Sleep Apnea. ACP Oct 26, Bashir Chaudhary, MD Sleep Institute of Augusta, Augusta GA
|
|
- June Hines
- 8 years ago
- Views:
Transcription
1 Sleep Apnea ACP Oct 26, 2014 Bashir Chaudhary, MD Sleep Institute of Augusta, Augusta GA Emeritus Professor of Medicine and Assistant Dean of Clinical Affairs, CAHS Medical College of Georgia, Georgia Health Sciences University
2 Future of Sleep Medicine? Main sleep problem will continue to be OSA In-lab studies are going to decrease Home studies are going to increase Shift of studies to PCPs Shift to studies to commercial companies Type of patients are going to be different New therapeutic modalities
3 Outcome Studies Equivalence between HST and in-lab PSG Patient satisfaction Quality of Life Epworth and other sleep measurement tools CPAP adherence (one study home)
4 Multi-Center Studies of HST Rosen CL, et al, Sleep 35:757, 2012 CPAP compliance (3months) 219 mins 281 mins p=0.001 Change in Epworth score p=0.65 Change in FOSQ p=0.38 Improved CPAP compliance but no difference in changes in other outcomes between two pathways
5 Sleep Apnea Snoring Sleepiness / tiredness Disturbed sleep
6
7
8
9
10 Clinical Features of OSA Awakenings / gasping or choking Awakenings for uncertain reasons Restless sleep Non-refreshing sleep Poor memory / intellectual function Irritability / personality change Morning headache / confusion
11 Obesity and OSA BMI kg/m 2 % OSA Neck size (inches) 30 Men: 17 Women: 16
12 Prevalence of OSA in obese patients % OSA Obese Severe Morbid Super obesity
13 Obesity and sleep apnea A majority of patients undergoing bariatric surgery have sleep apnea.
14 Percentage of OSA in bariatric surgery ( 7 studies, N: 1547) Total 1. Frey (2003) 2. O Keefe (04) 3. Lopez (08) 4. Hallowell (07)5. Sarelli (09) 6. Lee (09) 7. Ravesloot (2012)
15 % OSA in Men according to BMI and Age Age Age BMI < BMI >40 Young at el, J Apple Physiol 2005; 99 :1592-9
16 % OSA in Women according to BMI and Age Age: Age: BMI < BMI >40 Young et al, J Apple Physiol 2005; 99 :1592-9
17 Dietary Weight Loss and Sleep Apnea Meta analysis of 9 studies about dietary weight loss 5 Kg weight loss is associated with 48% reduction in AHI Anandam A et al. Sleep Breath 2012
18
19 Obstructive sleep apnea Obstructive apneas 60 seconds (60 seconds) recording
20 Hypopnea
21
22 Severity of sleep apnea AHI Severity <5 Normal 5-15 Mild Moderate >30 Severe
23
24 Pickwickian Syndrome
25 Which of the following are true? (Select all that apply) 1. Majority of men with habitual snoring do not have OSA. 2. Majority of persons with OSA are sleepy. 3. Majority of persons with OSA are obese. 4. Complaint of insomnia makes the presence of OSA unlikely. 5. Dr. Fincher and Dr. Moore are members at Augusta National Golf Club. 40% 38% 11% 7% 4%
26 Majority of men with habitual snoring do not have OSA. 84% 1. True 2. False 16% 1. 2.
27 Snoring and sleep apnea Do most habitual snores have sleep apnea?
28 Prevalence of habitual snoring in adults Co Kara Kulak BurunBogas lhtis Derg. 2005;14(1-2):18-24 Males Females Habitual snoring 30% 9% Roommates unwilling to share room 9% 2% Willing to have medical attention 3% 1%
29 Prevalence of Sleep Apnea Hypersomnolence and AHI > 5: Men 4% Women 2% AHI > 5: Men 24% Women 9%
30 Most persons with sleep apnea are sleepy during the day. 86% 1. True 2. False 14% 1. 2.
31 Sleepiness Epworth Sleepiness Score
32 Sleepiness and OSA Sleepiness is considered a cardinal symptom of sleep apnea. However not all patients with sleep apnea are sleepy. What percent of the patients with severe sleep apnea are sleepy?
33 Sleepiness in OSA (Sleep Heart Health Study n:6440) n AHI ESS> < 5 21% % % 400 > 30 40% Kapur Sleep 2005;28:
34 Kapur Sleep 2005;28: % Sleepiness in Community OSA n: ESS >10 Sleepiness Unrested Any of AHI < >30
35 Sleepiness in OSA (Wisconsin sleep cohort n:1522) AHI ESS>10 <5 23% % % >30 37% Young Sleep 2008;3:
36 ESS>10 (sleepiness) and AHI SHHS Wisconsin % < >30 AHI
37 SLEEPINESS Most patients diagnosed to have sleep apnea are sleepy. However, most persons with sleep apnea do not complain of sleepiness.
