Obstructive Sleep Apnea In Adults
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Obstructive Sleep Apnea In Adults
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Author : J.S. Borer
language : en
Publisher: Karger Medical and Scientific Publishers
Release Date : 2011-09-14
Obstructive Sleep Apnea In Adults written by J.S. Borer and has been published by Karger Medical and Scientific Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-09-14 with Health & Fitness categories.
This book aims to provide a comprehensive and clear review of the current knowledge of the relationship between obstructive sleep apnea (OSA) and cardiovascular and metabolic diseases, a subject of concern to a wide range of specialists and general practitioners. Separate chapters describe: the definition, symptoms and sequelae of OSA, and the diagnostic strategies and treatment options for adults with OSA according to the American Academy of Sleep Medicine; pathogenic mechanisms, by which OSA may contribute to the development and progression of cardiovascular and metabolic disorders, including inflammation, oxidative stress and thrombosis; links between OSA and obesity, alterations in glucose metabolism, metabolic syndrome and liver injury; relationships between OSA, endothelial dysfunction, autonomic dysfunction and cardiovascular disorders, and the results of studies investigating the effect of treatment for OSA on the concomitant cardiovascular disease. Each chapter summarizes the essential information and is illustrated by tables and figures, which will aid the readers in their understanding of the complex systemic interactions involved in this disease.Reviewed by internationally recognized experts, this publication will be of benefit to clinicians and scientists in the fields of pulmonology, cardiology, endocrinology and neurology as well as to sleep specialists and general practitioners.
Treatment Of Obstructive Sleep Apnea In Adults
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Author :
language : en
Publisher:
Release Date : 1999
Treatment Of Obstructive Sleep Apnea In Adults written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Sleep apnea syndromes categories.
This HTAC assessment "outlines diagnostic and treatment options for obstructive sleep apnea (OSA)"
Diagnosis And Treatment Of Obstructive Sleep Apnea In Adults
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Author :
language : en
Publisher:
Release Date : 2011
Diagnosis And Treatment Of Obstructive Sleep Apnea In Adults written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with categories.
Diagnosis And Treatment Of Obstructive Sleep Apnea In Adults
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Author : U. S. Department of Health and Human Services
language : en
Publisher: CreateSpace
Release Date : 2013-04-15
Diagnosis And Treatment Of Obstructive Sleep Apnea In Adults written by U. S. Department of Health and Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-04-15 with Medical categories.
Obstructive sleep apnea (OSA) is a relatively common disorder in the U.S. that affects people of all ages, but is most prevalent among the middle-aged and elderly. Affected individuals experience repeated collapse and obstruction of the upper airway during sleep, which results in reduced airflow (hypopnea) or complete airflow cessation (apnea), oxygen desaturation, and arousals from sleep. Adverse clinical outcomes associated with OSA include: cardiovascular disease, hypertension, non-insulin-dependent diabetes, and increased likelihood of motor vehicle and other accidents due to daytime hypersomnolence. Studies estimate the prevalence of OSA at approximately 10 to 20% of middle-aged and older adults. Evidence also indicates that these rates are rising, likely due to increasing rates of obesity. Based on the considerable mortality and morbidity associated with it and its attendant comorbidities, OSA is an important public health issue. Complicating diagnosis and treatment, however, is the great degree of clinical uncertainty that exists regarding the condition, due in large part to inconsistencies in its definition. Ongoing debate surrounds what type and level of respiratory abnormality should be used to define the disorder as well as what is the most appropriate diagnostic method for its detection. In addition, there is no current established threshold level for the apnea-hypopnea index (AHI) that would indicate the need for treatment. By consensus, people with relatively few apnea or hypopnea events per hour (often less than 5 or less than 15) are not formally diagnosed with OSA. Also of concern are the high rates of perioperative and postoperative complications among OSA patients, as are the numbers of asymptomatic and symptomatic individuals who remain undiagnosed and untreated. Three main categories of outcomes of interest in comparative effectiveness research are clinical (or health) outcomes, intermediate or surrogate outcomes, and adverse events. Objective clinical outcomes relevant to patients with OSA include comorbidities found to be associated with untreated sleep apnea, primarily cardiovascular disease and non-insulin-dependent diabetes. In addition, mortality due to cardiovascular disease, diabetes, motor vehicle accidents, and other causes represent important adverse outcomes of OSA. Intermediate outcomes of interest in the management of patients with OSA include sleep study measures, blood pressure, and hemoglobin A1c. Key Questions that are clinically relevant for the diagnosis and treatment of OSA were developed with input from domain experts and other stakeholders and from comments received in response to public review. Key Questions: 1. How do different available tests compare in their ability to diagnose sleep apnea in adults with symptoms suggestive of disordered sleep? How do these tests compare in different subgroups of patients, based on: race, sex, body mass index, existing non-insulin dependent diabetes mellitus, existing cardiovascular disease, existing hypertension, clinical symptoms, previous stroke, or airway characteristics? 2. How does phased testing (screening tests or battery followed by full test) compare to full testing alone? 3. What is the effect of preoperative screening for sleep apnea on surgical outcomes? 4. In adults being screened for obstructive sleep apnea, what are the relationships between apnea-hypopnea index or oxygen desaturation index and other patient characteristics with respect to long-term clinical and functional outcomes? 5. What is the comparative effect of different treatments for obstructive sleep apnea in adults? 6. In obstructive sleep apnea patients prescribed nonsurgical treatments, what are the associations of pretreatment patient-level characteristics with treatment compliance? 7. What is the effect of interventions to improve compliance with device use (positive airway pressure, oral appliances, positional therapy) on clinical and intermediate outcomes?
