scholarly journals Proposal for Prevention of Drowsy Driving-Related Motor Vehicle Accidents in Patients With Obstructive Sleep Apnea

2021 ◽  
Vol 18 (3) ◽  
pp. 127-136
Author(s):  
Jun-Sang Sunwoo ◽  
Jae Wook Cho ◽  
Soo Hwan Yim ◽  
Daeyoung Kim ◽  
Dae Lim Koo ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Motor Vehicle ◽  
Significant Risk ◽  
Motor Vehicle Accidents ◽  
High Morbidity ◽  
Drowsy Driving ◽  
Pressure Therapy ◽  
Vehicle Accidents ◽  
Obstructive Sleep

Obstructive sleep apnea (OSA) is known to be associated with various health concerns, including sleepiness, fatigue, cognitive dysfunction, diminished quality of life, hypertension, cardiovascular diseases, and stroke. OSA-induced sleepiness at the wheel reduces vigilance and driving performance, which significantly increase the risk of motor vehicle accidents. Sleepiness-induced motor vehicle accidents are characterized by high morbidity and mortality. OSA is a well-established significant risk factor for drowsy driving-related motor vehicle accidents, which can be prevented through appropriate treatment. However, currently no clinical guidelines or regulations are available for evaluation or management of the risk of motor vehicle accidents in patients with OSA in Korea. In this review, we discuss the risk of motor vehicle accidents in patients with OSA, the effects of positive airway pressure therapy as a preventive measure to reduce this risk, and the published recommendations for OSA in other countries with regard to fitness to drive. We propose recommendations for screening, evaluation, and treatment of OSA with regard to the risk of motor vehicle accidents, which would serve as useful practical guidelines for sleep specialists in clinical practice. Further research is warranted to establish optimal strategies for effective improvements in OSA-related traffic safety.

scholarly journals Motor vehicle accidents and obstructive sleep apnea syndrome

2015 ◽  
Vol 12 (4) ◽  
pp. 320-328 ◽  
Author(s):  
Sergio Garbarino ◽  
Alessio Pitidis ◽  
Marco Giustini ◽  
Franco Taggi ◽  
Antonio Sanna
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Motor Vehicle ◽  
Sleep Apnea Syndrome ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents ◽  
Obstructive Sleep ◽  
Apnea Syndrome

scholarly journals Effect of Positive Airway Pressure Therapy on Drowsy Driving in a Large Clinic-Based Obstructive Sleep Apnea Cohort

2019 ◽  
Vol 15 (11) ◽  
pp. 1613-1620 ◽  
Author(s):  
Harneet K. Walia ◽  
Nicolas R. Thompson ◽  
Maeve Pascoe ◽  
Maleeha Faisal ◽  
Douglas E. Moul ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Drowsy Driving ◽  
Pressure Therapy ◽  
Positive Airway Pressure Therapy ◽  
Obstructive Sleep

scholarly journals The orthodontist and obstructive Sleep Apnea - an orthodontic perspective

2020 ◽  
Vol 11 (4) ◽  
pp. 7611-7617
Author(s):  
Bosy Thankam Mathew ◽  
Raghunath N ◽  
Girish ◽  
Ferin Fathima ◽  
Meenakshi S ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Motor Vehicle ◽  
Orthodontic Appliances ◽  
Diagnostic Strategies ◽  
Vehicle Accidents ◽  
Pharyngeal Airway ◽  
Obstructive Sleep ◽  
Daytime Function

