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Sleep Apnea Syndromes HELP
Based on 14,127 articles since 2006
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These are the 14127 published articles about Sleep Apnea Syndromes that originated from Worldwide during 2006-2015.
 
+ Citations + Abstracts
Pages: 1 · 2 · 3 · 4 · 5 · 6 · 7 · 8 · 9 · 10 · 11 · 12 · 13 · 14 · 15 · 16 · 17 · 18 · 19 · 20
1 Guideline Consensus & Evidence-based INOSA Guidelines 2014 (First edition). 2015

Sharma, Surendra K / Katoch, Vishwa Mohan / Mohan, Alladi / Kadhiravan, T / Elavarasi, A / Ragesh, R / Nischal, Neeraj / Sethi, Prayas / Behera, D / Bhatia, Manvir / Ghoshal, A G / Gothi, Dipti / Joshi, Jyotsna / Kanwar, M S / Kharbanda, O P / Kumar, Suresh / Mohapatra, P R / Mallick, B N / Mehta, Ravindra / Prasad, Rajendra / Sharma, S C / Sikka, Kapil / Aggarwal, Sandeep / Shukla, Garima / Suri, J C / Vengamma, B / Grover, Ashoo / Vijayan, V K / Ramakrishnan, N / Gupta, Rasik / Anonymous3600812. · ·Indian J Chest Dis Allied Sci · Pubmed #26410986.

ABSTRACT: Obstructive sleep apnoea (OSA) and obstructive sleep apnoea syndrome (OSAS) are subsets of sleep-disordered breathing. Awareness about OSA and its consequences amongst the general public as well as the majority of primary care physcians across India is poor. This necessiated the development of the INdian initiative on Obstructive Sleep Apnoea (INOSA) guidelines under the auspices of Department of Health Research, Ministry of Health & Family Welfare, Government of India. OSA is the occurrence of an average five or more episodes of obstructive respiratory events per hour of sleep with either sleep related symptoms or comorbidities or ≥ 15 such episodes without any sleep related symptoms or comorbidities. OSAS is defined as OSA associated with daytime symptoms, most often excessive sleepiness. Patients undergoing routine health check-up with snoring, daytime sleepiness, obesity, hypertension, motor vehicular accidents and high risk cases should undergo a comprehensive sleep evaluation. Medical examiners evaluating drivers, air pilots, railway drivers and heavy machinery workers should be educated about OSA and should comprehensively evaluate applicants for OSA. Those suspected to have OSA on comprehensive sleep evaluation should be referred for a sleep study. Supervised overnight polysomnography (PSG) is the "gold standard" for evaluation of OSA. Positive airway pressure (PAP) therapy is the mainstay of treatment of OSA. Oral appliances are indicated for use in patients with mild to moderate OSA who prefer oral appliances to PAP, or who do not respond to PAP or who fail treatment attempts with PAP or behavioural measures. Surgical treatment is recommended in patients who have failed or are intolerant to PAP therapy.

2 Guideline [Mandibular advancement device for obstructive sleep apnea treatment in adults. July 2014]. 2015

Bettega, G / Breton, P / Goudot, P / Saint-Pierre, F / Anonymous730957 / Anonymous740957 / Anonymous750957 / Anonymous760957 / Anonymous770957 / Anonymous780957 / Anonymous790957 / Anonymous800957 / Anonymous810957. ·Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital A.-Michallon, BP 217, 38043 Grenoble cedex 9, France. Electronic address: GBettega@chu-grenoble.fr. · Service de stomatologie, chirurgie maxillofaciale et chirurgie plastique de la face, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France. · Service de stomatologie et chirurgie maxillo-faciale, hôpital Pitié-Salpêtrière (AP-HP), 47-83, boulevard de l'Hôpital, 75013 Paris, France. · 32, avenue du Pdt Wilson, 75116 Paris, France. · ·Rev Stomatol Chir Maxillofac Chir Orale · Pubmed #25593082.

