Monday, August 15th, 2011 at
The most effective treatment for the nighttime breathing disorder known as obstructive sleep apnea is the continuous positive airway pressure (CPAP) machine, according to a new report.
A CPAP machine pumps air through a mask while the patient sleeps. This treatment is highly effective in improving sleep and reducing symptoms of obstructive sleep apnea, according to the review of available evidence.
However, side effects such as dry nose and mouth, nosebleeds, chest discomfort and feeling trapped can cause patients to abandon CPAP treatment, noted the authors of the report, which was funded by the U.S. Agency for Healthcare Research and Quality (AHRQ).
One expert called the report’s findings “valuable.” Read the rest of this entry
Friday, August 12th, 2011 at
The benefits of continuous positive airway pressure machines (CPAP) for patients with obstructive sleep apnea (OSA) are quickly reversed when the therapy is withdrawn, according to Swiss research. The findings appear online in the articles-in-press section of the American Thoracic Society’s American Journal of Respiratory and Critical Care Medicine.
“In patients with obstructive sleep apnea who are established on CPAP treatment, withdrawal of the therapy is associated with a rapid recurrence of OSA and sleepiness within a few days” said Malcolm Kohler, MD, senior consultant at the Sleep Disorders Centre and Pulmonary Division of the University Hospital in Zurich. “After 14 days of CPAP withdrawal, OSA patients experienced considerable increases in heart rate and blood pressure as well as a deterioration in vascular function.” Read the rest of this entry
Tuesday, August 9th, 2011 at
A recent poll conducted by the Centers for Disease Control and Prevention (CDC) ranks Oklahoma the fourth sleepiest state in the country. It’s a huge problem. About 30 percent of Americans report having difficulty falling or staying asleep, while some 10 percent have chronic insomnia. According to the CDC poll, 14.3 percent of Oklahoma adults report they’re not getting enough sleep. West Virginia leads the country at 19.3 percent, followed by Tennessee at 14.8 percent and Kentucky, 14.4 percent. Insufficient sleep can result in moodiness, irritability and increased risk for auto and workplace accidents.
In order to get better sleep try to go to bed and get up about the same times every day, eat well and avoid late-night meals, exercise regularly and finally, maintain a cool, dark and quiet bedroom without distractions such as television or work projects.
Monday, August 8th, 2011 at
There are other ways to prevent sleep apnea without having to wear anything while you sleep. By maintaining a healthy body weight you can help reduce some of the constriction on your throat. You can help to prevent sleep apnea from developing in the first place by doing your best to maintain a healthy weight. If you consume alcohol or take certain medications before you go to bed, this could be triggering sleep apnea or make it worse. Your sleep position is also important with sleep apnea – try to sleep on your side. Sleeping on your back can increase snoring. Also, lifestyle changes come into play; if you smoke, stopping can help prevent this disorder. Staying fit and exercising can also help preventing.
Monday, August 8th, 2011 at
Former USC football star Petro Papadakis, who currently hosts the KLAC AM 570 afternoon radio show, announced that he had received successful treatment for sleep apnea and snoring from Dr. Jonathan Greenburg. Dr. Greenburg fitted Papadakis with a patent-pending appliance that is customized to each person’s mouth and tongue. Papadakis commented, “It’s been a great alternative to the CPAP for me. Dr. Greenburg is an innovator and visionary and his Snore No More Device enables me to sleep on planes and at my house without disturbing the peace. The dental device opens your airway just like the CPAP and is much less cumbersome.“
Dr.Greenburg commented, “Petros is one of many sleep apnea or snoring sufferers who find the CPAP machine uncomfortable and too difficult to use. Our custom fitted oral appliance treatment program gently repositions the tongue away from the airway at night and is ideal for patients like him who are either CPAP intolerant or travel often and wish to not have to take a CPAP machine with them.” Read the rest of this entry
Sunday, August 7th, 2011 at
Wearing compression stockings could be an effective and cheap way to help people suffering with a common sleep disorder, scientists say.
Researchers from the University of Brescia in Italy, found that wearing flight socks during the day reduced the symptoms of sleep apnea among sufferers at night.
