Persistently increased respiratory effort during sleep(RE) in children with obstructive sleep apnea(OSA) is indicative of allergyA)/asthma, obesity risk and inadequate treatment

2021 ◽  
Author(s):  
Kalomoira Kefala ◽  
Francois Lavaud ◽  
Agnes Linglart ◽  
Philippe Guerin
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Respiratory Effort ◽  
Obesity Risk ◽  
Obstructive Sleep

Respiratory Effort During Obstructive Sleep Apnea

CHEST Journal ◽  
1997 ◽  
Vol 112 (4) ◽  
pp. 875-884 ◽  
Author(s):  
Jean Krieger ◽  
Emilia Sforza ◽  
An Boudewijns ◽  
Monica Zamagni ◽  
Christophe Petiau
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Respiratory Effort ◽  
Obstructive Sleep

scholarly journals Biological consequences of oxygen desaturation and respiratory effort in an acute animal model of obstructive sleep apnea (OSA)

2009 ◽  
Vol 10 (8) ◽  
pp. 892-897 ◽  
Author(s):  
Maria Nácher ◽  
Ramon Farré ◽  
Josep M. Montserrat ◽  
Marta Torres ◽  
Daniel Navajas ◽  
...  
Keyword(s):  
Animal Model ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Oxygen Desaturation ◽  
Respiratory Effort ◽  
Obstructive Sleep

scholarly journals 0731 Obstructive Sleep Apnea with Predominant Respiratory Effort Related Arousals: Theta Power in C3- M2 And C4-M1 Derivation Comparison in Male And Female

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A278-A278
Author(s):  
K Hura ◽  
H Singh ◽  
P Sahota ◽  
M Thakkar
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Rem Sleep ◽  
Total Power ◽  
Respiratory Effort ◽  
Male And Female ◽  
Theta Power ◽  
Recovery Sleep ◽  
Obstructive Sleep ◽  
Significant Difference

Abstract Introduction Theta power in electroencephalography has been studied as a correlate to REM sleep. An increase in theta power during REM sleep has been observed in patients during recovery sleep after sleep deprivation. Emotional memories appear to be processed and consolidated during REM sleep.The role of hippocampal theta wave activity during REM sleep on emotional memory processing is limited. The importance of theta power has not been well characterized in patients with obstructive sleep apnea (OSA) with predominant respiratory Effort Related Arousals (RERAs). This report aims to study the theta power in patients with OSA with predominant Respiratory Effort Related Arousals (RERAs) with an apnea-hypopnea index (AHI) of < 5. Methods We have identified 38 patients with baseline polysomnograms performed from December 2019 to July 2019 with AHI < 5 and a Respiratory Disturbance Index (RDI) of at least 5 or greater. Patients with chronic hypoxemic respiratory failure, hypoventilation and predominant central sleep apnea were excluded from the study. Total power of frequency in bands was obtained for theta waves (4-8 Hz) and total waves (1-30 Hz). Relative theta power was calculated on the last REM sleep using C3-M2 and C4-M1 derivations. Paired two-tailed t-Test was performed on the theta power in C3-M2 and C4-M1 in both the sexes. Results Initial analysis was performed in 38 patients out of which 20 were male and 18 female. Among males, (Mean ± SEM) age was 52.3 (±2.9); Epworth Sleepiness Scale (ESS) of 6.6 (±1.1), AHI of 2.1 (±0.3), and RDI of 7.3 (±0.3).Whereas in female (Mean ± SEM) age was 46.8 (± 2.8), ESS of 7.7 (±1.4), AHI of 2.3 (±0.35), and RDI of 6.9 (±0.4). Statistically significant difference was noted in the theta power between the C3-M2 and C4-M1 derivations with P value of 0.03 and 0.04 in male and female respectively. However, no significant difference was found when C3-M2 and C4 -M1 was compared between male and female. Further, statistical analysis will be performed after gathering data from a larger sample size. Conclusion There was significant difference between C3-M2 and C4-M1;overall no difference was found between sexes. Support none

scholarly journals Mandibular Movements Identify Respiratory Effort in Pediatric Obstructive Sleep Apnea

2015 ◽  
Vol 11 (05) ◽  
pp. 567-574 ◽  
Author(s):  
Jean-Benoît Martinot ◽  
Fréderic Senny ◽  
Stéphane Denison ◽  
Valérie Cuthbert ◽  
Emmanuelle Gueulette ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Respiratory Effort ◽  
Obstructive Sleep ◽  
Mandibular Movements

Connective Tissue Diseases

2016 ◽  
pp. 781-794
Author(s):  
Floranne C. Ernste
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Connective Tissue ◽  
Connective Tissue Diseases ◽  
Upper Airway ◽  
Respiratory Effort ◽  
Airway Patency ◽  
Complete Obstruction ◽  
Partial Obstruction ◽  
Obstructive Sleep

Obstructive sleep apnea is defined as periodic cessation of airflow (duration ≥10 seconds) during sleep with complete obstruction of the upper airway and continued respiratory effort. Typically, the episode is terminated by a temporary arousal from sleep and return of normal upper airway patency. Hypopnea is defined as partial obstruction of the upper airway during sleep (duration ≥10 seconds), usually with a resultant desaturation of at least 4%. Hypopnea is also typically terminated by a temporary arousal. Such periodic episodes of apnea and hypopnea usually result in fragmented sleep and periodic desaturations.

Treating Velopharyngeal Inadequacy Using Bilateral Buccal Flap Revision Palatoplasty

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
A Priori ◽  
Sufficient Evidence ◽  
Obstructive Sleep ◽  
Before And After ◽  
Buccal Flap

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352

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