Obstructive Sleep Apnia
Overview
Obstructive Sleep Apnea is potentially serious sleep disorder in which breathing repeatedly stops and starts during sleep. The throat muscles intermittently relax and block the airway during sleep.
Signs and Symptoms
Risk Factors/Contributing Factors:
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Signs and Symptoms:
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Diagnosis
Criteria A
Criteria B
Criteria C
Criteria D
- The patient has unintentional sleep episodes during wakefulness, daytime sleepiness, unrefreshing sleep, fatigue or insomnia.
- The patient wakes holding breath, gasping, or choking
- The bed partner reports loud snoring, breathing interruption, or both
Criteria B
- Polysomnography (PSG) shows the following
- >5 sleep scorable respiratory events (apneas, hypopneas, or respiratory-related effort-arousal) per hour of sleep
- Evidence of respiratory effort during all or a portion of each respiratory event.
Criteria C
- Polysomnography (PSG) shows the following:
- >15 sleep scorable respiratory events (apneas, hypopneas, or respiratory-related effort-arousal) per hour of sleep
- Evidence of respiratory effort during all or a portion of each respiratory event.
Criteria D
- The disorder is not better explained by another sleep disorder, medical, or neurological condition, medication use, or substance abuse
Differential Diagnosis
Conditions associated with excessive daytime sleepiness
Conditions that interfere with sleep
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Treatment/Referral
If you suspect OSA you should refer patient to their physician for further investigation:
Education on lifestyle modification
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