38 Most persons with sleep apnea obese. 65% 1. True 2. False 35% 1. 2.
39 Effect of surgical weight loss on OSA Meta-analysis of 12 studies, n: Pre Post 10 0 BMI AHI Greenburg et al. Am J Med 2009; :
40 Effect of surgical weight loss on OSA Meta-analysis of 12 studies, n: 342 There was significant improvement in BMI and in AHI after surgery. Cure of sleep apnea (AHI of less than 5) was achieved in only 25% of the cases. Greenburg et al. Am J Med 2009; 122:
41 % prevalence of sleep apnea Men Women 0 USA USA Australia India China Korea n: Young Bixler Bearpark Udwalia Ip Kim
42 AHI AHI and weights in Asians and Caucasians Asians Caucasians < >31 Ong KC,, Clerk AA Resp Med 1998; 92: 843-8:
43 BMI in Asian OSA patients AHI<5 AHI>5 0 Korean Chinese- M Chinese- F Indian Kim Ip Ip Udwadia
44 29 28 BMI in a Spanish Community Study n: 2148 Men Women AHI < 5 AHI > 5 Duran et al. AJRCCM 2001; 163:685-9
45 % OSA OSA attributable to weight in men (community estimates) BMI > 25 BMI < Age: Age: Young at el, J Apple Physiol 2005; 99 :1592-9
46 OSA attributable to obesity ages % of adults have mild or worse SDB (AHI 5 ) 41% (7% of the total population) of those have OSA attributable to having a BMI of 25 kg/m2 or more. 5.7% of adults have moderate or worse SDB (AHI 15) and that 58% (3.3% of the total population) of those adults have SDB attributable to excess weight. Young at el, J Apple Physiol 2005; 99 :1592-9
47 Obesity and OSA Most patients diagnosed to have sleep apnea are obese. Most persons with sleep apnea are not obese.
48 Complaint of insomnia makes the 1. True 2. False presence of OSA unlikely. 89% 11% 1. 2.
49 Insomnia and OSA Sleep studies are not recommended for evaluation of insomnia. Many insurance companies do not approve sleep studies if a patient has a complaint of insomnia.
50 OSA and insomnia The presence of sleep onset insomnia does not rule out concomitant sleep apnea particularly in a patient with excessive caffeine intake. Sleep maintenance insomnia is common in patients with sleep apnea.
51 OSA and insomnia Prevalence of insomnia : 42% Sleep onset: 6% Maintenance: 26% Early morning: 19% Chung. Respiration 2005;72:460-5
52 Oral Pressure Therapy
53 Theravent
54 Upper Airway Stimulator
55 Dr. Fincher and Dr. Moore are members at Augusta National Golf Club. 1. True 2. False 0% 0% 1. 2.
56
57
58 The overall performance of the speaker: 1. Poor 2. Fair 3. Average 4. Good 5. Excellent 18% 76% 0% 6% 0%
59 Overall quality of this session: 1. Poor 86% 2. Fair 3. Average 4. Good 5. Excellent 0% 0% 9% 5% Poor Fair Average Good Excellent
60 How well were the learning objectives met? 1. Poor 64% 2. Fair 3. Average 36% 4. Good 5. Excellent 0% 0% 0% Poor Fair Average Good Excellent
61 Did speaker present a balanced view of therapeutic options? 1. Yes 2. No 3. N/A 95% 0% 5% Yes No N/A
62 Were relationships between grantor and speaker announced prior to the presentation? 95% 1. Yes 5% 2. No
63 How useful will this session be in your practice? 78% 1. Poor 2. Fair 3. Average 4. Good 17% 5. Excellent 0% 0% 6% Poor Fair Average Good Excellent
64 Yes No As a result of this program, do you intend to change your patient care? 1. Yes 93% 2. No 7%
65
Underwriting Sleep Apnea
Underwriting Sleep Apnea Joel Weiner, MD, FLMI April 29, 2014 WAHLU The Northwestern Mutual Life Insurance Company Milwaukee, WI A Brief Survey Before We Get Started The Weiner Sleepiness Scale How likely
More informationChanges in the Evaluation and Treatment of Sleep Apnea
Changes in the Evaluation and Treatment of Sleep Apnea Joseph DellaValla, MD FACP Medical Director Center for Sleep Medicine At Androscoggin Valley Hospital Sleep Related Breathing Problems Obstructive
More informationDiseases and Health Conditions that can Lead to Daytime Sleepiness
October 21, 2014 Diseases and Health Conditions that can Lead to Daytime Sleepiness Indira Gurubhagavatula, MD, MPH Associate Professor Director, Occupational Sleep Medicine University of Pennsylvania,
More informationDoes Depression affect compliance with CPAP therapy in patients with Obstructive Sleep Apnea? Ramesh Metta, MBBS M Jeffery Mador, MD
Does Depression affect compliance with CPAP therapy in patients with Obstructive Sleep Apnea? Ramesh Metta, MBBS M Jeffery Mador, MD Background Obstructive Sleep Apnea(OSA) Obstructive sleep apnea (OSA)
More informationObstructive sleep apnea and type 2 diabetes Obstructive Sleep Apnea (OSA) may contribute to or exacerbate type 2 diabetes for some of your patients.
