scholarly journals Sleep Apnea Syndrome (SAS) Clinical Practice Guidelines 2020

2022 ◽  
Vol 60 (1) ◽  
pp. 3-32
Author(s):  
Tsuneto Akashiba ◽  
Yuichi Inoue ◽  
Naohisa Uchimura ◽  
Motoharu Ohi ◽  
Takatoshi Kasai ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Sleep Apnea ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Sleep Apnea Syndrome ◽  
Apnea Syndrome

scholarly journals Sleep Apnea Syndrome (SAS) Clinical Practice Guidelines 2020

2022 ◽  
Author(s):  
Tsuneto Akashiba ◽  
Yuichi Inoue ◽  
Naohisa Uchimura ◽  
Motoharu Ohi ◽  
Takatoshi Kasai ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Sleep Apnea ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Medical Information ◽  
Sleep Apnea Syndrome ◽  
Adult Males ◽  
Obstructive Sleep ◽  
Number Of Patients ◽  
Apnea Syndrome

AbstractThe prevalence of sleep-disordered breathing (SDB) is reportedly very high. Among SDBs, the incidence of obstructive sleep apnea (OSA) is higher than previously believed, with patients having moderate-to-severe OSA accounting for approximately 20% of adult males and 10% of postmenopausal women not only in Western countries but also in Eastern countries, including Japan. Since 1998, when health insurance coverage became available, the number of patients using continuous positive airway pressure (CPAP) therapy for sleep apnea has increased sharply, with the number of patients about to exceed 500,000 in Japan. Although the “Guidelines for Diagnosis and Treatment of Sleep Apnea Syndrome (SAS) in Adults” was published in 2005, a new guideline was prepared to indicate the standard medical care based on the latest trends, as supervised by and in cooperation with the Japanese Respiratory Society and the “Survey and Research on Refractory Respiratory Diseases and Pulmonary Hypertension” Group, of Ministry of Health, Labor and Welfare and other related academic societies, including the Japanese Society of Sleep Research, in addition to referring to the previous guidelines. Since sleep apnea is an interdisciplinary field covering many areas, this guideline was prepared including 36 clinical questions (CQs). In the English version, therapies and managements for SAS, which were written from CQ16 to 36, were shown. The Japanese version was published in July 2020 and permitted as well as published as one of the Medical Information Network Distribution Service (Minds) clinical practice guidelines in Japan in July 2021.

Pediatric Clinical Practice Guidelines & Policies

2013 ◽  
Author(s):  
Keyword(s):  
Clinical Practice ◽  
Sleep Apnea ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Full Text ◽  
Policy Statement ◽  
Clinical Report ◽  
Cd Rom ◽  
Technical Report ◽  
Policy Statements

Keep up with current practice guidelines and policies with the latest, most up-to-date edition of this clinical reference classic. This evidence-based decision-making tool for managing common pediatric conditions has been revised and updated for 2013, with the latest clinical practice guidelines for more than 30 conditions, plus every AAP policy statement, clinical report, and technical report through December 2012. Updated and expanded for 2013 including: - New Sleep Apnea clinical practice guideline. - Full text of more than 60 new or revised AAP policies - CD-ROM includes the full text of more than 400 AAP clinical practice guidelines, policy statements, clinical reports, and technical reports. - More than 30 clinical practice guidelines including new Sleep Apnea guideline, as well as ADHD, bronchiolitis, dysplasia of the hip, gastroenteritis, otitis media, urinary tract infection, and more. - 2013 immunization schedule.

High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Oxygen Therapy ◽  
Respiratory Illness ◽  
High Flow ◽  
Oral Feeding ◽  
Respiratory Support ◽  
Acute Respiratory Illness ◽  
High Flow Oxygen

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.

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