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SLEEP APNEA The Village Sleep Lab Accredited by the American Academy of Sleep Medicine

SLEEP APNEA The Village Sleep Lab Accredited by the American Academy of Sleep Medicine. Juan A. Albino, MD Board Certified in Sleep Medicine 751-4955 February, 2009. Thank You !!!. Ron Kiedrowski, Rotary Club Phillip Ratliff, AWAKE Group (753-8773) Heather Ellington, Office Manager

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SLEEP APNEA The Village Sleep Lab Accredited by the American Academy of Sleep Medicine

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  1. SLEEP APNEAThe Village Sleep Lab Accredited by the American Academy of Sleep Medicine Juan A. Albino, MD Board Certified in Sleep Medicine 751-4955 February, 2009

  2. Thank You !!! • Ron Kiedrowski, Rotary Club • Phillip Ratliff, AWAKE Group (753-8773) • Heather Ellington, Office Manager • Jim Grazis, RPSGT, CRT, Technologist • Melyssa Rivera, Technologist • Miyoshi Scott, Nurse

  3. Common Sleep Disorders • Insomnia: wants to sleep but cannot • Sleep Deprivation: does not want to sleep but can; problem of sleep quantity • SLEEP APNEA: sleepy during day, snores at night because of obstruction in throat; problem of sleep quality • Restless Legs Syndrome: leg discomfort, relieved by movement that hinders sleep

  4. Good Sleep Habits: Basics • Regular times for sleeping and awakening • Maintain bedroom dark, quiet, cool • Use bed only for sleep and sex • Avoid late daytime naps • Avoid at night: alcohol, caffeine, nicotine • Sleep around 7 to 8 hours every night • Prudent exercise and eating • Avoid stressful situations at bed time

  5. Restless Legs Syndrome • Leg discomfort, worse at night, relieved by movement, affects 5-10% of population • Familial, begins in childhood • Associated with iron deficiency, drugs, Periodic Limb Movements of Sleep • Easily treatable with medicines • Restless Legs Syndrome Foundation

  6. Sleep Deprivation • Disasters: Exxon Valdez, Challenger Space Shuttle, Chernobyl Nuclear Plant, Commuter plane crash in Kentucky • 33% of fatal truck accidents • 10% of fatal car accidents • Impairment the same whether: drunk, sleep deprived (<4-6hrs.), sleep apnea • Must be taken seriously: sleep 7-8 hours • Leads to obesity and diabetes

  7. Insomnia: Acute or Chronic • Insomnia: inability to get to sleep, stay asleep, wakes up early, with daytime impairment • Acute Insomnia (<4 weeks): stress, illness • Sleep medicines work well in acute stage • Chronic Insomnia: >4 weeks, often years • Treat basic problem: >60% psychological • Psychotherapy and behavioral therapy better than medicines, not easy to treat • Psychologists, Psychiatrists, PCP

  8. Sleep Apnea: Risk Factors • Affects: 4 to 5% of population: common • Family history, Sleep maintenance insomnia • Obesity: 80 % of sleep apnea patients; central (visceral, apples) obesity • Increasing age, Male gender • Large tonsils / adenoids in children • Small mandible, large neck • Elderly & women: little snoring & not obese

  9. Sleep Apnea: Consequences • Night: snoring, stops breathing snorting, gasping, bed partner worries • Day: sleepy, tired, depressed, irritable, impotent, forgets, ? few complaints • Accidents: work, home, motor vehicle • Higher death rates with severe sleep apnea • Hypertension, Heart Failure, Heart Attacks • Strokes, Atrial Fibrillation • Promotes Obesity and Diabetes

  10. Obstructive Sleep Apnea • What is OSA? • NO AIRFLOW DESPITE RESPIRATORY EFFORT • NORMALSNORINGSLEEP APNEA

  11. Sleep Apnea: Treatment • Behavioral: Weight Loss, Sleep Position (Sleep on side, head raised), Oxygen, Avoid sedatives • CPAP: proven therapy, needs motivation: widely available, 70%: patients adapt well • Surgery: tracheostomy, tonsillectomy, pull forth mandible or tongue • Bariatric Surgery: banding, bypass (Bob Eisenhauer 259-1485; Lewis Jones 753-3459) • Dental appliances: also pull forth mandible or tongue; expertise necessary

  12. Treatment Options: CPAP Continuous Positive Airway Pressure: CPAP Keeps airway open 100% effective, simple CPAP therapy

  13. Summary: Sleep Apnea • Very common and dangerous • Easily diagnosed and treated • Benefits of treatment:sleep better at night, also • Feel better during the day: less sleepiness and fatigue, more energy, less accidents • Reduce risk factor for heart disease and strokes • Control better: obesity, diabetes, hypertension • Bed partner sleeps better: less noise and less worry (but dog is scared of CPAP)

  14. Websites • The Village Sleep Lab: www.villagesleeplab.com • National Sleep Foundation: www.sleepfoundation.org • American Sleep Apnea Association: www.sleepapnea.org • Restless Legs Syndrome Foundation: www.rls.org • American Academy of Sleep Medicine: www.sleepeducation.com • Commercial: www.talkaboutsleep.com • Commercial: www.MyResmed.com • Commercial: www.Respironics.com

  15. Books • The Promise of Sleep by William Dement • Sleeping Well by Michael Thorpy • No More Sleepless Nights by Peter Hauri • A Woman’s Guide to Sleep Disorders by Meir H. Kryger • Restless LegsSyndromeby Robert H. Yoakum • Say Good Night to Insomnia by Gregg D. Jacobs

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