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Author: Kristi Thornton
Publisher:
ISBN:
Category : Primary care (Medicine)
Languages : en
Pages : 158
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Book Description
Author: Kristi Thornton
Publisher:
ISBN:
Category : Primary care (Medicine)
Languages : en
Pages : 158
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Book Description
Author: Brendan Glowacki
Publisher:
ISBN:
Category : Primary care (Medicine)
Languages : en
Pages : 112
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Book Description
Author: Song Tar Toh
Publisher: Elsevier Health Sciences
ISBN: 0323655319
Category : Medical
Languages : en
Pages :
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Book Description
This issue of Sleep Medicine Clinics, edited by Song Tar Toh in collaboration with Consulting Editor, Teofilo Lee-Chiong, is devoted to the Preventing, Screening, and Treatments for Obstructive Sleep Apnea, beyond Positive Airway Pressure (PAP). Topics covered in this issue include: Prevention and Screening of Obstructive Sleep Apnea (OSA); Anatomical and Physiologic Considerations in Surgical Treatment for OSA; Medical and Surgical Options for Weight Management in OSA; Positional Therapy for OSA; Oral Appliances in Adults and Pediatrics; Myofunctional Therapy for OSA; Drug-induced Sleep Endoscopy in Treatment Options Selection; Establishing a Patent Nasal Passage in OSA; Palatal Surgery: From Ablation to Reconstruction; Volumetric Tongue Reduction Surgery in Clinical Practice; Transoral Robotic Surgery for OSA; Genioglossus Advancement and Hyoid Surgery; Maxillomandibular Rotational Advancement: Airway, Aesthetics, and Angle Considerations;
Author: Nico de Vries
Publisher: Thieme
ISBN: 3132403660
Category : Medical
Languages : en
Pages : 442
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Book Description
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.
Author: W. T. McNicholas
Publisher: Saunders
ISBN:
Category : Medical
Languages : en
Pages : 360
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Book Description
Provides a reference for all those involved in the clinical investigation and care of patients with sleep-related respiratory disorders.
Author: Anna Perlik
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
"Obstructive sleep apnea (OSA) is a growing pandemic in the United States affecting about 9% of middle-aged women and 24% of middle-aged men (Meng et al., 2016). Currently, OSA screening is not considered a part of the regular patient evaluation in primary care settings. The disease contributes to a variety of detrimental comorbidities and increased mortality rates if left untreated. The purpose of this 11-week evidence-based project was to implement routine screening for OSA in primary care facility using Stop-Bang Questionnaire (SBQ) in individuals over the age of 18 to increase the rate of referrals for sleep studies by at least 80%. One hundred fifty-one adult patients from a medium size primary care office were recruited. Results supported a positive OSA screen for moderate disease in 42% of the participants and for severe disease in 15% of participants. An 86% referral rate exceeded the established benchmark by 6%. Screening for OSA with SBQ was a reliable tool for disease detection. This project aside from diagnosing the illness also offered a chance to educate the adult population about various aspects of the disease and means of testing and contributed to increase in the patient knowledge base. Keywords: apnea, hypopnea, obstructive sleep apnea, OSA, Stop-Bang Questionnaire, SBQ, screening tool " -- Abstract
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309101115
Category : Medical
Languages : en
Pages : 425
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Book Description
Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.
Author: Matthew T. Naughton
Publisher: Karger Medical and Scientific Publishers
ISBN: 1903734479
Category : Medical
Languages : en
Pages : 78
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Book Description
Obstructive Sleep Apnea, sleep-disordered breathing, is associated with significant morbidity and mortality, including cardiovascular disease and cognitive impairment. Both the prevalence and the awareness of breathing disturbances during sleep have increased markedly in recent years. This is partly due to advances in diagnosis and treatment but is also due to an increase in the prevalence of obesity and the age of the population. The current estimate of the prevalence of clinically significant Obstructive Sleep Apnea Syndrome (OSAS) is about 5%. This increasingly common condition is treatable provided that it is recognized and managed appropriately. 'Fast Facts: Obstructive Sleep Apnea' is the work of two experienced, international experts and is specifically targeted to primary care physicians to equip them with the knowledge needed to diagnose and manage this disorder successfully in cooperation with specialists. Contents: • Epidemiology and risk factors • Clinical presentation • Medical complications • Diagnosis • Medical management • Surgery • Future trends.