Obstructive sleep apnea and type 2 diabetes Obstructive Sleep Apnea (OSA) may contribute to or exacerbate type 2 diabetes for some of your patients. Prevalence of OSA and diabetes Prevalence of OSA Five
More informationelf-awareness Toolkit
S Snoring & Sleep Apnea elf-awareness Toolkit Snoring: Your Dentist Can Test So You Can Rest 2009 Snoring Isn t Sexy, LLC S Snoring & Sleep Apnea elf-awareness Toolkit Snoring: Your Dentist Can Test So
More informationPolysomnography in Patients with Obstructive Sleep Apnea. OHTAC Recommendation. Polysomnography in Patients with Obstructive Sleep Apnea
OHTAC Recommendation Polysomnography in Patients with Obstructive Sleep Apnea June 16, 2006 1 The Ontario Health Technology Advisory Committee (OHTAC) met on June 16, 2006 and reviewed a health technology
More informationSleep Difficulties. Insomnia. By Thomas Freedom, MD and Johan Samanta, MD
Sleep Difficulties By Thomas Freedom, MD and Johan Samanta, MD For most people, night is a time of rest and renewal; however, for many people with Parkinson s disease nighttime is a struggle to get the
More informationOut of Center Sleep Testing and Auto-titrating CPAP: Gizmos and Gadgets. Kathleen Sarmiento, MD NAMDRC 2014
Out of Center Sleep Testing and Auto-titrating CPAP: Gizmos and Gadgets Kathleen Sarmiento, MD NAMDRC 2014 DISCLOSURE Dr. Sarmiento has received research grants from Philips Respironics and ResMed, these
More informationRaising Sleep Apnea Awareness:
Raising Sleep Apnea Awareness: Among People with Diabetes in North Carolina, 2012 People with diabetes have more sleep problems than people without diabetes in the same age, sex, and race/ethnicity group.
More informationWhat Is the Future of Sleep Medicine? Outline of Talk. Current State of Sleep Medicine. What changed the landscape?
What Is the Future of Sleep Medicine? Allan I. Pack, M.B.Ch.B., Ph.D. The John Miclot Professor of Medicine Division of Sleep Medicine/Department of Medicine Center for Sleep and Circadian Neurobiology
More informationAbout Sleep Apnea ABOUT SLEEP APNEA
ABOUT SLEEP APNEA About Sleep Apnea What is Sleep Apnea? Sleep Apnea (from Greek, meaning "without breath") is one of the most common sleep disorders in which breathing stops and then restarts again recurrently
More informationTreatment of Obstructive Sleep Apnea (OSA)
MP9239 Covered Service: Prior Authorization Required: Additional Information: Yes when meets criteria below Yes as shown below None Prevea360 Health Plan Medical Policy: 1.0 A continuous positive airway
More informationDiagnosis and Treatment
Sleep Apnea: Diagnosis and Treatment Sleep Apnea Sleep Apnea is Common Dangerous Easily recognized Treatable Types of Sleep Disordered Breathing Apnea Cessation of airflow > 10 seconds Hypopnea Decreased
More informationCPAP Treats Muscle Cramps in Patients with Obstructive Sleep Apnea
CPAP Treats Muscle Cramps in Patients with Obstructive Sleep Apnea Andrew J Westwood, M.D., MRCP(UK) 1, Andrew R Spector, M.D., 2 Sanford H Auerbach, M.D. 3 1 Columbia University College of Physicians
More informationComparing the Performance and Efficacy of the 3B/BMC RESmart. Auto-CPAP with the ResMed S9 AutoSet
3B MEDICAL, INC., 21301 US HIGHWAY 27, LAKE WALES, FL. 33859 Comparing the Performance and Efficacy of the 3B/BMC RESmart Auto-CPAP with the ResMed S9 AutoSet Zhi Zhuang, PhD, Research and Development,
More informationCPAP titration: PSG technologist or at Home
CPAP titration: PSG technologist or at Home Carolyn D Ambrosio, MD, MS Associate Professor of Medicine Director, The Center for Sleep Medicine Tufts Medical Center Conflict of Interest No financial interest
More informationSnoring and Obstructive Sleep Apnea (updated 09/06)
Snoring and Obstructive Sleep Apnea (updated 09/06) 1. Define: apnea, hypopnea, RDI, obstructive sleep apnea, central sleep apnea and upper airway resistance syndrome. BG 2. What are the criteria for mild,
More informationScreening for Obstructive Sleep Apnea in Hospitalized Patients Using the STOP-Bang Questionnaire
Screening for Obstructive Sleep Apnea in Hospitalized Patients Using the STOP-Bang Questionnaire Tonya L. Appleby, MSN, CCRN, CEN, CRNP Clinical & Administrative Coordinator, Hospitalist Service University
More informationUnderstanding Sleep Apnea
Understanding Sleep Apnea www.sleepmangementsolutions.com What is Obstructive Sleep Apnea (OSA)? OSA afflicts 20 million adult men and women in the U.S. People who have OSA stop breathing repeatedly during
More informationTreating Sleep Apnea A Review of the Research for Adults
Treating Sleep Apnea A Review of the Research for Adults Is This Information Right for Me? Yes, if: A doctor said you have mild, moderate, or severe obstructive sleep apnea, or OSA. People with OSA may
More informationROLE OF ORAL APPLIANCES TO TREAT OBSTRUCTIVE SLEEP APNEA
1 ROLE OF ORAL APPLIANCES TO TREAT OBSTRUCTIVE SLEEP APNEA There are three documented ways to treat obstructive sleep apnea: 1. CPAP device 2. Oral Appliances 3. Surgical correction of nasal and oral obstructions
More informationObstructive Sleep Apnea (Not so) Sweet Dreams
Obstructive Sleep Apnea (Not so) Sweet Dreams Sleep, riches, and health, to be truly enjoyed, must be interrupted. -- Jean-Paul Richter Presented by: Brad Heltemes, M.D. VP & Chief Medical Director ING
More informationHEALTH EVIDENCE REVIEW COMMISSION (HERC) COVERAGE GUIDANCE: DIAGNOSIS OF SLEEP APNEA IN ADULTS DATE: 5/9/2013 HERC COVERAGE GUIDANCE
HEALTH EVIDENCE REVIEW COMMISSION (HERC) COVERAGE GUIDANCE: DIAGNOSIS OF SLEEP APNEA IN ADULTS DATE: 5/9/2013 HERC COVERAGE GUIDANCE The following diagnostic tests for Obstructive Sleep Apnea (OSA) should
More informationUpdate on Home Sleep Studies Is there a Home for Portable Monitoring?