Around four per cent of men and two per cent of women in the UK have the condition that interrupts breathing at night for ten seconds at a time.It can leave sufferers feeling exhausted as the body reacts to obstructed airways by going from a state of deep sleep to lighter rest.There are few effective treatments available for the condition, which is particularly prevalent among the overweight and over-65s. Many refuse to use available airway machines as they require wearing a mask all night. Read the rest of this entry
Friday, August 5th, 2011 at
According to research presented at the 20th Anniversary Meeting of the American Academy of Dental Sleep Medicine (AADSM), the apnea-hypopnea index (AHI) in patients with severe obstructive sleep apnea (OSA) was more improved by a combination treatment of a mandibular advancement splint (MAS) and positive airway pressure (PAP) therapy than by continuous positive airway pressure (CPAP) therapy alone.
Results show that without lowering the pressure substantially, CPAP tolerance can be improved and severe OSA can be effectively treated using a MAS that physically supports and stabilizes the position of nasal pillows (TAP-PAP). Read the rest of this entry
Wednesday, August 3rd, 2011 at
A multidisciplinary clinical practice guideline, “Polysomnography for Sleep-Disordered Breathing Prior to Tonsillectomy in Children“, was published as a supplement to the July issue of Otolaryngology—Head and Neck Surgery. This guideline provides otolaryngologists with evidence-based recommendations for using polysomnography in assessing children, aged 2 to 18 years, with sleep-disordered breathing (SDB) and who are candidates for tonsillectomy, with or without adenoidectomy.
Polysomnography (PSG) is presently the gold standard for diagnosing and quantifying sleep-disordered breathing in children. SDB affects approximately 12% of children with manifestations ranging from simple snoring to potentially serious conditions, including sleep apnea. SDB is also the most common indication for tonsillectomy with or without adenoidectomy in the United States. Since more than 530,000 tonsillectomies are performed annually on children younger than the age of 15, primarily for SDB, clear and actionable guidance on optimal use of PSG is strongly needed. Read the rest of this entry
Tuesday, August 2nd, 2011 at
SleepApneaDisorder/[ Press Release ]/ ST. PAUL, Minn., Aug. 2, 2011 /- Apnex Medical, Inc., received investigational device exemption (IDE) approval from the U.S. Food and Drug Administration (FDA) to begin a clinical study to evaluate the safety and effectiveness of its Hypoglossal Nerve Stimulation (HGNS®) System to treat obstructive sleep apnea (OSA). Data from this clinical study are intended to support the Pre-Market Approval (PMA) application for the HGNS System to the FDA.“Many patients who suffer from OSA are unable to tolerate existing therapies such as continuous positive airway pressure (CPAP). The HGNS System provides a fundamentally new approach to the treatment of OSA. This study will help us further understand the potential role this device will have in treating the millions of people who suffer from OSA,” said the study’s co-principal investigator, Dr. Atul Malhotra, Clinical Chief, Division of Sleep Medicine, Brigham and Women’s Hospital. Read the rest of this entry
Monday, August 1st, 2011 at
The researchers investigated whether sleep quantity and quality were related to 24-hour ambulatory blood pressure and cardiovascular reactivity in children.
Researchers studied term-born, healthy 8.0-year olds (SD: 1.4 years) without sleep-disordered breathing (231 and 265 children provided valid data for analyses of ambulatory blood pressure and cardiovascular reactivity, respectively). Sleep was registered with an actigraph for 6 nights on average (SD: 1.2; range: 3 to 13 nights). Ambulatory blood pressure was measured for 24-hours (41% nonschool days) with an oscillometric device.
The children underwent the Trier Social Stress Test for Children, during which blood pressure, electrocardiography, and thoracic impedance were recorded and processed offline to give measures of cardiovascular and autonomic function.
Neither quantity nor quality of sleep was related to 24-hour ambulatory blood pressure or cardiovascular reactivity after accounting for major covariates (sex, age, height, body mass index, and parental education). Although lower sympathetic nervous system activation and higher cardiac activation under stress were found in the group of children who slept for short duration when they were compared with the average sleep duration group, these associations were not significant after correction for multiple testing and were not seen in linear regression models of the effects of sleep duration.
These findings do not support the mainstream of epidemiological findings, derived from samples more heterogeneous in age, sociodemographic characteristics, and health, suggesting that poor sleep is associated with an unhealthy cardiovascular phenotype.