ABSTRACT: -- No abstract --

3 Guideline Diagnosis and treatment of snoring in adults-S2k Guideline of the German Society of Otorhinolaryngology, Head and Neck Surgery. 2015

Stuck, Boris A / Dreher, Alfred / Heiser, Clemens / Herzog, Michael / Kühnel, Thomas / Maurer, Joachim T / Pistner, Hans / Sitter, Helmut / Steffen, Armin / Verse, Thomas. ·Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany, boris.stuck@umm.de. · ·Sleep Breath · Pubmed #24729153.

ABSTRACT: OBJECTIVES: This guideline aims to promote high-quality care by medical specialists for subjects who snore and is designed for everyone involved in the diagnosis and treatment of snoring in an in- or outpatient setting. DISCUSSION: To date, a satisfactory definition of snoring is lacking. Snoring is caused by a vibration of soft tissue in the upper airway induced by respiration during sleep. It is triggered by relaxation of the upper airway dilator muscles that occurs during sleep. Multiple risk factors for snoring have been described and snoring is of multifactorial origin. The true incidence of snoring is not clear to date, as the incidence differs throughout literature. Snoring is more likely to appear in middle age, predominantly in males. Diagnostic measures should include a sleep medical history, preferably involving an interview with the bed partner, and may be completed with questionnaires. Clinical examination should include examination of the nose to evaluate the relevant structures for nasal breathing and may be completed with nasal endoscopy. Evaluation of the oropharynx, larynx, and hypopharynx should also be performed. Clinical assessment of the oral cavity should include the size of the tongue, the mucosa of the oral cavity, and the dental status. Furthermore, facial skeletal morphology should be evaluated. In select cases, technical diagnostic measures may be added. Further objective measures should be performed if the medical history and/or clinical examination suggest sleep-disordered breathing, if relevant comorbidities are present, and if the subject requests treatment for snoring. According to current knowledge, snoring is not associated with medical hazard, and generally, there is no medical indication for treatment. Weight reduction should be achieved in every overweight subject who snores. In snorers who snore only in the supine position, positional treatment can be considered. In suitable cases, snoring can be treated successfully with intraoral devices. Minimally invasive surgery of the soft palate can be considered as long as the individual anatomy appears suitable. Treatment selection should be based on individual anatomic findings. After a therapeutic intervention, follow-up visits should take place after an appropriate time frame to assess treatment success and to potentially indicate further intervention.

4 Guideline Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from theAmerican College of Physicians. 2014

Qaseem, Amir / Dallas, Paul / Owens, Douglas K / Starkey, Melissa / Holty, Jon-Erik C / Shekelle, Paul / Anonymous2520788. · ·Ann Intern Med · Pubmed #25089864.

ABSTRACT: DESCRIPTION: The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the diagnosis of obstructive sleep apnea in adults. METHODS: This guideline is based on published literature on this topic that was identified by using MEDLINE (1966 through May 2013), the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews. Searches were limited to English-language publications. The clinical outcomes evaluated for this guideline included all-cause mortality, cardiovascular mortality, nonfatal cardiovascular disease, stroke, hypertension, type 2 diabetes, postsurgical outcomes, and quality of life. Sensitivities, specificities, and likelihood ratios were also assessed as outcomes of diagnostic tests. This guideline grades the evidence and recommendations by using ACP's clinical practice guidelines grading system. RECOMMENDATION 1: ACP recommends a sleep study for patients with unexplained daytime sleepiness. (Grade: weak recommendation, low-quality evidence). RECOMMENDATION 2: ACP recommends polysomnography for diagnostic testing in patients suspected of obstructive sleep apnea. ACP recommends portable sleep monitors in patients without serious comorbidities as an alternative to polysomnography when polysomnography is not available for diagnostic testing. (Grade: weak recommendation, moderate-quality evidence).

5 Guideline Children's Hospital Association consensus statements for comorbidities of childhood obesity. 2014

Estrada, Elizabeth / Eneli, Ihuoma / Hampl, Sarah / Mietus-Snyder, Michele / Mirza, Nazrat / Rhodes, Erinn / Sweeney, Brooke / Tinajero-Deck, Lydia / Woolford, Susan J / Pont, Stephen J / Anonymous870788. ·1 Division of Endocrinology, Connecticut Children's Medical Center, University of Connecticut , Hartford, CT. · ·Child Obes · Pubmed #25019404.