Update on Home Sleep Studies Is there a Home for Portable Monitoring? Samuel T. Kuna, MD Center for Sleep and Respiratory Neurobiology University of Pennsylvania and Pulmonary, Critical Care & Sleep Section
More information2015 Physician Quality Reporting System Data Collection Form: Sleep Apnea (for patients aged 18 and older)
2015 Physician Quality Reporting System Data Collection Form: Sleep Apnea (for patients aged 18 and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse measures) is not considered
More informationDepartment of Pulmonology, Critical Care and Sleep Medicine, Bolan Medical College, Pakistan
Cronicon OPEN ACCESS PULMONOLOGY AND RESPIRATORY MEDICINE Review Article Sleep Apnea Sanaullah Tareen Department of Pulmonology, Critical Care and Sleep Medicine, Bolan Medical College, Pakistan *Corresponding
More informationSLEEP AND PARKINSON S DISEASE
A Practical Guide on SLEEP AND PARKINSON S DISEASE MICHAELJFOX.ORG Introduction Many people with Parkinson s disease (PD) have trouble falling asleep or staying asleep at night. Some sleep problems are
More informationDENTAL SLEEP PRACTICE
DENTAL SLEEP PRACTICE You ve decided to add sleep dentistry as a segment of your practice services - here are the basics to ensure success in treating obstructive sleep apnea (OSA) patients. CONTENT 1
More informationArlington Dental Associates Ira Stier DDS PC 876 Dutchess Tpk 2 Lafayette Ct. Poughkeepsie, NY 12603 Fishkill, NY 12524 845-454-7023 845-896-4977
Home Sleep Test Liability Form Study Equipment Due: @ I, accept responsibility for the sleep monitoring device while it is in rny possession. I understand that if I fail to return the device or I return
More informationAmerican Academy of Sleep Medicine Response to the ACP Clinical Practice Guideline for the Diagnosis of Obstructive Sleep Apnea in Adults
American Academy of Sleep Medicine Response to the ACP Clinical Practice Guideline for the Diagnosis of Obstructive Sleep Apnea in Adults September 2014 Timothy I. Morgenthaler, MD President Note: The
More informationpii: jc-00031-15 http://dx.doi.org/10.5664/jcsm.4556
SPECIAL SECTION pii: jc-00031-15 http://dx.doi.org/10.5664/jcsm.4556 Quality Measures for the Care of Adult Patients with Obstructive Sleep Apnea R. Nisha Aurora, MD 1 ; Nancy A. Collop, MD 2 ; Ofer Jacobowitz,
More informationFiberoptic bronchoscopy (FOB) is a procedure that pulmonologists
Original Article Diagnosing Obstructive Sleep Apnea by Performing Fiberoptic Bronchoscopy and PEEP Titration of Mask Continuous Positive Airway Pressure Saenghirunvattana S, MD Sawang Saenghirunvattana,
More informationScientific investigations
Scientific investigations Persistence of Obstructive Sleep Apnea After Surgical Weight Loss Christopher J. Lettieri, M.D. 1,2 ; Arn H. Eliasson, M.D. 1,2 ; David L. Greenburg, M.D. 2,3 1 Pulmonary, Critical
More informationWhat is Obstructive Sleep Apnoea?
Patient Information Leaflet: Obstructive Sleep Apnoea Greenlane Respiratory Services, Auckland City Hospital & Greenlane Clinical Centre Auckland District Health Board What is Obstructive Sleep Apnoea?
