndrome These patients have predominantly obstructive or mixed apneas during the diagnostic portion of the study but/


針對睡眠呼吸中止症患者探討非穿戴 式技術測量睡眠呼吸運動之可行性 Investigation on the feasibility of respiratory motion measurement in sleep using unconstrained techniques for patients.

Results and Discussion Future works References 2 Problems & Rationale Obstructive sleep apnea, OSA  obstructive type, central type, mix type apnea Apnea & Hypopnea Index = Total number of apneas and hypopneas  Total Sleep Time AHI(Apnea Hypopnea Index) 5 ≦ AHI < 1515 ≦ AHI< 30AHI ≧ 30 Typical AHI values categorized mildmoderatesevere AASM Manual for Scoring Sleep, 2007 3 Problems & Rationale Obstructive sleep apnea, OSA  Obstructive sleep apnea (OSA) is a common chronic disorder that often requires/


Sleep Disorders. Obstructive Sleep ApneaObstructive sleep apnea/hypopnea syndrome (OSAHS)  It is a major cause of morbidity, a significant cause of.

for patients with troublesome sleepiness but negative limited studies to then have polysomnography to exclude or confirm Obstructive Sleep Apnea Treatment Whom to Treat ?????? treatment improves symptoms, sleepiness, driving, cognition, mood, QOL, /for this large group:  there is not evidence that treating nonsleepy subjects improves their symptoms, function, blood pressure Obstructive Sleep Apnea Treatment How to Treat   should have condition and its significance explained to them and to their partner /


CRC 432 Subacute Care Module IV Polysomnography (PSG) & Sleep-Disordered Breathing (SDB)

, occurring especially among children, and including sleepwalking, night terrors, and bed-wetting (nocturnal enuresis). Sleep Apnea Types of sleep apneaObstructive (OSA) –Central (CSA) –Mixed (OSA & CSA) Obstructive sleep apnea –Most common form of sleep apnea –Drive to breathe is intact –Upper airway intermittently becomes obstructed during sleep –Respiratory muscles work harder & harder to move air –Patient partially awakens –Airways clears, & ventilation resumes –Depending on severity, cycle may occur/


You are here because either your screener was positive or you reported symptoms indicating a high probability for sleep disordered breathing.

is most often caused by narrowing of the airway and/or airway collapse. In your study your airway was compromised ____ times during the night. Other names for Sleep Disordered Breathing include:  Sleep ApneaObstructive Sleep ApneaObstructive Sleep Apnea Hypopnea Syndrome When breathing stops.. Oxygen levels drop Breathing is disturbed and after some time 10 to 60 seconds or more you have an arousal and breathing returns. You/


Sleep Related Breathing Disorders In Congestive Heart Failure BY AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura Faculty of Medicine.

does not fulfill the criteria for a hypopnea or apnea The respiratory disturbance index (RDI) is defined as the number of obstructive apneas, hypopneas, and respiratory event–related arousals (RERAs) per hour. Types of SLEEP RELATED BREATHING DISORDES 1- Obstructive sleep apnea syndrome (OSA) in adults is defined as either More than 15 apneas, hypopneas, per hour of sleep ( AHI >15 events/hr) in an asymptomatic patient OR More/


OBSTRUCTIVE SLEEP APNEA IN ETHIOPIAN PATIENTS Sleep apnea is a cessation of breathing due to obstruction of the respiratory air passages during sleep.

not rule out the need for immediate intervention in these two patients. Their physical conditions and the diagnostic results that the pulmonologist and I have observed confirm that they are obstructive sleep apnea (OSA ) patients beyond any shadow of doubt. Therefore, providing them with some means (e.g. CPAP, jaw supporter, etc) to relieve their frequent choking episodes at night will be most/


