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Addressing the Symphony of the Night: Obstructive Sleep Apnea

December 20th, 2010

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Speaker(s):

Meltem Yilmaz, MD

Addressing the Symphony of the Night: Obstructive Sleep Apnea – Academy of Medical-Surgical Nurses

AMSN 2010

This session addresses the definition, prevalence, and pathophysiology of the adult patient with obstructive sleep apnea (OSA). Other areas to be covered include methods of identifying patients at risk for OSA, treatment options, and perioperative management, including a review of published guidelines.

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Duration : 0:2:4

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News Clip: Sleep Apnea Contributes to Death of Reggie White

December 17th, 2010

Hall of fame football star Reggie White dies from complications arising from sleep apnea. He was diagnosed and non-compliant with CPAP therapy. www.sleepgs.com

Duration : 0:2:53

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What Causes Snoring and Obstructive Sleep Apnea?

December 14th, 2010

This video describes the cause for snoring and obstructive sleep apnea. The physicians of Snoring Austin (Daniel Slaughter, MD, Christopher Thompson, MD, & Zachary Wassmuth, MD) each have over 15 years of experience in treating both snoring and sleep apnea. There are several treatment options for both problems, some even work the same day! Call 512-339-4040 or visit www.snoringaustin.com today for more information.

Duration : 0:0:57

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The “Kissing” Tonsils as Seen During Müller’s Manoeuvre in Obstructive Sleep Apnea Syndrome

December 11th, 2010

This video shows the changes in the airway lumen dimensions of the velopharynx and oropharyngeal areas during Müller’s manouevre which is routinely performed as an office evaluation of obstructive sleep apnea syndrome. Negative pressure being induced by asking the patient to breathe deepy with the nose and mouth close tightly. By doing so, the collapsible segment would be seen approximating particularly at the velopharyngeal isthmus region. Base of tongue collapse, and prominent lingual tonsils will be assessed. In this video, tongue base collapse is not seen, while the most prominent findings were near total closure of the velopharyngeal isthmus contributed by the “kissing” enlarged tonsils. The adenoids, nasal septal deviation, and turbinates hypertrophy need to be evaluated as well as combination surgery is usually needed if they’re present. [L-larynx, T- Tonsil, BOT- base of tongue, SP- soft palate, PW- posterior pharyngeal wall]

Duration : 0:1:2

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Sleep Study

November 30th, 2010

Showing what Sleep Study is like.

Duration : 0:3:54

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Sleep Disturbance

November 18th, 2010

Patients often present to ENT clinics with sleep disturbance. Their symptoms can include insomnia, interrupted sleep, interrupted sleep of the sleeping partner, poor energy levels and daytime sleepiness.

The stages of sleep
Sleep is divided into five stages. The first four are associated with deepening sleep, decreased muscle activity and slowed breathing and pulse rate. The fifth stage is reached when rapid eye movement occurs. It is in this stage that dreaming occurs. The fourth stage is the deepest form of sleep during which the patient is the least arousable. It is associated with delta waves on the electroencephalogram.

How many people are affected?
Sleep disorder, in its various forms, is very common. A third of adults report sleep disorder at some point in their lives. 20-40% of adults report sleep disorder at some time in the year. 17% rate their sleep disorder as serious. 20% of adults complain of chronic insomnia.

Gender
Sleep disorder is more common in women with a female:male ratio of 3:2. Men are more likely to have obstructive sleep apnoea (OSA). 4% of men have OSA compared with 2.5% in women.

Age
Sleep disturbance gets worse with age. In the 30 to 50 year old age group, 5% suffer. Over 50 years this rises to 30%. The elderly experience decrease sleeping periods, awake more often in the night and are more likely to take medications which disrupt sleep.

Causes
The causes of sleep disturbance can be split into medical, psychological and environmental problems.

Medical problems
These are myriad and include heart failure, neurological conditions, thyroid problems and other disorders of the hormone system, acid reflux from the stomach, stimulants (caffeine and alcohol), certain medications and upper airway obstruction.

Psychological problems
These include depression, post-traumatic stress, anxiety, thought disorder and psychiatric medication.

Environmental problems
Life-threatening events, shift-working, jet lag, changes in altitude, hot sleeping environment, environmental noise (e.g. snoring form the sleeping partner) or frequent external disturbance.

Treatment
Given the number of serious medical conditions that can cause sleep disturbance, patients should always consult their primary care doctor.

Simple life-style changes may also help. Dietary modifications are not generally required but avoiding big meals and spicy foods 3 hours before bedtime helps.

Stimulants and substances that disturb sleep architecture should be avoided. These include caffeine, alcohol and nicotine. Nicotine and caffeine should be avoided from late afternoon onwards.

Strenuous exercise is good during the day but should be avoided in the 3 hours before sleep. Psychologically stimulating activities should also be avoided including tense films, engrossing novels, thrilling TV and arguments.

Duration : 0:3:0

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Sleep Apnea Testing – What Causes Sleep Apnea

November 16th, 2010

Take the Sleep Apnea Test Today at http://www.mysleeptest.com.

Sleep apnea is a serious, potentially life-threatening condition that is far more common than generally understood. First described in 1965, sleep apnea is a breathing disorder characterized by brief interruptions of breathing during sleep. Apnea comes from the Greek word meaning “want of breath” and is clinically defined as any cessation of breath lasting 10 or more seconds.

http://www.mysleeptest.com

Duration : 0:0:37

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My Life With CPAP

November 13th, 2010

A very rough video made to demonstrate what CPAP is and to highlight the dire need for funding for CPAP across the whole of the UK. Please sign the petition http://is.gd/mSly

Duration : 0:9:58

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villagay, buceando apnea, costa central, Chile

November 9th, 2010

Aqui un par de villagay y un jerguilla entremedio. lugar con mucha alga gruesa

Duration : 0:1:24

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Sleep Apnea – Watch-PAT100

November 5th, 2010

HOME SLEEP TESTING with the Watch-PAT100; the easiest and most convenient way to diagnose SLEEP APNEA.

Unlike many other tests that you have to do in a hospital or sleep laboratory, the Watch-PAT100 is an easy take home sleep test that allows you to sleep in your own bed and get the results in less than 24 hours. This compact device fits easily on a velcro armband with 2 finger sensors and body sensor attached. You then press the button and go to sleep. The next morning the Watch-PAT100 is returned to the office and you receive your results in a matter of minutes. Once your health care professional receives the results of the Watch-PAT100 test, they will be able to decide what the most appropriate treatment is for you.

zrick@bellsouth.net – For information on Home Sleep Testing

Duration : 0:2:35

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