More informationChildren Who Snore Do they have Sleep Apnea? Iman Sami, M.D. Division of Pulmonary and Sleep Medicine, Children s National
Children Who Snore Do they have Sleep Apnea? Iman Sami, M.D. Division of Pulmonary and Sleep Medicine, Children s National June 3, 2015 No disclosures relevant to this talk No disclosures relevant to this
More informationTreatment for Snoring and Obstructive Sleep Apnea. Ri 林 鴻 錡 /AsP 譚 慶 鼎
Treatment for Snoring and Obstructive Sleep Apnea Ri 林 鴻 錡 /AsP 譚 慶 鼎 Nonsurgical treatment Weight loss Avoidance of alcohol,sedatives,tobacco Positional devices Oral or nasal appliances Nasal continuous
More informationWhat you Need to Know about Sleep Apnea and Surgery
What you Need to Know about Sleep Apnea and Surgery UHN For patients with sleep apnea who are going to have surgery Read this brochure to learn: What sleep apnea is Risks of having sleep apnea when going
More informationpii: jc-00265-14 http://dx.doi.org/10.5664/jcsm.4528
SCIENTIFIC INVESTIGATIONS pii: jc-00265-14 http://dx.doi.org/10.5664/jcsm.4528 Postoperative CPAP Use Impacts Long-Term Weight Loss Following Bariatric Surgery Jacob Collen, MD 1,3 ; Christopher J. Lettieri,
More informationRestoring a good night s sleep
Restoring a good night s sleep Products for diagnosing, treating, and monitoring sleep apnea Sleep apnea solutions A good night s sleep is an essential part of healthy living, but for patients diagnosed
More informationMaharashtra University of Health Sciences, Nashik. Syllabus. Fellowship Course in Sleep Medicine
Maharashtra University of Health Sciences, Nashik Syllabus Fellowship Course in Sleep Medicine Appendix A a) Title of the Fellowship Course: Fellowship Course in Sleep Medicine b) Duration of Course: 1
More informationAcknowledgements. Dental Management of Obstructive Sleep Apnea in a Maxillofacial Prosthodontic Practice. Transfer of Information
Dental Management of Obstructive Sleep Apnea in a Maxillofacial Prosthodontic Practice Alvin G. Wee, BDS, MS, MPH Associate Professor and Director Division of Oral Facial Prosthetics / Dental Oncology
More informationBCN e-referral Questionnaire Preview: Sleep study, outpatient facility or clinic-based setting
Sleep studies, outpatient facility or clinic-based setting Blue Care Network provides coverage for attended sleep studies in the outpatient treatment setting for pediatric members and for adult members
More informationExecutive Summary. An American Academy of Sleep Medicine and American Academy of Dental Sleep Medicine Clinical Practice Guideline
Executive Summary Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015 An American Academy of Sleep Medicine and American
More informationSLEEP APNEA SCREENING AND SURVEILLANCE Low Cost Monitoring Device
SLEEP APNEA SCREENING AND SURVEILLANCE Low Cost Monitoring Device Sammy Homsi and Mustafa Muhyi Team Number: 42 Teacher: Rebecca Galves Mentor: Noor Muhyi CONTENTS Figure and tables...2 Abstract 3 Introduction..
More informationbuilding. 2. Enter Turn the on 5305 and begin Building testing and take the elevator/stairs to the third floor, turn right and go into
SLEEP DISORDERS CENTER St. Joseph Mercy Ann Arbor 5305 Elliott Drive, Ypsilanti, MI 48197 734-712-2276 / Fax 734-712-2967 Sleep Study Information Home Sleep Apnea Testing Dear,, Your are Sleep scheduled
More informationEXPECTATIONS OF PHYSICIANS INTENDING TO PRACTISE SLEEP MEDICINE CHANGING SCOPE OF PRACTICE PROCESS BACKGROUND
EXPECTATIONS OF PHYSICIANS INTENDING TO PRACTISE SLEEP MEDICINE CHANGING SCOPE OF PRACTICE PROCESS BACKGROUND The College is gradually moving toward a system of performance measurement by focusing on a
More informationOximetry Alone Versus Portable Polygraphy for Sleep Apnea Screening Before Bariatric Surgery
OBES SURG (2010) 20:326 331 DOI 10.1007/s11695-009-0055-9 CLINICAL RESEARCH Oximetry Alone Versus Portable Polygraphy for Sleep Apnea Screening Before Bariatric Surgery Maude Malbois & Vittorio Giusti
More informationMedical Information to Support the Decisions of TUECs INTRINSIC SLEEP DISORDERS
Introduction Excessive daytime sleepiness (EDS) is a common complaint. Causes of EDS are numerous and include: o Intrinsic sleep disorders (e.g. narcolepsy, obstructive sleep apnoea/hypopnea syndrome (OSAHS)
More informationRoux-en-Y Gastric Bypass
Roux-en-Y Gastric Bypass Restrictive and malabsorptive procedure Most frequently performed bariatric procedure in the US First done in 1967 Laparoscopic since 1993 75% EWL in 18-24 months 50% EWL is still
More informationTruck driving is a hazardous occupation,
324 Validation of Sleep Apnea Screening Criteria Talmage et al Consensus Criteria for Screening Commercial Drivers for Obstructive Sleep Apnea: Evidence of Efficacy James B. Talmage, MD Toney B. Hudson,
More informationSLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS
E-Resource December, 2013 SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS Between 10-18% of adults in the general population and up to 50% of adults in the primary care setting have difficulty sleeping. Sleep
More informationObstructive Sleep Apnea and Sleep Disorders in All Age Groups Treatment
Obstructive Sleep Apnea and Sleep Disorders in All Age Groups Treatment W. McD. Anderson, M.D. Medical Director, Tampa General Hospital Sleep Center Professor of Medicine, USF College of Medicine Program
More informationMODULE. POSITIVE AIRWAY PRESSURE (PAP) Titrations
MODULE POSITIVE AIRWAY PRESSURE (PAP) Titrations POSITIVE AIRWAY PRESSURE (PAP) TITRATIONS OBJECTIVES At the end of this module the student must be able to: Identify the standards of practice for administering
More informationSleep Medicine and Psychiatry. Roobal Sekhon, D.O.
