Category: snoring and apnea

To Diagnose Positional OSA, Oximetry Is a Simple Option That Works 0

To Diagnose Positional OSA, Oximetry Is a Simple Option That Works

A study suggests that positional oximetry is a clinically viable alternative to an auto-scored home sleep apnea test in the characterization of positional obstructive sleep apnea.

By Lisa Spear

In-lab polysomnography (PSG) continues to be the gold standard in diagnosing positional obstructive sleep apnea (POSA), but these studies, especially split-nights, can still result in positional components of sleep apnea being overlooked. Additionally, patients are increasingly doing sleep studies in their own homes. What if there was a simpler way to identify POSA? A team of researchers recently validated the use of oxygen desaturation index (ODI) to recognize positional sleep apnea. Their findings are published in Nature and Science of Sleep.

The use of oximetry is commonly used to screen for obstructive sleep apnea pre-surgically, in epidemiological studies, by dentists to titrate oral appliances, and internationally by general practitioners, says study first author Dan Levendowski, president and co-founder of Advanced Brain Monitoring, which markets Night Shift POSA therapy.

“We believed that each of these applications would benefit
from having positional information. For example, if a patient was identified…

Not So Fast Using CPAPs In Place Of Ventilators. They Could Spread The Coronavirus. 0

Not So Fast Using CPAPs In Place Of Ventilators. They Could Spread The Coronavirus.

The limited supply of ventilators is one of the chief concerns facing hospitals as they prepare for more COVID-19 cases. In Italy, where hospitals have been overwhelmed with patients in respiratory failure, doctors have had to make difficult life-or-death decisions about who gets a ventilator and who does not.

In the U.S., emergency plans developed by states for a shortage of ventilators include using positive airway pressure machines — like those used to treat sleep apnea — to help hospitalized people with less severe breathing issues.

While that measure could stretch the supply of ventilators and save lives, it has a major drawback. Officials and scientists have known for years that when used with a face mask such alternative devices can possibly increase the spread of infectious disease by aerosolizing the virus, whether used in the hospital or at home.

Indeed, that very scenario may have contributed to the spread of COVID-19 within a Washington state nursing home that became ground zero in the United States early on. First responders called …

Study: Treat Insomnia Before Sleep Apnea 0

Study: Treat Insomnia Before Sleep Apnea

The double whammy of co-occurring insomnia and obstructive sleep apnea (OSA) is a complex problem best managed with non-drug targeted psych interventions, an Australian study has found.

By following simple guidelines, people with the concurrent conditions reported great improvement to both their sleep, and their health—with about 50% improvement in global insomnia severity and night-time insomnia after six months.

The new Australian study of 145 patients aimed to work out better treatments for COMISA (comorbid insomnia and sleep apnea) patients who, in the past, have shown poor results from using continuous positive airway pressure (CPAP) therapy, compared to patients who do not report symptoms of insomnia.

As a result, the investigators advise people living with both conditions to be treated first with a targeted, 4-10 week program of cognitive and behavioral therapy for insomnia (CBTi) before using CPAP machines to reduce the effects of sleep apnea.

“We found that treating COMISA patients with non-drug CBTi before commencing CPAP significantly improved insomnia symptoms,” says lead researcher Alexander Sweetman, PhD, BPsyc (Hons), from the Adelaide Institute for Sleep Health at Flinders University, …

CPAP Users Have Trouble Finding Distilled Water During Pandemic 0

CPAP Users Have Trouble Finding Distilled Water During Pandemic

Over the last week, distilled water used to humidify apnea patients’ CPAP machines has become almost impossible to find, reports Newsday.

Dr. Michael Weinstein, chief of sleep medicine at NYU Winthrop Hospital, said he wouldn’t recommend using tap water, although boiling it might help kill potential microorganisms, and urged users to contact manufacturers. “We haven’t really encountered this situation where people would have to use tap water on an ongoing basis … if you do use it, keep everything as clean as possible,” he said.

Get the full story at newsday.com

from Sleep Review https://www.sleepreviewmag.com/sleep-treatments/therapy-devices/cpap-pap-devices/cpap-users-have-trouble-finding-distilled-water-during-pandemic/…

FDA: CPAPs May be Used to Support Patients with Respiratory Insufficiency During the Coronavirus Disease 2019 OUtbreak 0

FDA: CPAPs May be Used to Support Patients with Respiratory Insufficiency During the Coronavirus Disease 2019 OUtbreak

In a letter to health care providers dated March 20, the US Food and Drug Administration advises:

  • If the number of ventilators in your facility is running low, consider alternative devices capable of delivering breaths or pressure support to satisfy medically necessary treatment practices for patients requiring such ventilatory support. Health care providers should use their judgment based on the condition of the patient and the circumstances in the facility to choose the best option. Examples of alternative uses of respiratory devices used to address shortages might include the following, which the FDA believes may help increase availability:
  • For any patient needing ventilatory support, continuous ventilators labeled for home use may be used in a medical facility setting depending on the features of the ventilator and provided there is appropriate monitoring (as available) of the patient’s condition.
  • For stable patients, emergency transport ventilators may be used for prolonged ventilation in a medical facility setting.
    For any patient needing ventilatory support, anesthesia gas machines capable of providing controlled ventilation or assisted ventilation may be used outside of the traditional use for
Sleep Supplements Aren’t a Cure for Bad Sleep Habits 0

Sleep Supplements Aren’t a Cure for Bad Sleep Habits

Some patients may be taking sleeping aids to mask underlying sleep disorders. CNET reports on how sleeping pills can create bigger issues for people who struggle to get quality shuteye.

