Category: snoring and apnea

Jaw Surgery Improves Quality of Life in Obstructive Sleep Apnea Patients 0

Jaw Surgery Improves Quality of Life in Obstructive Sleep Apnea Patients

Surgery that moves the jaws forward can result in significant improvements in long-term quality of life—including functional outcomes and sleep quality—in patients with obstructive sleep apnea (OSA), according to a new study.

Researchers analyzed long-term quality of life factors in patients who underwent maxillomandibular advancement (MMA), according to the study in the January issue of the Journal of Oral and Maxillofacial Surgery, the official journal of the American Association of Oral and Maxillofacial Surgeons (AAOMS).

The study’s 27 patients underwent follow-up examination for at least 5 years and at an average of nearly 13 years. They answered a questionnaire that asked about sleep quality, daytime function, as well as physical, mental, emotional, and sexual health.

Among the results, 88% of patients said they snored less, 82% said their sleep quality improved, and 77% said they experienced less difficulty remaining awake during the day. Patients also expressed contentment with the surgery: 76% were satisfied maxillomandibular advancement managed their OSA, 71% would undergo MMA again to treat their OSA, and 65% said they would recommend MMA to other OSA patients.

Patients

30-Minute Ask Us Anything: Inspire Medical Systems Inc [On-Demand Webinar] 0

30-Minute Ask Us Anything: Inspire Medical Systems Inc [On-Demand Webinar]

Inspire Medical Systems Inc are the makers of upper airway stimulation therapy for obstructive sleep apnea.

Are you wondering: Which patients are candidates for Inspire?

What is the follow-up and titration process like for Inspire patients?

What does the clinical data say about Inspire?

What is the status of insurance coverage?

Healthcare professionals are invited to watch this Ask Us Anything, which is a recording of the live event (held December 16, 2019) in which health professionals had their questions about Inspire answered live!

Two expert physician panelists answered audience questions. These physicians have worked with hundreds of patients who are intolerant to CPAP and have chosen Inspire to treat their OSA.

Dr. Colin Huntley

Colin Huntley, MD, Jefferson Health, Pennsylvania

 

Dr. Deborah Goss

Deborah Goss, MD, Hackensack Sleep & Pulmonary, New Jersey

This webinar is free for attendees, courtesy of sponsorship by Inspire Medical Systems Inc.

If you have questions, comments, and feedback about Inspire, please send to Erin Anderson: erinanderson[at]inspiresleep.com.

This webinar abides by Sleep Review‘s privacy policy.

Watch the Ask Us Anything webinar now!

from Sleep Review …

New Study: Masimo Patient SafetyNet and Rainbow Acoustic Monitoring Investigate Incidence of Desaturation and Bradypnea in Postop Patients 0

New Study: Masimo Patient SafetyNet and Rainbow Acoustic Monitoring Investigate Incidence of Desaturation and Bradypnea in Postop Patients

In a study recently published in the Journal of Clinical Monitoring and Computing, researchers at Nippon Medical School in Tokyo, Japan, used Masimo Patient SafetyNet and rainbow Acoustic Monitoring (RAM), acoustic respiration rate monitoring with RRa, as a centralized continuous monitoring system to identify the incidence and predictors of desaturation and bradypnea in postoperative patients. They concluding that “use of monitoring systems might provide a safety net for postoperative patients.”

Patient SafetyNet is a supplemental remote monitoring, patient surveillance, and clinician notification system that works in conjunction with Masimo and third-party bedside monitoring devices to display near real-time data at central stations. RAM with RRa uses an acoustic transducer positioned on the patient’s neck to provide noninvasive continuous respiration monitoring.

Hypothesizing that postoperative desaturation and bradypnea might occur even in non-ICU patients without serious complications, and in patients who did not undergo major surgery, Drs Masashi Ishikawa and Atsuhiro Sakamoto set up a centralized postoperative monitoring system in the general ward to investigate how common these events are for such patients (and what might predict them). They analyzed demographic

Medical Malpractice Insurer: Inadequate Pre-Op Assessments Create Risks for Anesthesiologists 0

Medical Malpractice Insurer: Inadequate Pre-Op Assessments Create Risks for Anesthesiologists

When reviewers identified inadequate histories and physicals, 67% of those patients were found to have at least one comorbidity—such as obstructive sleep apnea.

A new study by The Doctors Company shows that inadequate pre-operation patient assessments are a major factor in medical malpractice suits against anesthesiologists.

The study, by the nation’s largest physician-owned medical malpractice insurer, analyzes new trends in claims involving anesthesia care, includes a case study of a patient with multiple comorbidities, and provides risk mitigation strategies.

In their analysis of closed malpractice cases against anesthesiologists, physician reviewers found that the top three factors leading to patient injury were:

  • Deficiencies in patient assessments, including history and physicals.
  • Patient monitoring.
  • Communication among providers.

When physician reviewers identified inadequate histories and physicals, 67% of those patients were found to have at least one comorbidity—such as obesity and obstructive sleep apnea.

