Obstructive Sleep Apnea

Question 1

Clinical manifestations sleep apnea

Answer 1

Frequent arousals during sleep
Insomnia
Excessive daytime sleepiness
Witnessed apnea
Morning headaches
Loud snoring
Personality changes
Irritability

Question 2

diagnosis of sleep apnea

Answer 2

requires documentation of
1) apneic events (no airflow with respiratory effort)
or
2) hypopnea (airflow diminished 30% to 50% with respiratory effort) for at least 10 seconds

OSA is defined as more than five apnea/hypopnea events per hour accompanied by a 3% to 4% decrease in oxygen saturation

Question 3

Sleep Apnea: Conservative Treatment

Answer 3

for mild cases, (5 to 10 apnea/hypopnea events per hour)

Sleeping on one’s side
Sleeping with the head of the bed elevated
Avoiding sedatives and alcohol before sleep
Initiating a weight loss program if necessary
Using a special mouth guard during sleep

Question 4

Treatment with CPAP

Answer 4

• continuous positive airway pressure

* used for patients with more than 15 apnea/hypopnea events per hour

Question 5

OSP surgery

Answer 5

removes obstructions