Upper airway surgery to rescue the “untitratable” patient with OSA and obesity
نویسندگان
چکیده
منابع مشابه
Upper Airway Stimulation for OSA
Objective. To review outcome measures and objective adherence data for patients treated with hypoglossal nerve stimulation (HNS) therapy for moderate to severe obstructive sleep apnea (OSA). Study Design. Case series with chart review. Setting. Academic sleep medicine center. Subjects and Methods. The first 20 implanted patients to complete postoperative sleep laboratory testing were assessed. ...
متن کاملOSA treatment history in an upper airway stimulation trial cohort
Objectives Analyze the obstructive sleep apnea (OSA) treatment history in a group of participants who enrolled in a hypoglossal nerve stimulation trial. Methods Moderate-severe OSA patients with difficulty adhering to CPAP presented for enrollment in a multicenter trial. Self-reported history on prior OSA medical therapy was collected at enrollment, including OSA diagnosis date, CPAP start an...
متن کاملEvaluation of the Upper Airway in Patients with Snoring and OSA
Snoring and obstructive sleep apnoea (OSA) both exhibit multilevel upper airway obstruction. The Importance of evaluating the dynamics of the obstructing upper airway cannot be emphasised enough. Accurate assessment and evaluation of the upper airway could potentially lead to improved surgical and non-surgical treatment outcomes. Most of these patients would have undergone an ambulatory sleep s...
متن کامل[Patient with upper airway infectious disease. When to induce anesthesia?].
BACKGROUND AND OBJECTIVES Anesthesia in children with upper airway infection (UAI) is a major challenge for Anesthesiologists. This paper aimed at discussing why and when to induce anesthesia in UAI children. CONTENTS Preoperative clinical history, factors contributing to peri and postoperative complications and the type of surgery and anesthetic technique favoring such complications are high...
متن کاملReduced genioglossal activity with upper airway anesthesia in awake patients with OSA.
We examined whether topical upper airway anesthesia leads to a reduction in genioglossal (GG) electromyogram (EMG) in patients with obstructive sleep apnea (OSA). Airway mechanics were also evaluated. In 13 patients with OSA, we monitored GG EMG during tidal breathing and during the application of pulses of negative airway pressure (-10 to -12 cmH(2)O). Airflow resistance and airway collapsibil...
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ژورنال
عنوان ژورنال: Journal of Clinical Sleep Medicine
سال: 2020
ISSN: 1550-9389,1550-9397
DOI: 10.5664/jcsm.8142