“This study reveals limited opportunities to conduct pre-op assessments, which could identify comorbidities and issues with the patient’s family medical history in advance of surgery,” says Darrell Ranum, JD, CPHRM, study co-author and vice president of patient safety and risk

At a California Hospital, Children Diagnosed via Home Sleep Tests Have Better Outcomes Than Those Who Wait for PSG Approval 0

At a California Hospital, Children Diagnosed via Home Sleep Tests Have Better Outcomes Than Those Who Wait for PSG Approval

UC Davis uses the Nox T3 to speed the route to sleep-disordered breathing therapy for children with complex medical issues.

When a baby came into the neonatal intensive care unit at UC Davis Medical Center with a plethora of complex medical issues, including severe snoring and trouble breathing throughout the night, the clinicians there knew they needed to conduct a sleep study.

To treat the child as fast as possible, physicians decided against prescribing a polysomnogram (PSG), often considered the gold standard in screening for sleep disorders, and opted for a home sleep study instead. By ordering the home sleep test, in this case the Nox T3 system (FDA approved for patients greater than 2-years-old), the providers were able to diagnose the baby with severe obstructive sleep apnea within 24 hours, instead of waiting potentially weeks to get the child’s health insurance company to approve a PSG.

“Sleep-disordered breathing can make underlying medical issues worse, so that explains the importance of diagnosing it early on in any children,” says Kiran Nandalike, MD, a pediatric pulmonologist at UC

Man Dubbed Britain’s Biggest Snorer Lucky to Be Alive After Breathing Stopped 62 Times in an Hour 0

Man Dubbed Britain’s Biggest Snorer Lucky to Be Alive After Breathing Stopped 62 Times in an Hour

Mike Crowther, star of a new TV show “Britain’s Biggest Snorers,” would sometimes stop breathing for more than a minute, reports WalesOnline.

Following a series of visits to London’s Harley Street clinic, he was assigned a CPAP machine to tackle his severe obstructive sleep apnea. CPAP stands for “continuous positive airway pressure” and pushes air in to keep airwaves open. Incredibly, he is now snore-free.

“I am 100 per cent better,” he said.

Get the full story at walesonline.co.uk

from Sleep Review http://www.sleepreviewmag.com/2020/01/man-dubbed-britains-biggest-snorer-lucky-alive-breathing-stopped-62-times-hour/…

Kaysville Police Aim to Shut Down ‘Powerboxing’ Prank 0

Kaysville Police Aim to Shut Down ‘Powerboxing’ Prank

This “prank” could turn deadly for sleep apnea therapy users, reports KSL TV.

“They use a CPAP machine at night. They were awoken when the power was turned off because they couldn’t breathe.”

via Kaysville police aim to shut down ‘powerboxing’ prank.

from Sleep Review http://www.sleepreviewmag.com/2020/01/kaysville-police-aim-shut-powerboxing-prank/…

Loop Gain Measurements Can Be Affected by Respiratory Event Scoring in OSA 0

Loop Gain Measurements Can Be Affected by Respiratory Event Scoring in OSA

Loop gain measured from polysomnography can be influenced by respiratory event scoring in obstructive sleep apnea (OSA), according to new research published in the Annals of the American Thoracic Society.

Methods for quantifying loop gain in OSA using polysomnography have been developed that predict favorable responses to upper airway surgery; however, these methods are dependent on respiratory event scoring and may be affected by hypopnea scoring criteria.

Thus, researchers conducted a retrospective analysis of 46 polysomnographys performed before and after upper airway surgery to determine to what extent differences in hypopnea scoring affect loop gain measurement.

from Sleep Review http://www.sleepreviewmag.com/2020/01/loop-gain-respiratory-event-scoring-in-osa/…

New Year’s Resolutions for the Sleepiest Day of the Year—And Beyond 0

New Year’s Resolutions for the Sleepiest Day of the Year—And Beyond

New Year’s Day is the sleepiest day of the year, according to American Academy of Sleep Medicine (AASM) survey results of 2,003 US adults.

More than half (57%) of survey respondents reported they are more tired than usual on New Year’s Day compared to other holidays and times of the year, followed by the first day back at work in January (45%) and the 5th of July (41%). Wild parties and late nights out can leave any person feeling fatigued—are you one of them?

Americans recognize that sleep is important to their health, but many fail to prioritize it. The start of a new year is the perfect time to set healthy sleep goals. Sleep improves your well-being, fitness, and productivity. It also helps you fight off infection, maintain a healthy weight and avoid chronic diseases.

Make 2020 a year of healthy sleep by dedicating yourself to one (or multiple!) sleep resolutions to improve the quality and quantity of your sleep.

Resolution 1: Get a sufficient amount of sleep each night

According to the AASM, adults should sleep 7 or

Southern Sleep Society 42nd Annual Meeting and Technical Course 0

Southern Sleep Society 42nd Annual Meeting and Technical Course

Join the members of Southern Sleep Society for its 42nd Annual Conference in Atlanta on March 26-29, 2020. The theme of the 42nd annual meeting is “New and Novel Therapies in Sleep Medicine.” A unique feature of this year’s conference will be a strong focus on hyperrsomnia, new discoveries and novel treatments to manage sleep apnea, narcolepsy updates, and current strategies to manage restless legs syndrome.

from Sleep Review http://www.sleepreviewmag.com/events/southern-sleep-society-42nd/…