scholarly journals Dental Sleep Medicine Standards for Screening, Treating, and Managing Adults with Sleep-Related Breathing Disorders

2018 ◽  
Vol 5 (3) ◽  
pp. 61-68 ◽  
Author(s):  
Mitchell Levine ◽  
Kathleen Bennett ◽  
Michelle Cantwell ◽  
Kevin Postol ◽  
David Schwartz
Keyword(s):  
Sleep Medicine ◽  
Sleep Related Breathing Disorders ◽  
Breathing Disorders

scholarly journals 811 Lessons from a Pandemic - Streamlining Sleep Apnea Care; is the future here?

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A316-A317
Author(s):  
Folu Akinnusi ◽  
Daniel Rifkin
Keyword(s):  
Sleep Apnea ◽  
Diagnostic Testing ◽  
Sleep Medicine ◽  
Optimal Care ◽  
Sleep Related Breathing Disorders ◽  
Major Barrier ◽  
Breathing Disorders ◽  
Obstructive Sleep ◽  
The Future ◽  
Care Gaps

Abstract Introduction Ready access to optimal care for sleep-related breathing disorders (SRBD) remains a major barrier to the vast majority of an estimated 25 million Americans with undiagnosed obstructive sleep apnea. This barrier includes lack of readily available sleep medicine expert contact, health care insurance navigation challenges and difficulties with continuity of care. Chronic pervasive gaps in sleep medicine care were exacerbated by the COVID-19 pandemic in 2020. While numerous models were previously proposed to bridge SRBD care gaps, sustained and quantifiable success has been elusive. Methods Deploying interactive technology and artificial intelligence, we designed and implemented a novel, user-friendly integrated medium named Ognomy - the Sleep Apnea App, to mitigate widespread SRBD care access gaps. Multi-faceted but unified open access was made widely available, allowing bidirectional patient-provider interaction through a Web App. Individuals or surrogates who suspect that they or dependents suffer from SRBD are able to readily establish secure access to Ognomy. Patients can independently download and interact with the application on-demand and around the clock. Results From April 2020 to date, more than seven thousand (7,726) Ognomy App downloads have been documented. Over a thousand (1,169) patient registrations have occurred on Ognomy. Five hundred seventy-four (49.1%) of Ognomy App registrants have since been provided hitherto difficult, cumbersome access to full care, by a board-certified Sleep Medicine provider. Four hundred eighty-nine (85.2%) of the 574 patients managed via Ognomy’s care provision chain proceeded to complete sleep diagnostic testing and follow up. Conclusion Availability of a readily accessible and affordable multi-faceted platform for care of sleep-related breathing disorders will mitigate the burden of untreated SRBD in the United Sates and worldwide. Ognomy, a Sleep as a Software service, is a novel integrated tool, bridging chronic gaps in sleep apnea care. Measures that significantly alter the trajectory of Sleep Medicine care now and in the future, have the potential to systematically close existing SRBD care gaps worldwide. Innovative tools such as algorithmic scheduling, Blockchain utility for platform interoperability, facilitating insurance benefit verifications, deployed in tandem with delivery drone systems for home sleep testing, should enhance turnaround time and improve care currently available for SRBD. Support (if any):

scholarly journals EXPRESS: Hypoxemia during Sleep and Overnight Rostral Fluid Shift in Pulmonary Arterial Hypertension: a pilot study

2021 ◽  
pp. 204589402199693
Author(s):  
Etienne-Marie Jutant ◽  
David Montani ◽  
Caroline Sattler ◽  
Sven Günther ◽  
Olivier Sitbon ◽  
...  
Keyword(s):  
Sleep Apnea ◽  
Pilot Study ◽  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Central Sleep Apnea ◽  
The Body ◽  
Fluid Shift ◽  
Sleep Related Breathing Disorders ◽  
Breathing Disorders ◽  
Pulmonary Arterial

Introduction. Sleep-related breathing disorders, including sleep apnea and hypoxemia during sleep, are common in pulmonary arterial hypertension (PAH), but the underlying mechanisms remain unknown. Overnight fluid shift from the legs to the upper airway and to the lungs promotes obstructive and central sleep apnea, respectively, in fluid retaining states. The main objective was to evaluate if overnight rostral fluid shift from the legs to the upper part of the body is associated with sleep-related breathing disorders in PAH. Methods. In a prospective study, a group of stable patients with idiopathic, heritable, related to drugs, toxins, or treated congenital heart disease PAH underwent a polysomnography and overnight fluid shift measurement by bioelectrical impedance in the month preceding or following a one-day hospitalization according to regular PAH follow-up schedule with a right heart catheterization. Results. Among 15 patients with PAH (women: 87%; median [25th;75th percentiles] age: 40 [32;61] years; mean pulmonary arterial pressure 56 [46;68] mmHg; pulmonary vascular resistance 8.8 [6.4;10.1] Wood units), 2 patients had sleep apnea and 8 (53%) had hypoxemia during sleep without apnea. The overnight rostral fluid shift was 168 [118;263] mL per leg. Patients with hypoxemia during sleep had a greater fluid shift (221 [141; 361] mL) than those without hypoxemia (118 [44; 178] mL, p = 0.045). Conclusion. This pilot study suggests that hypoxemia during sleep is associated with overnight rostral fluid shift in PAH.

