What is Obstructive Sleep Apnea and Body Position in Patients
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Obstructive sleep apnea is an serious,sometimes fatal,illness characterized by snoring, partial or complete cessation of breathing during sleep, reductions in blood oxygen levels, severe sleep fragmentation, and excessive daytime sleepiness. Researchers and clinicians have recognized sleep apnea as one of the most common sleep disorders and with perhaps the greatest medical and social impact on society in terms of morbidity and mortality. The syndrome strikes both sexes and all races, ages, and ethnic groups, though it is less common in women prior to menopause, and may possibly be more common in blacks than in whites.
The potential consequences of obstructive sleep apnea are significant and include hypertension,feeling unwell, coronary heart disease, myocardial infarction, pulmonary hypertension, congestive hear failure, stroke, neuropsychiatric problems, cognitive impairment, sexual disfunction, and injury due to accidents. It is estimated that cardiovascular deaths attributable to obstructive sleep apnea alone may be as high as 38,000 annually.
In the United States,{12 MILLION} people between the ages of 30-60 are estimated to have obstructive sleep apnea, nearly one-quarter of them experience the disorder at a moderate or severe level. The prevalence of obstructive sleep apnea may be much higher in specific subgroups. For the approximately 31 million Americans who are age 65 and older, the best estimate of obstructive sleep apnea is approx.{7,440,000}, with 46 percent at the moderate or severe level.
Recent studies in 2006 have shown that among employed people 30 to 60 years old, at least 2 percent of the women and 4 percent of the men may have treatable sleep apnea syndrome, while 24 percent of the men and 9 percent of the women showed disturbed breathing during sleep.
An issue of [NEJM] proclaimed sleep apnea as "a major public health problem."
Diagnosis and treatment for obstructive sleep apnea and snoring
Diagnosis is made on the basis of the clinical picture, patient and spouse reports, and an overnight polysomonogram done in the laboratory or even at home. Effective treatment eliminates snoring and apnea. The success of treatment is measured by the reduction of respiratory disturbance to normal levels, by the elimination of symptoms like fatigue and depression, and the patient's subjective feeling of well-being. The standard treatment accepted by physicians and others trained in sleep disorders medicine is the continuous application of positive air pressure through a mask during sleep (CPAP)medicare sleep apnea devices. The additional air pressure keeps the airway from collapsing. Since this permits normal breathing to continue during sleep, normal sleep patterns emerge, sleep becomes restorative, and the patient feels better. The impact is often immediate and dramatic although the patient may need to continue therapy permanently. Weight loss, surgery and other interventions may also have their place in treatment.
Newly discovered in 2006 phenomenon called {complex sleep apnea.}
The newly discovered complex sleep apnea, is a combination of both obstructive and central sleep apneas.
Western men with a neck circumference greater than 16.929 inches were shown to have a high incidence of sleep apnea and these results may apply to Asian patients.
Patients with complex sleep apnea at first appear to have obstructive sleep apnea and stop breathing 20 to 30 times per hour each night.
But unlike typical obstructive sleep apnea patients, their breathing problem is not completely alleviated by a CPAP machine, which forces air into the patient's airway.
Instead, once the CPAP is applied to complex sleep apnea patients, the obstruction seems to dissipate, but still they do not breathe properly.
Symptoms of central sleep apnea then appear and fragmented sleep results, due to frequent pauses in breathing.
Sleep labs have observed for years that there are patients who appear to have obstructive sleep apnea, but the CPAP doesn't make them much better,
they still have moderate to severe sleep apnea even with our best treatment and subjectively don't feel they're doing very well,
A Mayo Clinic sleep medicine specialist, pulmonologist and lead study investigator reported.
When they put on a CPAP machine, they start to look like central sleep apnea syndrome patients.
This phenomenon has been observed for years, but this study is the first attempt to categorize these people.
Obstructive sleep apnea syndrome is a serious medical problem affecting an estimated half a million children per year in the United States, according to background information in the article. Pediatric OSAS is most commonly caused by enlarged tonsils and adenoids. It is characterized by episodes of partial or complete upper airway obstruction that occur during sleep, including snoring, cyanosis (a bluish color of the skin and mucous membranes), and poor quality of sleep. Symptoms during the day can include mouth breathing, behavior problems, hyperactivity, and excessive daytime sleepiness. While research among adults has shown a significant decrease in OSAS episodes when patients avoid sleeping on their backs,the issue of sleep position is not as well understood among children with OSAS.You may qualify for medicare sleep apnea devices
Apneic events occurring in the supine position proved to be more severe by all measures than apneic events in the lateral position. The measures of severity included: apnea duration, blood oxygen desaturation, duration of consequent arousal, loudness of snoring, and extent of change in heart rate. Moreover, apneas in the supine position were more likely to cause arousals (lightening of sleep, short of awakening) and outright awakenings, than apneas in the lateral position.
Specialists say millions of Americans have undiagnosed sleep disorders and millions more have bad habits that are keeping them from a good night’s rest.Obstructive Sleep Apnea Causes and Treatments.
Suggest you sleep on your side..It cured my sleep problem.
People with sleep apnea are at a higher risk of having a stroke than those without the condition.
Evidence going back to the early 1970s suggests that sleep apnea, strokes and heart attacks often happen together, but that doesn't mean that there is a cause-effect relationship.
Nevertheless, it strikes me to suggest that, even with CPAP,A person should avoid sleeping on the back.If you are a Medicare beneficiary with diagnosed Sleep Apnea you may qualify for a CPAP Equipment.medicare sleep apnea devicesAnd free Diagnosis at a Sleep Lab.
This is especially striking since some people complain that the CPAP mask and hose force them to sleep in this unfamiliar and uncomfortable position! In fact, it does not seem difficult to sleep on one's side without displacing the mask. Obstructive sleep apnea.
Findings on CPAP pressure and sleeping position raise the question in my mind as to which position should best be used to set the CPAP pressure. The pressure needed to suppress apneas and hypopneas in both positions may be higher than necessary for people who sleep mainly on their sides.
They don’t usually wake up when they stop breathing; they just feel tired irretable unwell next day. But that could describe a growing number of Americans these days. And it’s one reason why, in an increasingly sleep-deprived society, Obstructive sleep apnea.medicare sleep apnea devices
disorders are often misdiagnosed—or not diagnosed at all.
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