Sleep Medicine and Psychiatry Roobal Sekhon, D.O. Common Diagnoses Mood Disorders: Depression Bipolar Disorder Anxiety Disorders PTSD and other traumatic disorders Schizophrenia Depression and Sleep: Overview
More informationPAP Therapy Devices: Delivering the Right Therapy To The Right Patient. Ryan Schmidt, BS,RRT Clinical Specialist Philips Respironics
PAP Therapy Devices: Delivering the Right Therapy To The Right Patient Ryan Schmidt, BS,RRT Clinical Specialist Philips Respironics Conflict of Interest Disclosure(s) I do not have any potential conflicts
More informationHelpful hints for filing
Helpful hints f filing Polysomnography Home Sleep Testing (HST) f diagnosing obstructive sleep apnea (OSA) Mary Coughlin RN, MS, NNP, Global Clinical Services Managers, Children s Medical Ventures Sleep
More informationAccuracy of Auto-Titrating CPAP to Estimate the Residual Apnea-Hypopnea Index in Patients
0 Title: Accuracy of Auto-Titrating CPAP to Estimate the Residual Apnea-Hypopnea Index in Patients with Obstructive Sleep Apnea on Treatment with Auto-Titrating CPAP. Authors: Himanshu Desai M.D., Anil
More informationNews on sleep apnea for the commercial trucking industry. Support system leads to CPAP success
PPD Protecting Professional Drivers SM Driver edition Summer 2011 Volume 4, Issue 3 News on sleep apnea for the commercial trucking industry Visit PPD s new driver blog for OSA support Support system leads
More informationWhat is sleep apnea? 2/2/2010
Outline Nocturia and Sleep Apnea R. Keith Huffaker, MD Introduction Background & Incidence Definitions Differential Diagnosis of Nocturia Risk Factors of OSA Mechanism of OSA-Nocturnal Polyuria Diagnosis
More informationBilling for the treatment of OSA with oral orthotics:
Billing for the treatment of OSA with oral orthotics: Obstructive Sleep Apnea is a medical disease. All time and procedures involved in evaluating for or treating OSA is, therefore, generally covered only
More informationSLEEP DISORDER ADULT QUESTIONNAIRE
SLEEP DISORDER ADULT QUESTIONNAIRE Name: Date: Date of Birth (month/day/year): / / Gender: ο Male ο Female Marital Status: ο Never Married ο Married ο Divorced ο Widowed Home Address: City: Zip: Daytime
More informationRapid Resolution of Intense Suicidal Ideation after Treatment of Severe. From the Department of Psychiatry and Psychology (L.E.K.
Category [Case Report] Rapid Resolution of Intense Suicidal Ideation after Treatment of Severe Obstructive Sleep Apnea Lois E. Krahn, MD Bernard W. Miller, RPSGT Larry R. Bergstrom, MD From the Department
More informationSERVICE: Obstructive Sleep Apnea: Diagnosis and Treatment.
Obstructive Sleep Apnea: Page 1 of 6 MEDICAL COVERAGE POLICY Important note Even though this policy may indicate that a particular service or supply may be considered covered, this conclusion is not based
More informationSleep Disorders Center 505-820-5363 455 St. Michael s Dr. 505-989-6409 fax Santa Fe, New Mexico 87505 QUESTIONNAIRE NAME: DOB: REFERRING PHYSICIAN:
Sleep Disorders Center 505-820-5363 455 St. Michael s Dr. 505-989-6409 fax Santa Fe, New Mexico 87505 QUESTIONNAIRE NAME: DOB: REFERRING PHYSICIAN: PRIMARY CARE PHYSICIAN: Do you now have or have you had:
More informationPerioperative Management of Patients with Obstructive Sleep Apnea. Kalpesh Ganatra,MD Diplomate, American Board of Sleep Medicine
Perioperative Management of Patients with Obstructive Sleep Apnea Kalpesh Ganatra,MD Diplomate, American Board of Sleep Medicine Disclosures. This activity is supported by an education grant from Trivalley
More informationFull name: Male Female
6700 W. Ninth Ave. Amarillo, TX 79106 Phone (806) 356-5522 www.adcsleepdisorders.com THE EPWORTH SLEEPINESS SCALE Full name: Male Female Date: Age: How likely are you to doze off or fall asleep in the
More informationTitration protocol reference guide
Titration protocol reference guide Description Page Titration protocol goals 4 CPAP protocol CPAP protocol 6 CPAP titration protocol 7 CPAP reimbursement criteria 8 BiPAP S protocol BiPAP S protocol 10
More informationHome Sleep Testing Common Questions and Answers
Home Sleep Testing Common Questions and Answers Suite 1, 100 Schneider Road Kanata, Ontario, Canada K2K 1Y2 Tel: 613.831.6690 Fax: 613.831.6699 braebon.com D.MP8.80200.2 November 2013 I thought BRAEBON
More informationEpidemiology of Pediatric Obstructive Sleep Apnea
Epidemiology of Pediatric Obstructive Sleep Apnea Julie C. Lumeng 1 and Ronald D. Chervin 2 1 Center for Human Growth and Development and Department of Pediatrics, and 2 Sleep Disorders Center and Department
More informationIs Sleep Apnea Affecting my Brain?: Cognitive Impairment in Obstructive Sleep Apnea Syndrome
Is Sleep Apnea Affecting my Brain?: Cognitive Impairment in Obstructive Sleep Apnea Syndrome Chitra Lal, MD, D-ABSM, FCCP Assistant Professor of Medicine Medical University of South Carolina, Charleston,
More informationRe-awakening Australia
Re-awakening Australia The economic cost of sleep disorders in Australia, 2010 Sleep Health Foundation October 2011 Contents Glossary...i Executive summary... iii 1 Sleep disorders in Australia... 8 1.1
More informationClinical Research on Lifestyle Interventions to Treat Obesity and Asthma in Primary Care Jun Ma, M.D., Ph.D.