Sleep Apnea & the Eye Rick Trevino, OD VA Outpatient Clinic Evansville, IN

Shift work OSA is the “most physiologically disruptive and dangerous of the sleep-related disorders.” Obstructive Sleep Apnea Source: Thorax 2004;59:73-78 Obstructive Sleep Apnea Any Condition that Causes or Contributes to Upper Airway Narrowing is a /9%F, 24%M Under-diagnosed Under-diagnosed Source: How Stuff Works (http://healthguide.howstuffworks.com/sleep-apnea-in-depth.htm) Obstructive Sleep Apnea Cardiovascular Disease Cardiovascular Disease HTN, CAD/MI, CHF, Arrhythmia HTN, CAD/MI, CHF, Arrhythmia /


REVIEW Obstructive Sleep Apnea Syndrome and Perioperative Complications: A Systematic Review of the Literature J Clin Sleep Med 2012;8:199-207. Vasu TS,

after surgery Similarly, episodes of delirium, nightmares, and psychomotor dysfunction: occur between postoperative nights 3 to 5 Evidence on Sleep Apnea as a Risk Factor for Perioperative Complications How to Identify Patients with Sleep Apnea Nocturnal polysomnography (NPSG): gold standard to identify patients with obstructive sleep apnea –Difficult to implement due to a variety of factors, including its prolongation of the process of surgery and contribution to/


By Dr. Lucy Suliman Lecture of chest medicine Sleep disordered breathing in neuromuscular diseases.

neuromuscular disease Anterior horn cell ALS Peripheral nerves poliomyelitis Neuromuscular junction Myathenia gravis Muscle Myotonic dystrophy, Duchenne myopathy, limb girdle muscular dystrophy Types of Sleep disordered breathing in NMD Sleep hypoventilation syndrome Central sleep apnea Obstructive sleep apnea Chyne stoke breathing Nocturnal desaturation Sleep hypoventilation syndrome 1 There is an increase in the arterial PaCO2 (or surrogate) to a value > 55 mm Hg for ≥ 10 m inutes. 2/


PEDIATRIC OBSTRUCTIVE SLEEP APNEA

making pediatric polysomnography essential for diagnosing pediatric OSA. Additionally, polysomnography is performed to confirm the diagnosis of obstructive sleep apnea when it is suspected on clinical grounds, and to differentiate between OSA and primary snoring. Polysomnography helps/ Carroll JL, Koerner CB, Hamer A, Lutz J, Loughlin GM. Determinants of growth in children with the obstructive sleep apnea syndrome. J Pediatr 1994;125(4):556-62. Girls Boys Marcus et al. J Pediatr 1994 NEUROCOGNITIVE MORBIDITY/


Sleep medicine for the first year of life

spells may require PSG to evaluate for SRBD. Sleep apnea in the first year of life Definition, AASM 2012: apnea a. There is a drop in the peak /sleep when the sequence of  breaths does not meet criteria for an apnea or hypopnea. Periodic breathing Score a respiratory event as periodic breathing if there are ≥3 episodes of central apnea lasting >3 seconds separated by ≤20 seconds of normal breathing Periodic breathing This pt with arnold chiari Million dollar question: What is normal??? For obstructive apnea/


Respiratory Physiology In Sleep Ritu Grewal, MD. States of Mammalian Being Wake Non-REM sleep –brain is regulating bodily functions in a movable body.

Normal OSA Inspiration Expiration The upper airway is: (1) Narrowest in the retropalatal airspace (2) Narrower in obstructive sleep apnea (OSA) patients vs. controls (3) Varies during the breathing cycle (narrowest at end-expiration) Upper airway /CRIT is more positive (more collapsible airway) from groups of normal subjects, to snorers, and patients with hypopneas and obstructive sleep apnea (OSA). Increases in pharyngeal muscle activity (passive to active upper airway) increase V MAX and decrease P CRIT, /


Clinical Sleep Disorders Meena Khan MD Assistant Professor, Department of Neurology and Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine.

worsen associated hypoxemia  Sedatives (benzodiazepines, anesthetics, narcotics)  Current smoking (assoc w/higher prevalence of snoring and OSA) Proc Am Thorac Soc 2008; Vol 5; 136-143 Obstructive Sleep Apnea  Two types of airway closures that occur in obstructive sleep apneaApnea  Complete closure of the airway resulting in absence of airflow  Hypopnea  Partial closure of the airway leading to decrease in airflow associated with a drop in/


Pediatric Obstructive Sleep Apnea Syndrome: Kids are not simply little adults Ronald J. Green, MD, FCCP Diplomate, American Board of Sleep Medicine Sleep.

