Tagged: Sleep Review

Building a Foundation for a Successful Dental Sleep Practice 0

Building a Foundation for a Successful Dental Sleep Practice

A Diplomate shares his management, marketing, and networking advice.

There are many models that dentists can follow to integrate dental sleep medicine into their practices. My journey into dental sleep medicine is probably not much different than others, but I hope by sharing some of my experiences, other dentists will be better able obtain the personal and professional achievement that dental sleep medicine can bring.

I have reaped health benefits; I no longer spend the entire day contorting my neck and back doing crowns, implants, and other general dentistry procedures. My staff and my family benefit from the additional revenue the services bring to the practice. And of course, patients receive much-needed treatment for a medical disorder—and the potential to lead more fulfilling lives.

Target Market: Current Patients

An early decision to make is who your target market will be. Will you focus on existing patients? Should you design a social media program that will attract new patients? Or maybe you will decide to develop the model I chose, which is to focus on

Obese Sleep Apnea Patients May Live Longer With CPAP 0

Obese Sleep Apnea Patients May Live Longer With CPAP

Obese people with sleep apnea may live longer when they use a CPAP machine to help keep their airways open while they sleep, a recent study suggests.

After following obese patients with sleep apnea for about 11 years, researchers found those who used the nighttime breathing aid were 42 percent less likely than those who didn’t use the devices to die of any cause.

Apnea that isn’t properly treated has been linked with excessive daytime sleepiness, heart attacks, heart failure and an increased risk of premature death.

“In patients with sleep apnea, there is a poor oxygenation of the body during sleep,” said lead study author Dr. Quentin Lisan of the Paris Cardiovascular Research Center in France.

“This has several consequences, including increased risk of cardiovascular diseases,” Lisan said by email. “PAP therapy allows a better oxygenation of the body during sleep, hence lowering the risk of these associated conditions, which in turn might decrease mortality.”

from Sleep Review http://www.sleepreviewmag.com/2019/04/obese-sleep-apnea/…

Treating Excess of One Hormone Shows Promise for Decreasing the Risk of Obstructive Sleep Apnea 0

Treating Excess of One Hormone Shows Promise for Decreasing the Risk of Obstructive Sleep Apnea

A new study finds that treating the overproduction of one hormone may be a way to help a subset of the millions of Americans who suffer from obstructive sleep apnea, reports the University of California-San Francisco.

Researchers at UC San Francisco have found that treating a condition in the adrenal glands causing an excess of aldosterone, a hormone that maintains electrolyte balance and blood pressure, may be an effective way to help people reduce the risk of obstructive sleep apnea.

UCSF endocrine surgeons Insoo Suh, MD, and Quan-Yang Duh, MD, didn’t set out to study sleep apnea. Suh and Duh specialize in the treatment of primary aldosteronism, a disease in which one or both of the adrenal glands overproduce the hormone aldosterone, and were looking into the question of whether this hormone plays a role in obesity. Obesity is a major factor in obstructive sleep apnea, which meant that many of the surgeons’ patients were living with that condition as well.

from Sleep Review http://www.sleepreviewmag.com/2019/04/treating-excess-hormone-sleep-apnea/…

What It’s Really Like to Be a 20-Year-Old College Student With Obstructive Sleep Apnea 0

What It’s Really Like to Be a 20-Year-Old College Student With Obstructive Sleep Apnea

Sleep apnea doesn’t only affect middle-aged men, reports Health.com.

Prior to being tested, I had never considered or even discussed the possibility of sleep apnea with my doctor. My doctor doubted that I needed a sleep test because I was so young. It was a surprise to me that this had never been looked into as a diagnosis for me, but I guess it is just that uncommonly diagnosed.

from Sleep Review http://www.sleepreviewmag.com/2019/04/what-its-really-like-to-be-a-20-year-old-college-student-with-obstructive-sleep-apnea/…

NYU School of Medicine Debunks Common Sleep Myths 0

NYU School of Medicine Debunks Common Sleep Myths

People often say they can get by on 5 or fewer hours of sleep, that snoring is harmless, and that having a drink helps you to fall asleep.

These are, in fact, among the most widely held myths about sleeping that not only shape poor habits, but may also pose a significant public health threat, according to a new study publishing online in Sleep Health on April 16.

Researchers from NYU School of Medicine reviewed more than 8,000 websites to identify the 20 most common assumptions about sleep. With a team of sleep medicine experts, they ranked them based on whether each could be dispelled as a myth or supported by scientific evidence, and on the harm that the myth could cause.

“Sleep is a vital part of life that affects our productivity, mood, and general health and well-being,” says study lead investigator, Rebecca Robbins, PhD, a postdoctoral research fellow in the Department of Population Health at NYU Langone Health, in a release. “Dispelling myths about sleep promotes healthier sleep habits which, in turn, promote overall better health.”

The claim

Upper Airway Stimulation’s Impact on Sleep Apnea Comorbidities 0

Upper Airway Stimulation’s Impact on Sleep Apnea Comorbidities

The Inspire implant has been shown to improve sleepiness and functional outcomes. Now researchers are looking at whether it also helps with comorbid disorders, such as insomnia and depression.