Clinical Research on Lifestyle Interventions to Treat Obesity and Asthma in Primary Care Jun Ma, M.D., Ph.D. Associate Investigator Palo Alto Medical Foundation Research Institute Consulting Assistant
More informationSleep Test Optimization Program Frequently Asked Questions Table of Contents
Sleep Test Optimization Program Frequently Asked Questions Current published medical findings cited by the Centers for Medicare & Medicaid Services (CMS) support sleep studies being performed outside the
More informationBariatric Surgery. Beth A. Ryder, MD FACS. Assistant Professor of Surgery The Miriam Hospital Warren Alpert Medical School of Brown University
Bariatric Surgery Beth A. Ryder, MD FACS Assistant Professor of Surgery The Miriam Hospital Warren Alpert Medical School of Brown University April 30, 2013 Why surgery? Eligibility criteria Most commonly
More informationMINISTERIO DE SALUD PUBLICA DIRECCION PROVINCIAL DE SALUD DEL GUAYAS HOSPITAL DE INFECTOLOGIA DR. JOSE DANIEL RODRIGUEZ MARIDUEÑA Guayaquil - Ecuador
EVALUATION OF THE EFFECTIVENESS OF THE PRODUCT BABUNA IN THE TREATMENT OF INSOMNIA, IN PATIENTS OF THE MALE WING OF THE ECUADORIAN HEALTH MINISTRY S HOSPITAL OF INFECTIOUS DISEASE PILLASAGUA Diana, ANDINO
More informationPETER P. LOPEZ, M.D.,» BIANCA STEFAN, M.S.,t CARL L SCHULMAN, M.D.,t PATRICIA M. BYERS, M.D.+
Prevalence of Sleep Apnea in Morbidly Obese Patients Who Presented for Weight Loss Surgery Evaluation: More Evidence for Routine Screening for Obstructive Sleep Apnea before Weight Loss Surgery PETER P.
More informationTara Leigh Taylor, MD, FCCP Intensivist, Wyoming Medical Center
Tara Leigh Taylor, MD, FCCP Intensivist, Wyoming Medical Center Objectives Define the magnitude of the problem Define diagnostic criteria of insomnia Understand the risk factors and consequences of insomnia
More informationOUTCOMES OF CPAP TREATMENT IN A SLEEP LABORATORY SPECIALIZED IN NEUROPSYCHIATRY
JOURNAL OF PHYSIOLOGY AND PHARMACOLOGY 2004, 55, Suppl 3, 15 22 www.jpp.krakow.pl J. ANTCZAK 1,2, P. GEISLER 2, R. POPP 2 OUTCOMES OF CPAP TREATMENT IN A SLEEP LABORATORY SPECIALIZED IN NEUROPSYCHIATRY
More informationAT HOME DR. D. K. PILLAI MUG @ UOM
NON - INVASIVE VENTILATION AT HOME DR. D. K. PILLAI 07.09.2011 MUG @ UOM In the beginning came. OSA (HS) 1. CPAP for OSAHS (Obstructive Sleep Apnoea Hypopnoea Syndrome) 2 NIPPV 2. NIPPV (Non
More informationObesity Affects Quality of Life
Obesity Obesity is a serious health epidemic. Obesity is a condition characterized by excessive body fat, genetic and environmental factors. Obesity increases the likelihood of certain diseases and other
More informationSLEEP APNEA MEASURES GROUP OVERVIEW
SLEEP APNEA MEASURES GROUP OVERVIEW 2015 PQRS OPTIONS F MEASURES GROUP: 2015 PQRS MEASURES IN SLEEP APNEA MEASURES GROUP: #128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
More informationSummary of AASM Clinical Guidelines for the Manual Titration of Positive Airway Pressure in Patients with Obstructive Sleep Apnea - Updated July 2012
Summary of AASM Clinical Guidelines for the Manual Titration of Positive Airway Pressure in Patients with Obstructive Sleep Apnea - Updated July 2012 SUMMARY: Sleep technologists are team members who work
More informationOSA Reference Material. Table of Contents
OSA Reference Material Table of Contents 1. Guidance a. OSA Protocol and Decisions Consideration table b. Quick-Start for AMEs c. OSA Flow Chart d. AASM Tables 2 and 3 e. AME Actions f. Specification Sheet
More informationMedical Affairs Policy & Procedure
Medical Affairs Policy & Procedure Service: Sleep Disorder Testing (Polysomnogram, Split Night Polysomnogram, Sleep Study, Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Testing (MWT),
More informationEach of us has our own
Orthodontic Strategies for Sleep Apnea A team of orthodontists has developed a strategy to effectively implement treatment of obstructive sleep apnea into a practice and improve patients lives BY TERRY
More informationObstructive sleep apnoea and daytime driver sleepiness