For example, if someone has undiagnosed sleep apnea and turns to sleep supplements to fix their unrestful nights, it’s not going to help the problem much. Any improvement in sleep quality will only mask the underlying issue, delaying the correct treatment of using a CPAP machine.

People who suffer from sleep apnea aren’t the only example of this either — if you can’t sleep at night because you’re drinking caffeine too late in the day, taking long afternoon naps or staring at screens right before you nod off, it’s better to address the underlying problem rather than relying on a sleep supplement. The caffeine-sleep aid cycle can be vicious and hard to escape.

Get the full story at cnet.com.

from Sleep Review https://www.sleepreviewmag.com/curated/sleep-supplements-bad-sleep-habits/…

You Can No Longer Sign Patients Up for Deferred Interest Medical Credit Cards in California 0

You Can No Longer Sign Patients Up for Deferred Interest Medical Credit Cards in California

Effective this July, sleep subspecialists and dental sleep
medicine practitioners can no longer give patients pre-filled applications or in
any way help patients sign up for CareCredit or similar cards in their offices.

By Lisa Spear

After a number of people came forward with complaints accusing medical offices of predatory practices, a new law in California will go into effect this July to prohibit medical and dental providers from signing patients up for deferred interest credit cards in their practices.

“The most common scenario we hear about is from low-income
people who signed up for far more credit than they could possibly pay off,”
says Jen Flory, a policy advocate at the Western Center on Law & Poverty, a
sponsor of the bill.

Under the new law, patients will still be able to sign up
for these products on their own time. Medical providers can still market these
credit cards, but they will no longer be able to help people sign up at their
practices or to pre-fill out an application for a deferred interest credit card
on behalf of …

The Coronavirus Is Forcing Hospitals to Cancel Surgeries 0

The Coronavirus Is Forcing Hospitals to Cancel Surgeries

Hospitals in hot spots like Seattle and New York are postponing elective surgeries, including those to treat sleep apnea, reports the New York Times.

Surgeries that have been postponed so far include hip and knee replacements, A.C.L. reconstruction and pediatric apnea surgery. “The gray area are the cancer patients,” said Dr. Arooj Simmonds, co-executive medical director of surgical services at Swedish Medical Center, which operates several hospitals in the Seattle area.

Dr. Simmonds said slow-growing cancers, like prostate and cervical cancer, were more likely to be delayed. On Friday, the first day of widespread deferrals, Swedish Medical Center performed about 20 percent as many surgeries as is typical, she said.

Get the full story at nytimes.com

from Sleep Review https://www.sleepreviewmag.com/sleep-treatments/surgeries-procedures/the-coronavirus-is-forcing-hospitals-to-cancel-surgeries/…

Mother of Child with Sleep Apnea Pleads for People to Take Social Distancing Seriously 0

Mother of Child with Sleep Apnea Pleads for People to Take Social Distancing Seriously

Kaylee Proctor’s 2-year-old has dysphagia and sleep apnea, raising his mother’s fears during the coronavirus pandemic, reports WAFB9.

“He doesn’t look like he has special needs. A lot of people with special needs do not look like they have special needs,” said Proctor.

Like Blaise, thousands of people are suffering from underlying illnesses that have put them at risk for complications from the coronavirus. Despite national and local government directives to practice social distancing, not everyone is following directions.

Get the full story at wafb.com

from Sleep Review https://www.sleepreviewmag.com/practice-management/laws-regulations/patient-rights/mother-of-child-with-sleep-apnea-pleads-for-people-to-take-social-distancing-seriously/…

Clinically Validated Sleep Wearables Are Coming [Editor’s Message] 0

Clinically Validated Sleep Wearables Are Coming [Editor’s Message]

By Sree Roy

Many patients have smartwatches up their sleeves. Indeed, the wearable technology market is booming in both style and substance; it’s predicted to experience a 11.28% compound annual growth rate through the year 2025, according to research firm MarketsandMarkets, which says preference for sophisticated gadgets and the growing popularity of the Internet of Things are two factors driving segment growth.1 

For now, consumer wearables are only relevant to sleep medicine to the extent that patients need reassurance that scoring a “perfect 100” on their sleep (as deemed by their smart device) isn’t worth stressing over or being aware that they need to remove the device during a sleep study to avoid artifact.

But manufacturers have more up their sleeves, and they are slowly revealing their upgraded capabilities. This year may be when several consumer wearables get US Food and Drug Administration (FDA) approvals for their sleep measurements.

One contender is Withings’ ScanWatch. According to Withings’ website, embedded light sensors will allow the device to interpret “the changing blood color within your vessels to determine oxygen …