Relationship Between Normal-weight Central Obesity and Obstructive Sleep Apnea
Conditions: Sleep Disorder; Body Fat Distribution Intervention: Device: Overnight polysomnography Sponsor: St. Anne's University Hospital Brno, Czech Republic Recruiting
Authors: De Jong A, Verzilli D, Chanques G, Futier E, Jaber S Abstract The obese patient is at an increased risk of perioperative complications. Most importantly, these include difficult access to the airways (intubation, difficult or impossible ventilation), and post-extubation respiratory distress secondary to the development of atelectasis or obstruction of the airways, sometimes associated with the use of morphine derivatives. The association of obstructive sleep apnea syndrome (OSA) with obesity is very common, and induces a high risk of peri- and postoperative complications. Preoperative OSA screening is cruc...
Study Objectives:The association between posttraumatic stress disorder (PTSD) and obstructive sleep apnea (OSA) has been reported inconsistently, and the association between antidepressant use and the risk of developing OSA in patients with PTSD has not been previously studied. Therefore, we used the Longitudinal National Health Insurance Database (LHID) to investigate the impact of PTSD and antidepressant use on the risk of OSA development.Methods:Identified from the LHID, 2,316 individuals aged≥ 18 years with PTSD, but with no history of OSA, and 23,160 control individuals matched for age, sex, obesity and index date ...
ConclusionType 2 diabetics are at risk of OSA and STOP-BANG questionnaire could detect nearly 50%. The screening is simple and can be used in primary care setting. These sub-set of patients can be subjected to gold standard polysomnography at home or in hospital for further management.
ConclusionsThe German multi-center long-term outcomes compare favorably with previously published studies. Respiratory and sleepiness efficacy outcomes were sustained over 2 and 3 years, with a favorable safety profile, supporting the safety and efficacy of a chronic implantable therapy.
CONCLUSIONS: The German multi-center long-term outcomes compare favorably with previously published studies. Respiratory and sleepiness efficacy outcomes were sustained over 2 and 3 years, with a favorable safety profile, supporting the safety and efficacy of a chronic implantable therapy. PMID: 31485853 [PubMed - as supplied by publisher]
Obesity continues to increase in prevalence among the adult population in the US. With obesity comes other comorbidities including cardiovascular disease, coronary artery disease, cerebrovascular disease, and obstructive sleep apnea. The increased body mass index and body habitus may present specific challenges to the surgeon during thyroid surgery itself. These challenges include difficulty palpating anterior neck landmarks, shortened neck, excessive submental and upper thoracic tissue obstructing the surgical field, and thickness of structures overlying the thyroid.
This study evaluated the validity of existing OSA screening tools in a cohort of extremely obese pregnant women [body mass index (BMI) ≥40 kg/m2] and determined what screening factors were most strongly associated with OSA in this cohort.
ConclusionIn consequence of this case we are convinced that an untreated obstructive sleep apnea can lead to retropharyngeal hematoma.
Conclusions: The present review does not support the hypothesis of a direct interaction between OSA and testosterone. Strategies other than CPAP should therefore be considered in managing hypogonadism in patients with OSA.
Obstructive Sleep Apnea (OSA) is highly prevalent among patients seeking bariatric surgery, and the gold standard treatment is continuous positive airway pressure (CPAP) (1). However, CPAP use is variable, with studies in general, non-bariatric populations reporting that 46-83% of individuals stop using their CPAP devices after the initial trial period (2). CPAP non-adherence is particularly problematic in bariatric surgery patients; in the immediate post-operative phase, CPAP non-adherence is associated with significant complications, including pneumonia and transfer to ICU (3).