Drug Induced Sleep Endoscopy
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Author : Nico de Vries
language : en
Publisher: Thieme
Release Date : 2020-11-11
Drug Induced Sleep Endoscopy written by Nico de Vries and has been published by Thieme this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-11-11 with Medical categories.
The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists.
Obstructive Sleep Apnoea
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Author : Ferran Barbé
language : en
Publisher: European Respiratory Society
Release Date : 2015-03-01
Obstructive Sleep Apnoea written by Ferran Barbé and has been published by European Respiratory Society this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-03-01 with Medical categories.
Obstructive sleep apnoea (OSA) is a common and progressive chronic disease. It is responsible for a high number of comorbidities and is linked with increased mortality, including a rise in the rate of sudden cardiac death. It is widely acknowledged that OSA now affects millions of people worldwide. This Monograph considers this high-impact condition from four different perspectives: pathogenesis; at-risk populations; clinical scenarios; and treatment and management. Comprehensive and up-to-date chapters provide the reader with a concise overview of OSA, making this book a useful reference for pulmonologists concerned with the management of this disease.
Snoring And Obstructive Sleep Apnea
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Author : David N. F. Fairbanks
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2003
Snoring And Obstructive Sleep Apnea written by David N. F. Fairbanks and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003 with Medical categories.
Completely updated, this volume is a practical, authoritative guide to the diagnosis and management of sleep-related breathing disorders. This Third Edition provides a more comprehensive treatment approach, focusing on surgical treatment but recognizing the growing importance of medical management of snoring/sleep disorders. Noted experts in the fields of otolaryngology, head and neck surgery, pulmonology, and sleep medicine examine the pathophysiology of these disorders, their clinical presentations in adults and children, the diagnostic workup, and the latest and most effective drugs, devices, oral appliances, and surgical procedures. An in-depth discussion of patient selection and treatment decisions is also included.
Continuous Positive Airway Pressure For The Treatment Of Obstructive Sleep Apnea In Adults
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Author : Harry Handelsman
language : en
Publisher:
Release Date : 1987
Continuous Positive Airway Pressure For The Treatment Of Obstructive Sleep Apnea In Adults written by Harry Handelsman and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1987 with Respiratory therapy categories.
Autonomic Nervous System And Sleep
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Author : Sudhansu Chokroverty
language : en
Publisher: Springer Nature
Release Date : 2021-02-23
Autonomic Nervous System And Sleep written by Sudhansu Chokroverty and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-02-23 with Medical categories.
This comprehensive book addresses all elements of the autonomic nervous system (ANS) and sleep interaction, as well as ANS alterations in sleep and how these impact primary and comorbid sleep dysfunction. It meets the market need for a comprehensive text that deals with ANS changes in sleep and how these impact various neurological, medical, and primary sleep disorders. Organized into three parts, the book begins with a review of the foundational bodily systems that participate in coordination of ANS activity with other homeostatic responses such as respiration, cardiovascular reflexes, and responses to stress. Part two then examines methods of laboratory evaluation and the “why, when, how” of interpreting heart rate variability in sleep. To conclude, the final section of the book broadly covers the many clinical aspects of ANS, including insomnia, restless leg syndrome, sleep apnea, sleep related epilepsy, and acute autonomic neuropathy. Autonomic Nervous System and Sleep enhances the reader's understanding of the pathophysiology of various disorders, and explains how to apply this profound understanding is important to new lines of therapy to improve morbidity.
Management Of Obstructive Sleep Apnea
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Author : Ki Beom Kim
language : en
Publisher: Springer Nature
Release Date : 2021-01-04
Management Of Obstructive Sleep Apnea written by Ki Beom Kim and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-01-04 with Medical categories.
This book provides comprehensive information on the etiology, pathophysiology, medical implications, diagnosis, and surgical and nonsurgical treatment of obstructive sleep apnea (OSA). Divided into five parts, the book begins with principles and fundamentals of OSA and its diagnostic considerations. Subsequent parts then address non-surgical management, surgical management, and maxillomandibular advancements for OSA. Chapters seek to approach this common disorder from the viewpoint of multiple specialties, thereby promoting the development of a broad strategy for the evaluation and management of OSA patients that draws on each of them. An invaluable reference, Management of Obstructive Sleep Apnea: An Evidence-Based, Multidisciplinary Textbook meets the needs of advanced dental and medical students, orthodontic, maxillofacial, ENT, neurology, and plastic surgery residents, and sleep medicine and pulmonary physicians.