Effects of Medical Therapy on Mild Obstructive Sleep Apnea in Adult Patients

Conclusions:Intranasal steroids and montelukast did not decrease AHI; however, total sleep time and percent of stage R sleep significantly increased. Self-reported improvement could be explained by observed changes in sleep parameters. Larger prospective studies could help elucidate the effects of medical therapy on adult patients with OSA.Clinical Trial Registration:Registry: ClinicalTrials.gov; Title: Montelukast and Nasa ICS for Treatment of Mild Obstructive Sleep Apnea in Adults; Identifier: NCT01089647; URL:https://clinicaltrials.gov/ct2/show/record/NCT01089647Citation:Smith DF, Sarber KM, Spiceland CP, Ishman SL, Augelli DM, Romaker AM. Effects of medical therapy on mild obstructive sleep apnea in adult patients.J Clin Sleep Med. 2019;15(7):979–983.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research

Related Links:

ConclusionsThese three cases lend support to the hypothesis that chronic insomnia and obstructive sleep apnea share a pathophysiology of chronic stress. Among patients with obstructive sleep apnea, the stress response is directed at inspiratory airflow limitation during sleep (hypopnea, snoring, and inaudible fluttering of the throat). Therefore, when chronic insomnia and obstructive sleep apnea occur in one individual, aggressive treatment of obstructive sleep apnea may lead to a reduction in chronic stress that causes the patient ’s chronic insomnia to remit.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
CONCLUSIONS: The hypertension risk might be reduced by treated OSA, ODI, and snoring, as well as appropriate sleep duration. More studies with large sample sizes and high qualities should be included to support the findings further. PMID: 31402441 [PubMed - as supplied by publisher]
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Tags: Sleep Breath Source Type: research
ConclusionsThe hypertension risk might be reduced by treated OSA, ODI, and snoring, as well as appropriate sleep duration. More studies with large sample sizes and high qualities should be included to support the findings further.
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
Abstract STUDY OBJECTIVES: To assess the accuracy of WatchPAT (WP-Itamar-Medical, Caesarea, Israel) enhanced with a novel systolic upstroke analysis coupled with respiratory movement analysis derived from a dedicated snoring and body position (SBP) sensor, to enable automated algorithmic differentiation between central sleep apnea (CSA) and obstructive sleep apnea (OSA) compared with simultaneous in-lab sleep studies with polysomnography (PSG). METHODS: Eighty-four patients with suspected sleep-disordered breathing (SDB) underwent simultaneous WP and PSG studies in 11 sleep centers. PSG scoring was blinded to...
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Tags: Sleep Breath Source Type: research
AbstractStudy objectivesTo assess the accuracy of WatchPAT (WP —Itamar-Medical, Caesarea, Israel) enhanced with a novel systolic upstroke analysis coupled with respiratory movement analysis derived from a dedicated snoring and body position (SBP) sensor, to enable automated algorithmic differentiation between central sleep apnea (CSA) and obstructive sleep ap nea (OSA) compared with simultaneous in-lab sleep studies with polysomnography (PSG).MethodsEighty-four patients with suspected sleep-disordered breathing (SDB) underwent simultaneous WP and PSG studies in 11 sleep centers. PSG scoring was blinded to the automat...
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
AbstractPurposeTo find out if a moderate protrusion with a mandibular advancement device (MAD) can significantly increase the upper airway volume and, further, what signs and symptoms of obstructive sleep apnea (OSA) can be improved by this maneuver.MethodsThere were 58 adults diagnosed with OSA who were referred for MAD therapy. The mean apnea-hypopnea index (AHI) was 19.2 (SD 8.6). Five indicators of signs and symptoms of OSA (AHI, oxygen saturation, snoring, daytime sleepiness, and health-related quality of life) were evaluated at the baseline and after 6  months of MAD therapy. Nasal resistance and airway volume a...
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
o A Abstract PURPOSE: To find out if a moderate protrusion with a mandibular advancement device (MAD) can significantly increase the upper airway volume and, further, what signs and symptoms of obstructive sleep apnea (OSA) can be improved by this maneuver. METHODS: There were 58 adults diagnosed with OSA who were referred for MAD therapy. The mean apnea-hypopnea index (AHI) was 19.2 (SD 8.6). Five indicators of signs and symptoms of OSA (AHI, oxygen saturation, snoring, daytime sleepiness, and health-related quality of life) were evaluated at the baseline and after 6 months of MAD therapy. Nasal resista...
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Tags: Sleep Breath Source Type: research
This study demonstrated ultrasonography in predicting difficult laryngoscopy lacked utility. Ultrasound utilization as an efficacious means of difficult airway assessment requires further research with a larger sample size. Further studies using sonography on those patients with known difficult airways may provide data to determine if ultrasound has utility in predicting difficult laryngoscopy.
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
Conclusion: MADs are a solid treatment option for primary snoring and mild or moderate OSAS. Patients with severe apnea who are non-adherent to CPAP may also be treated with MADs. Maxillomandibular advancement surgery is a safe and very effective treatment option to OSAS.RESUMO Introdu ção: a Síndrome da Apneia e Hipopneia Obstrutiva do Sono (SAOS) é uma doença muito prevalente e que traz importantes consequências para a vida dos seus portadores. O tratamento da condição é relevante para a melhora do bem-estar geral e da expectativa de vida dos afetados. Os trat...
Source: Dental Press Journal of Orthodontics - Category: Dentistry Source Type: research
Conclusion: MADs are a solid treatment option for primary snoring and mild or moderate OSAS. Patients with severe apnea who are non-adherent to CPAP may also be treated with MADs. Maxillomandibular advancement surgery is a safe and very effective treatment option to OSAS.RESUMO Introdu ção: a Síndrome da Apneia e Hipopneia Obstrutiva do Sono (SAOS) é uma doença muito prevalente e que traz importantes consequências para a vida dos seus portadores. O tratamento da condição é relevante para a melhora do bem-estar geral e da expectativa de vida dos afetados. Os trat...
Source: Dental Press Journal of Orthodontics - Category: Dentistry Source Type: research
More News: Children | Clinical Trials | Flonase | Obstructive Sleep Apnea | Sleep Apnea | Sleep Disorders | Sleep Medicine | Snoring | Study