scholarly journals Comparison of Frequency and Severity of Sleep-Related Breathing Disorders in Children with Simple Obesity and Paediatric Patients with Prader–Willi Syndrome

2021 ◽  
Vol 11 (2) ◽  
pp. 141
Author(s):  
Agnieszka Lecka-Ambroziak ◽  
Marta Wysocka-Mincewicz ◽  
Anna Świercz ◽  
Małgorzata Jędrzejczak ◽  
Mieczysław Szalecki
Keyword(s):  
Insulin Resistance ◽  
Apnea Hypopnea Index ◽  
Oral Glucose ◽  
Prader Willi Syndrome ◽  
Model Assessment ◽  
Sleep Related Breathing Disorders ◽  
Breathing Disorders ◽  
Simple Obesity ◽  
Rhgh Treatment ◽  
Group 1

Sleep-related breathing disorders (SRBDs) can be present in children with simple obesity and with Prader–Willi syndrome (PWS) and influence an individual diagnostic and treatment approach. We compared frequency and severity of SRBDs in children with simple obesity and with PWS, both without and on recombinant human growth hormone (rhGH) treatment, and correlation of SRBDs with insulin resistance tests. A screening polysomnography-polygraphy (PSG), the oral glucose tolerance test (OGTT) and homeostasis model assessment of insulin resistance (HOMA-IR) were analysed in three groups of patients—with simple obesity (group 1, n = 30, mean age 14.2 years), patients with PWS without the rhGH therapy (group 2, n = 8, mean age 13.0 years) and during the rhGH treatment (group 3, n = 17, mean age 8.9 years). The oxygen desaturation index (ODI) was significantly higher in groups 2 and 3, compared to group 1 (p = 0.00), and hypopnea index (HI) was higher in group 1 (p = 0.03). Apnea–hypopnea index (AHI) and apnea index (AI) results positively correlated with the insulin resistance parameters in groups 1 and 3. The PSG values worsened along with the increasing insulin resistance in children with simple obesity and patients with PWS treated with rhGH that may lead to a change in the patients’ care.

Non-invasive ventilation in the treatment of sleep-related breathing disorders: A review and update

2014 ◽  
Vol 20 (6) ◽  
pp. 324-335
Author(s):  
A. Nicolini ◽  
P. Banfi ◽  
B. Grecchi ◽  
A. Lax ◽  
S. Walterspacher ◽  
...  
Keyword(s):  
Invasive Ventilation ◽  
Sleep Related Breathing Disorders ◽  
Non Invasive ◽  
Breathing Disorders ◽  
Non Invasive Ventilation

Sleep Apnea and Sleep-related Breathing Disorders in Patients with Craniofacial Synostosis

1994 ◽  
Vol 114 (sup517) ◽  
pp. 6-10 ◽  
Author(s):  
N. Kakitsuba ◽  
T. Sadaoka ◽  
S. Motoyama ◽  
Y. Fujiwara ◽  
R. Kanai ◽  
...  
Keyword(s):  
Sleep Apnea ◽  
Sleep Related Breathing Disorders ◽  
Breathing Disorders

scholarly journals Sleep-Related Breathing Disorders in Patients With Multiple System Atrophy and Vocal Fold Palsy

SLEEP ◽  
1996 ◽  
Vol 19 (6) ◽  
pp. 479-484 ◽  
Author(s):  
Tatsuya Sadaoka ◽  
Noriya Kakitsuba ◽  
Yuki Fujiwara ◽  
Ryuichi Kanai ◽  
Hiroaki Takahashi
Keyword(s):  
Multiple System Atrophy ◽  
Vocal Fold ◽  
Sleep Related Breathing Disorders ◽  
Breathing Disorders ◽  
Vocal Fold Palsy

Cardiorespiratory fitness and sleep-related breathing disorders

2008 ◽  
Vol 6 (5) ◽  
pp. 745-758 ◽  
Author(s):  
Thomas E Vanhecke ◽  
Barry A Franklin ◽  
Steven C Ajluni ◽  
R Bart Sangal ◽  
Peter A McCullough
Keyword(s):  
Cardiorespiratory Fitness ◽  
Sleep Related Breathing Disorders ◽  
Breathing Disorders
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