Obstructive sleep apnea (OSA) is a recurrent respiratory condition related to sleep, characterised by sporadic narrowing and pharyngeal airway obstruction, with adverse effects on sleep efficiency and gaseous exchange. OSA is a poorly identified medical disorder where the diagnosis of undiagnosed patients involves a thorough history and concentrated physical assessment. The combination of anatomical and neuromuscular risk factors in the pathogenesis of OSA has resulted in a varied approach to its management. Individuals with OSA often feel unrested, fatigued, and sleepy during the daytime. These declines in daytime function can translate into higher rates of job-related and motor vehicle accidents. Screening to identify unrecognized OSA followed by appropriate treatment might improve sleep quality and normalize the AHI and oxygen saturation levels to prevent adverse health outcomes. The role of orthodontist in screening and cure is treasured in the multidisciplinary administration of OSA. The aim of this assessment is to summarize the recent information’s on the unique contributors to OSA with a centre of attention on diagnostic strategies and various orthodontic appliances which may also be considered for the cure of OSA and designed to offer guidance to practising orthodontists on the suggested role of the speciality of orthodontics in the management of obstructive sleep apnea.

scholarly journals A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

2017 ◽  
Vol 3 (4) ◽  
pp. 861
Author(s):  
Venugopal Mohankumar ◽  
M. K. Rajasekar ◽  
Narendrakumar Veerasigamani ◽  
M. Sivaranjani
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Motor Vehicle ◽  
Significant Proportion ◽  
Dynamic Mri ◽  
Lifestyle Modifications ◽  
Vehicle Accidents ◽  
Obstructive Sleep ◽  
Increased Risk ◽  
Tongue Base Reduction

<p class="abstract"><strong>Background:</strong> Obstructive sleep apnea is the most common form of sleep-disordered breathing. However, obstructive sleep apnea has been associated with much more insidious conditions, including hypertension, diabetes, heart disease, stroke, and daytime somnolence can lead to a dramatically increased risk of motor vehicle accidents.</p><p class="abstract"><strong>Methods:</strong> This study was conducted in our institution in 34 OSA patients. After thorough evaluation with PSG, dynamic MRI, DISE patients were treated with various surgeries depending on the level of obstruction. Commonly UPPP, ESP, zetaplasty, tonsillectomy, tongue base reduction were done either alone or in combination.  </p><p class="abstract"><strong>Results:</strong> Pre and postoperative polysomnograhpy for obstructive sleep apnea was evaluated and statistically analyzed. Significant proportion of patients improved both subjectively and objectively as determined by reduction in AHI from 41.73±13.94 to 15.77±9.13, reduction in ESS from 16.41+3.09 to 5.14±3.41 and reduction in snoring.</p><p><strong>Conclusions:</strong> OSA can be easily treated with proper preoperative investigations, appropriate surgery, prevention of complications and continued lifestyle modifications. </p>

scholarly journals The Effect of Continuous Positive Airway Pressure Therapy on Obstructive Sleep Apnea-Related Hypertension

2021 ◽  
Vol 22 (5) ◽  
pp. 2300
Author(s):  
Ronni Baran ◽  
Daniela Grimm ◽  
Manfred Infanger ◽  
Markus Wehland
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Common Disease ◽  
Cpap Therapy ◽  
Pressure Therapy ◽  
Airway Patency ◽  
Obstructive Sleep

Obstructive sleep apnea (OSA) is a common disease, with approximately 3–7% of men and 2–5% of women worldwide suffering from symptomatic OSA. If OSA is left untreated, hypoxia, microarousals and increased chemoreceptor stimulation can lead to complications like hypertension (HT). Continuous positive airway pressure (CPAP) is the most common treatment for OSA, and it works by generating airway patency, which will counteract the apnea or hypopnea. More than one billion people in the world suffer from HT, and the usual treatment is pharmacological with antihypertensive medication (AHM). The focus of this review will be to investigate whether the CPAP therapy for OSA affects HT.

scholarly journals Obstructive Sleep Apnea and Risk of Motor Vehicle Accident

2021 ◽  
Author(s):  
Gaia S. Pocobelli ◽  
Mary A. Akosile ◽  
Ryan N. Hansen ◽  
Joanna Eavey ◽  
Robert D. Wellman ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vehicle Accident ◽  
Obstructive Sleep
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