Clinic Medical Director North Puget Sound Center for Sleep Disorders Everett, WA 425-339-5410; www.ilikesleep.com Obstructive Sleep Apnea Syndrome Obstructive Sleep Apnea Syndrome  Common  Dangerous  Easily recognized  Treatable Apnea Patterns Obstructive Mixed MixedCentral Airflow Airflow Respiratoryeffort Measures of Sleep Apnea Frequency  Apnea Index –# apneas per hour of sleepApnea / Hypopnea Index (AHI) –# apneas + hypopneas per hour of sleep Pediatric OSAS Epidemiology  7% to 20% of children/


Sleep Apnea And Conditions seen in the ICU Sleep Basics Some Definitions.

fold rise in OSA Middle age up to 65 is peak Obese teens can need CPAP Definitions COPD Obstructive Sleep Apnea Airflow Obstruction Low FEV 1 Nocturnal Desaturation Daytime Hypoxemia Pulmonary Hypertension Repetitive airflow cessation or reduction Airway collapse Nocturnal desaturations / was elevated 2.47 times. Lee, J.E. et al. J. Clin Sleep Med 2013, 9(10) 997-1002 Atrial Fibrillation And Obstructive Sleep Apnea Atrial Fibrillation and OSA Do they Coexist or is there a Causative Effect Severe OSA/


Pamela Minkley RRT, RPSGT, CPFT March 2013 Different Types of Central Sleep Apnea Figure out what’s causing it and you’ll know how to treat it! Make Sleep.

Hypopnea Auto Servo Ventilation Volume Assured Pressure Support with Rate Noninvasive Ventilation CPAP APAP BiLevel Complex Sleep Apnea Components OSA Central SDB Hypoventilation Periodic Breathing CSR Obstructive apneas Obstructive hypopneas 27 PAP Therapy: Decision Making Tree OSA Obstructive Events Open the Airway Obstructive Events Open the Airway CPAP APAP Bi-level CPAP APAP Bi-level Impaired Gas Exchange Ventilate Impaired Gas Exchange Ventilate Auto Servo Ventilation Volume/


Sleep Disordered Breathing Mark Howell, MD, FACS Ear,Nose and Throat Associates Johnson city,Tennessee.

sore throat –Trouble thinking clearly or remembering things When is snoring a problem? Snoring can be a symptom of Obstructive Sleep Apnea (OSA). Some medical problems caused by OSA include: –Elevated blood pressure –Cardiac arrhythmias –Pulmonary hypertension –Automobile / snoring, but there is no single common solution Snoring can be the symptom of a true medical problem, Obstructive Sleep Apnea Please contact your physician if you or your loved one has these symptoms 2340 Knob Creek Road Any Questions?/


Renal artery denervation for treatment of patients with obstructive sleep apnea and resistant hypertension: Results from the Global SYMPLICITY Registry.

obstructive sleep apnea and no obstructive sleep apnea patients. CONCLUSIONS Renal artery denervation resulted in significant blood pressure reductions at 6 months in patients with and without obstructive sleep apnea. The absence of a difference in BP change between obstructive sleep apnea and nonobstructive sleep apnea/concomitant conditions also characterized by sympathetic nervous system overdrive including obstructive sleep apnea (OSA). OSA is associated with sympathovagal disbalance, atrial fibrillation/


Sleep apnea and Cardiovascular diseases D. O. Rodenstein Service de pneumologie Cliniques universitaires Saint-Luc Université catholique de Louvain.

