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Book Cover
E-book

Title Positional therapy in obstructive sleep apnea / Nico de Vries, Madeline Ravesloot, J. Peter van Maanen, editors
Published Cham : Springer, [2014]
©2015

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Description 1 online resource (xii, 414 pages) : illustrations (some color)
Contents Introduction -- OSAS : the magnitude of the problem -- Compliance of various forms of obstructive sleep apnea treatment -- Prevalence of positional obstructive sleep apnea in patients undergoing polysomnography and the effect of sleep stage -- The contribution of head position to the apnea/hypopnea index in patients with position dependent-obstructive sleep apnea -- Influence of sleep position on the transition of mild to moderate and severe OSA -- Clinical characteristics of positional obstructive sleep apnea among Asians -- Positional therapy : left lateral decubitus position versus right lateral decubitus position -- Drug induced sleep endoscopy and sleep position -- Changes in site of obstruction in obstructive sleep apnea patients according to sleep position -- Towards a clinical classification system for position-dependent obstructive sleep apnea -- Correlation between calculated/predicted and actual AHI after positional analysis -- Influence of sleep position on snoring -- The effect of body position on sleep apnea in children -- Sleep position and pregnancy -- Positional OSA in Down syndrome -- Positional OSA in the morbidly obese and the effect of weight loss on OSA severity -- The impact of body weight changes on body posture dominance in adult obstructive sleep apnea patients -- Positional central sleep apnea -- History of positional therapy : transition from tennis balls to new devices -- Long term results and compliance of a special vest preventing the supine position -- Results of a first-generation new device for positional therapy -- Short term (4 weeks) results of the sleep position trainer for positional therapy -- Long-term (6 months) effectiveness, compliance, and subjective sleep outcomes of treatment with the sleep position trainer in a large cohort of position-dependent OSA patients -- 10 problems and solutions for positional therapy : technical aspects of the sleep position trainer -- Prevalence and effect of supine-dependent obstructive sleep apnea on oral appliance therapy -- Positional therapy and palatal surgery -- Positional therapy and tongue base surgery -- Residual POSA after maxillomandibular advancement in patients with severe OSA -- Impact of upper airway surgery on positional change during sleep -- Comparison of positional therapy to CPAP in patients with positional obstructive sleep apnea -- Position training : an indispensable therapy -- Positional therapy, consequences for and implementation in OSA guidelines -- Position-dependent sleep apnea : implications for diagnosis and management -- Positional therapy in obstructive sleep apnea : for whom and for whom not -- Summary and future perspectives
Contributors; Part I: General; Introduction; Why This Book?; About Me; Strengths of the Book; Acknowledgements; OSAS: The Magnitude of the Problem; Introduction; Definitions; Epidemiology of Obstructive Sleep Apnea; Obesity; Age; Gender; Smoking and Alcohol Use; Race; Symptoms and Signs; Snoring; Sleepiness; Other Symptoms at Night; Other Daytime Symptoms; Gender and Age Bias; Morbidity and Mortality; Cardiovascular Morbidity; Arterial Hypertension; Stroke; Cardiac Arrhythmias; Coronary Artery Disease; Subclinical Cardiocirculatory Impairment
Cardiovascular Mortality Metabolic Consequences; Cognitive Deficits; Associations; Comorbid OSAS in Obesity; Comorbid OSAS in Arterial Hypertension; Comorbid OSAS in Congestive Heart Failure; Comorbid OSAS in Atrial Fibrillation; Comorbid OSAS in Coronary Artery Disease; Comorbid OSAS in Endocrine and Metabolic Disorders; Hypothyroidism; Acromegaly; Cushing's Syndrome; OSAS and Diabetes Mellitus; OSAS and Metabolic Syndrome; OSAS in COPD; OSAS in Chronic Renal Failure and End-Stage Renal Disease; OSAS and Polycythaemia; Economical Burden of Untreated OSAS; Conclusions
References; Compliance of Various Forms of Obstructive Sleep Apnea Treatment; Introduction; Continuous Positive Airway Pressure; Mandibular Advancement Devices; Sleep Surgery; Compliance; Compliance Positional Therapy; Reporting on Compliance; Future Perspectives; References; Part II: Initial Work Up: Polysomnography; Prevalence of Positional Obstructive Sleep Apnea in Patients Undergoing Polysomnography and the Effect of Sleep Stage; Introduction; Prevalence; Factors That Predict Occurrence of Positional Sleep Apnea; Sleep Apnea Severity; Anatomic/Morphological Factors; Obesity
Age Effect of Sleep Stage on Positional Sleep Apnea; References; The Contribution of Head Position to the Apnea/Hypopnea Index in Patients with Position-Dependent Obstructive Sleep Apnea; Introduction; How to Measure Body Position During Polysomnography of Suspected OSA Patients?; How to Measure Head Position?; How to Combine Head and Trunk Position Analysis?; Study Setup; Results; Conclusion; References; Influence of Sleep Position on the Transition of Mild to Moderate and Severe OSA; Introduction; POSA; Various Theories; Conclusion; References
Clinical Characteristics of Positional Obstructive Sleep Apnea Among Asians; References; Positional Therapy: Left Lateral Decubitus Position Versus Right Lateral Decubitus Position; Introduction; Materials and Methods; Results; Influence of Body Posture on Percentage of REM Sleep, AHI, and Minimum SaO2; Factors Influencing the Prevalence of Left and Right Positional OSA: Effect of Gender, Age, BMI, and OSA Severity; Discussion; Conclusion; References; Part III: Initial Work Up: Drug Induced Sleep Endoscopy; Drug-Induced Sleep Endoscopy and Sleep Position; Introduction
Summary Obstructive Sleep Apnea (OSA) is the most prevalent sleep disordered breathing disorder. It has become apparent that in more than half the patients with OSA, the frequency and duration of apneas are influenced by body position. To treat patients with Position Dependent OSA (POSA), positional therapy can be considered for preventing patients from sleeping in the worst sleeping position. Treatment of POSA has advanced dramatically recently with the introduction of a new generation of positional therapy. Positional Therapy in Obstructive Sleep Apnea presents improved OSA diagnostic methods and
Analysis geneeskunde
medicine
therapie
therapy
volksgezondheid
public health
Medicine (General)
Geneeskunde (algemeen)
Notes Includes index
Bibliography Includes bibliographical references and index
Notes Online resource; title from PDF title page (SpringerLink, viewed December 4, 2014)
Subject Sleep apnea syndromes.
Sleep apnea syndromes -- Treatment.
Sleep Apnea, Obstructive -- therapy
Sleep Apnea Syndromes
Occupational therapy.
General practice.
Otorhinolaryngology (ENT)
HEALTH & FITNESS -- Diseases -- General.
MEDICAL -- Clinical Medicine.
MEDICAL -- Diseases.
MEDICAL -- Evidence-Based Medicine.
MEDICAL -- Internal Medicine.
Sleep apnea syndromes
Sleep apnea syndromes -- Treatment
Genre/Form Electronic books
Form Electronic book
Author Vries, Nico de (Nico H.), editor.
Ravesloot, Madeline, editor.
Van Maanen, J. Peter, editor.
ISBN 9783319096261
3319096265
3319096257
9783319096254