When you have a tricky obstructive sleep apnea (OSA) patient who just can’t seem to tolerate CPAP, when adjusting the airflow pressure doesn’t seem to help, and when oral appliances aren’t successful at decreasing the patient’s apneas throughout the night; you might think about adding another method to your toolbox. Upper airway stimulation is still relatively new, but more research is coming out to show how this therapy could be an alternative treatment when CPAP fails.

According to an abstract that will be presented at the American Academy of Neurology (AAN) meeting in May, upper airway stimulation could also be effective at decreasing some comorbidities, including insomnia and depression.

“We showed clinically meaningful, significant improvement in people’s lives, that, you know, don’t always get looked at,” says Tina Waters, MD, a coauthor of the research and a neurologist sleep specialist at the Cleveland Clinic in Cleveland, Ohio.

ResMed AirFit P30i, Top-of-head-connected Nasal Pillows Mask 0

ResMed AirFit P30i, Top-of-head-connected Nasal Pillows Mask

ResMed has unveiled its second top-of-head-connected CPAP mask for treating sleep apnea, a new nasal pillows option, AirFit P30i.

The mask’s “tube-up” connection, also featured on ResMed’s AirFit N30i nasal mask released in January, keeps tubing out of the wearer’s way so they can move and sleep in any position.

According to ResMed, AirFit P30i fits 90% of wearers with its two frame sizes and three cushions, helping home medical equipment (HME) providers fit patients easier and faster.

“The AirFit P30i provides great freedom of movement for patients who want an unobtrusive nasal pillows mask,” says Jim Hollingshead, president of ResMed’s Sleep business, in a release. “This unique pillows tube-up frame is a great addition to our growing mask family, and it’s easy for sleep labs and HMEs to stock and fit.”

ResMedP30i-frontview

A ResMed-guided external clinical study of 22 current nasal pillows users from May to June 2018 in Sydney, Australia, comparing AirFit P30i to another tube-up nasal pillows mask found:

  • CPAP users preferred AirFit P30i nearly 2 to 1.
  • More than 70% whose preference was based on mask seal
Analyzing ASV in People with Heart Failure and Sleep-disordered Breathing 0

Analyzing ASV in People with Heart Failure and Sleep-disordered Breathing

New insights from the CAT-HF trial show promise for subsets of patients who use adaptive servo-ventilation, but larger studies are needed.

In 2015, when the results of Adaptive Servo-Ventilation for Central Sleep Apnea in Systolic Heart Failure (SERVE-HF) trial were released, it sent ripples through the sleep medicine world.

The clinical trial that involved 1,325 patients with heart failure with reduced ejection fraction (HFrEF) and central sleep apnea showed that the patients who were treated with adaptive servo-ventilation (ASV) had a higher risk of all-cause mortality and cardiovascular mortality than those who were treated with conventional heart failure management.1 These findings led to safety notices issued by the likes of the American Academy of Sleep Medicine (AASM) and have made sleep providers cautious of prescribing ASV therapy to patients with heart failure.

But recent insights from the Cardiovascular Improvements with Minute Ventilation-targeted Adaptive Servo-Ventilation Therapy in Heart-Failure (CAT-HF) trial suggest that ASV therapy could improve cardiovascular outcomes for a subset of patients with moderate-to-severe sleep disordered breathing (either because of obstructive or

Disrupted Sleep and Risk of Alzheimer’s Disease 0

Disrupted Sleep and Risk of Alzheimer’s Disease

How well your patients sleep could decrease—or raise—their chances of developing Alzheimer’s disease.

“With sleep apnea, your brain isn’t getting enough oxygen at night, and that increases the risk of cognitive impairment and possibly Alzheimer’s disease,” says Howard Fillit, MD, founding Executive Director and Chief Science Officer of the Alzheimer’s Drug Discovery Foundation. If you think you may have sleep apnea, talk to your doctor about a sleep evaluation.

A study presented at the 2019 annual meeting of the American Academy of Neurology suggests that people with sleep apnea may have more tau in an area of the brain that aids memory. Of 288 people age 65 and older, those with sleep apnea had 4.5 percent higher levels of tau in their brains compared to people who didn’t have sleep apnea.

from Sleep Review http://www.sleepreviewmag.com/2019/04/sleep-habits-alzheimers-disease/…

Why Clinicians May Miss Identifying Patients Who Could Benefit from Positional Sleep Apnea Therapies 0

Why Clinicians May Miss Identifying Patients Who Could Benefit from Positional Sleep Apnea Therapies

Split-night studies that don’t necessarily allow patients the time to change postures and a lack of reliable reimbursement can lead to position-dependent sleep apnea being missed.

Clinicians face several obstacles in identifying positional sleep apnea (POSA), which can hinder their ability to treat the condition.

Positional sleep apnea can affect as many as 49.5% of patients with mild sleep apnea and 19.4% of those with moderate sleep apnea. In people of Asian decent, these numbers are higher with as many as 75% of all obstructive sleep apnea patients having a positional component.1 “Many physicians working in sleep medicine really underappreciate the prevalence overall of positional sleep apnea,” says Samuel Krachman, DO, a pulmonologist and professor of thoracic medicine and surgery at Temple University’s Lewis Katz School of Medicine.

Positional sleep apnea refers to sleep-breathing difficulties associated with the supine position, which promotes a downward gravitational pull and causes the muscles in the airways to fall straight back. While there is currently a plethora of devices on the market to help people keep off their backs when