oxidated lipoproteins Increase in adhesion molecules Vascular smooth muscle proliferation Platelet aggregation and activation Increase in Fibrinogen and decrease in PAI1 (Plasminogen Activator Inhibitor type-1) activity Cardiovascular consequences of obstructive sleep apnea Clinical effects Hypertension Atherosclerosis Coronary artery disease Heart failure Arrhythmias Stroke Sudden death Glucose intolerance Arrhythmias Arrhythmias in general seem not to be more prevalent in OSA, but recurrent atrial/


Practice Links Clinical Topics Sleep Disturbances Sleep Disorders in the Elderly Developed by Susan Kartes RN MSN GNP APNP September 2012.

duration and CAD and overall increased mortality Chronic Medical Conditions Impacting Sleep Medical Condition Diabetes Increased incidence of obstructive sleep apnea Increased incidence of sleep disordered breathing Autonomic neuropathy leading to Ventilatory disorders Chronic Medical Conditions Impacting Sleep Medical Condition Dementia Delayed sleep induction Prolonged wake time after arousal from sleep Increased activity during periods of wakefulness “Sundowning” Increased daytime sleepiness compared/


Obstructive Sleep Apnea Hyponea Syndrome. Overview  Physiology of Sleep  Evaluation of Sleep  Definition of Obstructive Sleep Apnea Hyponea Syndrome(OSAHS)

:  Friedman et al:  Success = AHI<20 and AHI reduced 50% Important keys  The complete description of OSAHS Obstructive Sleep Apnea Hyponea Syndrome Obstructive Sleep Apnea Hyponea Syndrome  The gold standard for diagnose of OSAHS: Polysomnography (PSG) Polysomnography (PSG)  The difference between snoring and OSAHS : Apnea-hypopnea index (AHI) Apnea-hypopnea index (AHI)  The most commonly performed surgery for OSAHS Uvulopalatopharyngoplasty (UPPP) Uvulopalatopharyngoplasty (UPPP) Conclusions/


Sleep Disorders MODULE F. Types of Sleep Disorders Obstructive Sleep Apnea Central Sleep Apnea Mixed Hypopnea.

per hour. Respiratory Disturbance Index SpO 2 levels below 85% are indicative of sleep apnea. Consequences of Sleep Apnea Increase MVA’s Increase work related accidents Poor job performance Depression/Inability to concentrate Family Discord Decreased quality of life Obstructive Sleep Apnea Most common of the sleep apneas. Partial or complete obstruction of the upper airway during sleep. Absence of airflow at the nose/mouth but inspiratory efforts are present; O/


Pamela Minkley RRT, RPSGT, CPFT March 2013 “SMART” Technologies Why are they so scary? They’re not so smart without YOU! Make Sleep a Priority 1.

Guidelines for the Manual Titration of Positive Airway Pressure in Patients with Obstructive Sleep Apnea; J. Clin. Sleep Med 2008, 4(2)157-171 2.Clinical Guideline for the Evaluation, Management and Long-term Care of Obstructive Sleep Apnea in Adults; J. Clin. Sleep Med 2009, 5(3)263-276 3.Best Clinical Practices for the Sleep Center Adjustment of Noninvasive Positive Pressure Ventilation (NPPV) in Stable Chronic Alveolar/


Pathophysiological Interactions between Sleep Apnea and Heart Failure T. Douglas Bradley, MD Director, Centre for Sleep Medicine and Circadian Biology,

Crit Care Med 2001 Lorenzi-Filho G et al. Am J Respir Crit Care Med 1999 RT Obstructive Sleep Apnea Arousals Occurring After Onset of Ventilation in Patients with HF and CSA AS baseline AK baseline Baseline Subject/ by elimination of hypoxia  These effects are best explained by respiratory modulation of autonomic nervous system at the frequency of periodic breathing Obstructive Sleep Apnea  Intrathoracic pressure  PO 2  PCO 2 ArousalArousal  Myocardial O 2 delivery O 2 delivery  Myocardial O 2 delivery/


Perioperative Management of Obstructive Sleep Apnea BY AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura Faculty of Medicine.

AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura Faculty of Medicine SLEEP DISORDERED BREATHING SYNDROMES 1- Obstructive sleep apnea syndrome (OSA) in adults is defined as either More than 15 apneas, hypopneas, per hour of sleep ( AHI >15 events/hr) in an asymptomatic patient OR More than 5 apneas, hypopneas, per hour of sleep (AHI >5 events per hour) in a patient with symptoms (eg, sleepiness, fatigue and inattention/


Commercial Motor Vehicle Drivers and Sleep Apnea Presented by Nancy E. Vaughn, Federal Programs Manager FMCSA – Delaware Division April 4, 2014.

medical examiner to the Expert Panel Recommendations available to the medical examiner that can be found on our website. 32 Diagnosing Sleep Apnea in Commercial Drivers  Expert Panel Recommendations for Obstructive Sleep Apnea and Commercial Vehicle Driver Safety (January 14, 2008) states”:  “A diagnosis of obstructive sleep apnea precludes an individual from obtaining unconditional certification to drive a CMV for the purposes of interstate commerce.  A diagnosis of/


Obstructive Sleep Apnea in Children Zafer Soultan,MD Associate Professor of Pediatrics Director, Pediatric Pulmonary and Sleep Medicine SUNY, Upstate Medical.

of residual OSA for AHI >1 criteria (72%), and AHI >2 was 38% Risk Factors for Residual Obstructive Sleep Apnea After Adenotonsillectomy in Children Imanguli M; Laryngoscope 2016 Conclusions by the experts AT is the most effective surgical therapy/s long-term cognitive and social potential and school performance. The source and useful resource Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome Carole L. Marcus, Lee Jay Brooks, Kari A. Draper, David Gozal, Ann Carol Halbower, Jacqueline /


Relationship Between Sleep and Obesity. Why We Need Sleep! A good night sleep is very important to a person’s overall health and their ability to function.

in a normal capacity throughout the day. Snoring and obstructive sleep apnea are common respiratory obstructive sleep disorders that can significantly affect an individual’s quality of sleep as well as the sleep of others Obstructive Sleep Apnea Adolescents/Young Adults… Obstructive sleep apnea syndrome (OSAS) is the most common organic disorder causing excessive daytime somnolence in patients seen in sleep disorders’ clinics Obstructive sleep apneas are part of the complex of “heavy snorer’s disease/


Date of download: 7/15/2016 From: Diagnosis and Initial Management of Obstructive Sleep Apnea without Polysomnography: A Randomized Validation Study Ann.

;146(3):157-166. doi:10.7326/0003-4819-146-3-200702060-00004 Study flow diagram.CPAP = continuous positive airway pressure; ESS = Epworth Sleepiness Scale; OSA = obstructive sleep apnea; PSG = polysomnography; RDI = respiratory disturbance index; SACS = Sleep Apnea Clinical Score. *Baseline PSG was used to assess the performance of the diagnostic algorithm. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of/


Sleep Disordered Breathing (SDB) in Children Bergen County School Nurses Association November 18, 2013 Lee D. Eisenberg M.D., M.P.H., F.A.C.S. ENT and.

a child with SDB be watched conservatively and treated only if symptoms worsen. Fact Sheet: Pediatric Sleep Disordered Breathing/Obstructive Sleep Apnea. American Academy of Otolaryngology/Head and Neck Surgery, Inc. Updated 11/15/11 Does Every/ disease, sickle cell disease, metabolic disease, or laryngomalacia. Clinical Practice Guideline: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome American Academy of Pediatrics 1) all children should be screened for snoring; 2) complex high-risk/


William C. Dement, M.D., Ph.D., Sc.D Stanford University Center of Excellence For the Diagnosis and Treatment of Sleep Disorders October 1, 2013 Sleep.