Author: Cynthia Feltner
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
PURPOSE: To systematically review the evidence on screening and treating asymptomatic adults with obstructive sleep apnea (OSA) or those with unrecognized symptoms for OSA. DATA SOURCES: PubMed/MEDLINE, the Cochrane Library, Embase, and trial registries through August 23, 2021; reference lists of retrieved articles; outside experts; and reviewers, with surveillance of the literature through September 23, 2022. STUDY SELECTION: Two investigators independently selected English-language studies using a priori criteria. Eligible studies included randomized, controlled trials (RCTs) of screening for or treatment of OSA reporting on health outcomes, studies evaluating accuracy of screening questionnaires or clinical prediction tools in asymptomatic adults with OSA or persons with unrecognized symptoms of OSA, and systematic reviews of treatment reporting on changes in blood pressure (BP) and apnea-hypopnea index (AHI) scores. DATA EXTRACTION: One investigator extracted data and a second checked accuracy. Two reviewers independently rated data quality for all included studies using predefined criteria. DATA SYNTHESIS: No reviewed RCT directly compared screening with no screening. In two studies (702 total participants), the screening accuracy measured as AUC of the Multivariable Apnea Prediction (MVAP) score followed by unattended home sleep testing for detecting severe OSA syndrome (AHI ≥30 and Epworth Sleepiness Scale [ESS] score >10) was 0.80 (95% confidence interval [CI], 0.78 to 0.82) and 0.83 (95% CI, 0.77 to 0.90), respectively. Studies evaluating the Snoring, Tiredness, Observed apnea, blood Pressure, Body mass index, Age, Neck circumference, Gender (STOP-BANG) Questionnaire (k=4) and the Berlin Questionnaire (BQ) (k=2) enrolled different populations and used different criteria for a positive screening test. Recent systematic reviews of positive airway pressure (PAP) and mandibular advancement devices (MADs) show an association between PAP and MAD and reduction in BP and AHI, however reduction in BP outcomes versus inactive control is relatively small (2 to 3 mm Hg). Meta-analysis found that PAP compared with any control was associated with a significantly larger reduction in ESS score change (pooled mean difference, −2.33 [95% CI, −2.75 to −1.90]; 47 trials, 7,024 participants), modest improvement in sleep-related quality of life (QOL) (standardized mean difference, 0.30 [95% CI, 0.19 to 0.42]; 18 trials, 3,083 participants), and improved general health-related QOL measured by the SF-36 mental health component summary score change (2.20 [95% CI, 0.95 to 3.44]; 15 trials, 2,345 participants) and SF-36 physical health component summary score change (pooled mean difference, 1.53 [95% CI, 0.29 to 2.77]; 13 trials, 2,031 participants). Meta-analysis also found that use of MADs was associated with a significantly larger ESS score change than controls (pooled mean difference, −1.67 [95% CI, −2.09 to −1.25]; 10 trials, 1,540 participants). Reporting of other health outcomes was sparse; no included trial found significant benefit associated with PAP or MAD on mortality, cardiovascular outcomes, stroke, or motor vehicle accidents. Common adverse effects of PAP and MADs included oral or nasal dryness, irritation, and pain, among others. LIMITATIONS: Two studies assessing the accuracy of the MVAP score oversampled participants at high risk of OSA and those with OSA syndrome. No study prospectively evaluated screening tools to report calibration or clinical utility for improving health outcomes. Three studies assessing the accuracy of the STOP-BANG and two assessing the BQ enrolled different populations and used different criteria for positive screening tests. Most included trials assessing the benefit of PAP and MADs reported outcomes over a relatively short duration (12 weeks or less), and most pooled estimates showing improvement in excessive sleepiness or QOL (except benefit of PAP for improving ESS scores) fell short of the range considered to be a minimal clinically important difference. Populations enrolled in trials of treatment were referred for treatment; no trial enrolled populations who were identified by screening in primary care. CONCLUSIONS: The accuracy and clinical utility of potential screening tools for OSA that could be used in primary care settings are uncertain. PAP and MADs reduce AHI, BP and ESS score. Trials of PAP have not established whether treatment reduces mortality or improves most other health outcomes, except for its modest improvement in sleep-related QOL and general health-related QOL.
Author: Ki Beom Kim
Publisher: Springer Nature
ISBN: 3030541460
Category : Medical
Languages : en
Pages : 646
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Book Description
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.