Obstructive sleep apnoea and daytime driver sleepiness Dr Ashleigh Filtness CRICOS No. 00213J Obstructive Sleep Apnoea (OSA) Repeated collapse of the airway during sleep blocking air flow. At least 5 an
More informationStroke: Major Public Health Burden. Stroke: Major Public Health Burden. Stroke: Major Public Health Burden 5/21/2012
Faculty Prevention Sharon Ewer, RN, BSN, CNRN Stroke Program Coordinator Baptist Health Montgomery, Alabama Satellite Conference and Live Webcast Monday, May 21, 2012 2:00 4:00 p.m. Central Time Produced
More informationINF159. Tiredness can kill. Advice for drivers. including drivers with Obstructive Sleep Apnoea Syndrome (OSAS) 2/16
INF159 Tiredness can kill Advice for drivers including drivers with Obstructive Sleep Apnoea Syndrome (OSAS) 2/16 What if I have a condition causing sleepiness/tiredness during the day? You need to tell
More informationSUMMA HEALTH SYSTEM. Sleep Medicine Services
SUMMA HEALTH SYSTEM Sleep Medicine Services Contents Why should I be concerned about a sleep disorder? 2 Evaluate Your Daytime Sleepiness 3 Common sleep disorders 5 About sleep studies 6 What to expect
More informationThe Importance of Restful Sleep 4. Normal Breathing During Sleep 5. The Impact of Snoring on Sleep 6. Causes of Snoring 7
Contributing Authors THEODORE M. BERMAN, M.D. is a board certified medical specialist in sleep disorders medicine and pulmcnary medicine. Dr. Berman is a partner of the Minn sota Sleep Institute and practices
More informationMidmark White Paper Primary Care and Sleep Apnea Testing: a Pilot Study for Home Testing with SleepView
Midmark White Paper Primary Care and Sleep Apnea Testing: a Pilot Study for Home Testing with SleepView The advantages of primary care physicians taking ownership of identifying, testing and managing obstructive
More information5.07.04. Provigil Nuvigil. Provigil (modafinil) / Nuvigil (armodafinil) Description. Section: Prescription Drugs Effective Date: July 1, 2015
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.07.04 Subject: Provigil Nuvigil Page: 1 of 6 Last Review Date: June 19, 2015 Provigil Nuvigil Description
More informationItamar Medical Coding and Reimbursement
Itamar Medical Coding and Reimbursement WatchPAT Home Sleep Apnea Testing (HSAT) Frequently Asked Questions DISCLAIMER: The information contained in this guide is provided to assist you in understanding
More informationObstructive sleep apnea syndrome (OSAS) affects
A comparison of radiofrequency treatment schemes for obstructive sleep apnea syndrome DAVID L. STEWARD, MD, EDWARD M. WEAVER, MD, MPH, and B. TUCKER WOODSON, MD, Cincinnati, Ohio, Seattle, Washington,
More informationSleep Position Trainer. The best treatment for Positional OSAS
Sleep Position Trainer The best treatment for Positional OSAS Innovation distinguishes between a leader and a follower. - Steve Jobs Positional Therapy for (P)OSAS Positional Obstructive Sleep Apnea Syndrome
More informationLiving with positive airway pressure treatment
Living with positive airway pressure treatment ResMed Corp San Diego, CA, USA +1 858 836 5000 or 1 800 424 0737 (toll free). ResMed Ltd Bella Vista, NSW, Australia +61 (2) 8884 1000 or 1 800 658 189 (toll
More informationThe Usefulness of Sleep Apnea Syndrome Screening using a Portable Pulse Oximeter in the Workplace
J Occup Health 2007; 49: 1 8 Journal of Occupational Health The Usefulness of Sleep Apnea Syndrome Screening using a Portable Pulse Oximeter in the Workplace Kuniyuki NIIJIMA 1, Kazuhiko ENTA 1, Hiroko
More informationPAGE 1 OF 1 0 REFERENCE CURRENT EFFECT DATE 10/13 ORIGINAL ISSUE DATE 09/12 TITLE: SUBJECT: Patient Care
PAGE 1 OF 1 0 REFERENCE [ ] All Sharp HealthCare AFFECTED DEPARTMENTS: ACCREDITATION: [ ] System Services Surgery Centers: [ ] SRS [ ] CV-OPS [ ] SCMG [ ] GPSC [ ] SHP [ ] SMH-OPP Hospitals (check all
More informationSleep Apnea Dr. Douglas Tapper
Sleep Apnea Dr. Douglas Tapper Dr. Hendler: Hello and welcome to KP Healthcast. I m your host today, Dr. Peter Hendler, and our guest is Dr. Douglas Tapper who is the chief of Pulmonary Medicine at Kaiser
More information