Dirvers, Chest, May, 1995. 49 IGNORANCE IN THE WORKPLACE In the Trucking Companies Whose Drivers had Obstructive Sleep Apnea: Had Ever Heard of Obstructive Sleep Apnea Or Knew What It Was! Driver Manager Safety Manager Company Physician OSA: 34% males; 19% females/ Insomnia: 30% males; 35% females More than 60% of all patients had one or more sleep disorders. None identified! 50 “Increasing prevalence” of obstructive sleep apnea 1970: Did not exist 1980: Estimated at 5,000,000 by ASDC 1990: Estimated at 10,/


OBSTRUCTIVE SLEEP APNEA (OSA) Created By: St. James Healthcare Education Collaborative Butte, Montana Nursing Learning Module.

M et al (2006). A correlation between the shape of the epiglottis and obstructive sleep apnea. Surg Endosc. 2006 May;20(5):836-7. Moos DD. (2006). Obstructive sleep apnea and sedation in the endoscopy suite. Gastroenterol Nurs. 2006 Nov-Dec;29(6):/ S.K. and Josephs, L. (2009). A Meta-analysis of Clinical Screening Tests for Obstructive Sleep Apnea. Anesthesiology. 2009; 110: 928-939. Villegas T. (2004). Sleep apnea and moderate sedation. Gastroenterol Nurs. 2004;27(3):121-124. OSA: TEST YOUR KNOWLEDGE (TRUE/


Sleep Apnea: …the heart suffers even while sleeping… Adrián Baranchuk Associate Professor of Medicine and Physiology Queen’s University Kingston, Ontario,

(24%)17/29 (58%) HR 0.24 (95% CI 0.09 – 0.62) P<0.01 Who is interested in this topic…? AUGUST 2008 (On-LINE) Sleep Apnea: Stroke Investigating the Relationship Between Stroke and Obstructive Sleep Apnea Dyken ME. Stroke 1996;27:401-407 SAstroke strokeSA ? Should we refine the CHADS 2 score? SA & Heart Failure Mechanism of interaction SA & Heart Failure Clinical scenarios/


Asthma is a common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction and bronchospasm.

common causes of wheezing in children include asthma, allergies, infections, gastroesophageal reflux disease, and obstructive sleep apnea. Less common causes include congenital abnormalities, foreign body aspiration, and cystic fibrosis. Asthma is /laryngomalacia) can differ from that of congenital laryngomalacia.Possible manifestations of late-onset laryngomalacia include obstructive sleep apnea syndrome, exercise-induced stridor, and even dysphagia. Supraglottoplasty can be an effective treatment option/


Sleep Apnea Syndrome Sung Chul Hwang, M.D. Department of Pulmonary and Critical Care Medicine Ajou University School of Medicine.

Maxillofacial Advancement Surgery for OSA Cardiac Ischemia During Apneic Episode Obstructive Sleep Apnea Central Sleep Apneas Sung Chul Hwang, M.D. Dept. of Pulmonary and Critical Care Medicine Ajou University School of Medicine Central Sleep Apneas Central apneas reflect unstable breathing control Decreased resp. drive : Hypoventilation during sleep --> Hypercapneic CSA Increased resp. drive : Hyperventilation during wake and sleep --> Hypocapneic CSA Mechanisms Result of abolished ventilatory motor out/


1 Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 19 Assessment of Sleep and Breathing.

<5  Mild SDB: AHI of 5-20  Moderate: AHI of 20-40  Severe:AHI >40 17 Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc. Obstructive Sleep Apnea (OSA)  Etiology of OSA is anatomic and may include:  Enlarged tonsils, macroglossia, micrognathia, deviated septum, or retrognathia When tied with paralysis of REM complete or partial airway/


Obstructive Sleep Apnea 441 Med Course Ahmed BaHammam.

Normal Apneic (Schwab et al, Am J Respir Crit Care Med 152:1673, 1995) 33 OSA Oximetry Heart Rate Nasal Airflow Effort Representative Signals 34 35 OSA and Medical Comorbidity Obstructive Sleep Apnea High Blood Pressure Increased Insulin resistance (event in non diabetic patients) Increased traffic and workplace accidents Stroke Memory problems and inability to think Cardiac problems, Abnormal heart rhythms, heart attack/


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