ABSTRACT: BACKGROUND: Childhood obesity and overweight affect approximately 30% of US children. Many of these children have obesity-related comorbidities, such as hypertension, dyslipidemia, fatty liver disease, diabetes, polycystic ovary syndrome (PCOS), sleep apnea, psychosocial problems, and others. These children need routine screening and, in many cases, treatment for these conditions. However, because primary care pediatric providers (PCPs) often are underequipped to deal with these comorbidities, they frequently refer these patients to subspecialists. However, as a result of the US pediatric subspecialist shortage and considering that 12.5 million children are obese, access to care by subspecialists is limited. The aim of this article is to provide accessible, user-friendly clinical consensus statements to facilitate the screening, interpretation of results, and early treatment for some of the most common childhood obesity comorbidities. METHODS: Members of the Children's Hospital Association (formerly NACHRI) FOCUS on a Fitter Future II (FFFII), a collaboration of 25 US pediatric obesity centers, used a combination of the best available evidence and collective clinical experience to develop consensus statements for pediatric obesity-related comorbidities. FFFII also surveyed the participating pediatric obesity centers regarding their current practices. RESULTS: The work group developed consensus statements for use in the evaluation and treatment of lipids, liver enzymes, and blood pressure abnormalities and PCOS in the child with overweight and obesity. The results of the FFFII survey illustrated the variability in the approach for initial evaluation and treatment as well as pattern of referrals to subspecialists among programs. CONCLUSIONS: The consensus statements presented in this article can be a useful tool for PCPs in the management and overall care of children with overweight and obesity.

6 Guideline [Perioperative management of patients with obstructive sleep apnea : update on the practice guidelines of the American Society of Anesthesiologists Task Force]. 2014

Fahlenkamp, A / Rossaint, R / Coburn, M / Anonymous1550787. ·Klinik für Anästhesiologie, Universitätsklinik der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland, anaesthesiologie@ukaachen.de. · ·Anaesthesist · Pubmed #24851836.

ABSTRACT: Obstructive sleep apnea (OSA) is a widespread disease which is associated with many cardiovascular diseases and can have health-related consequences for affected patients if untreated. It is known that perioperative airway complications occur more often in OSA patients during general anesthesia. Some years ago the Task Force of the American Society of Anesthesiologists (ASA) published practice guidelines on the perioperative approach to OSA patients. These guidelines have now been revised and updated. This article gives a summary of the recommended approach for the perioperative treatment of patients with OSA given in the 2014 guidelines.

7 Guideline Obstructive sleep apnea and primary snoring: treatment. 2014

Zancanella, E / Haddad, F M / Oliveira, L A M P / Nakasato, A / Duarte, B B / Soares, C F P / Cahali, M B / Eckeli, A / Caramelli, B / Drager, L F / Ramos, B D / Nóbrega, M / Fagondes, S C / Andrada, N C / Anonymous3780781 / Anonymous3790781 / Anonymous3800781 / Anonymous3810781 / Anonymous3820781. · ·Braz J Otorhinolaryngol · Pubmed #24838761.

ABSTRACT: -- No abstract --

8 Guideline Obstructive sleep apnea and primary snoring: diagnosis. 2014

Zancanella, E / Haddad, F M / Oliveira, L A M P / Nakasato, A / Duarte, B B / Soares, C F P / Cahali, M B / Eckeli, A / Caramelli, B / Drager, L F / Ramos, B D / Nóbrega, M / Fagondes, S C / Andrada, N C / Anonymous3730781 / Anonymous3740781 / Anonymous3750781 / Anonymous3760781 / Anonymous3770781. · ·Braz J Otorhinolaryngol · Pubmed #24838760.

ABSTRACT: -- No abstract --

9 Guideline Practice guidelines for the perioperative management of patients with obstructive sleep apnea: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea. 2014

Anonymous4920771. · ·Anesthesiology · Pubmed #24346178.

ABSTRACT: -- No abstract --

10 Guideline Guidelines to decrease unanticipated hospital admission following adenotonsillectomy in the pediatric population. 2014

Raman, Vidya T / Jatana, Kris R / Elmaraghy, Charles A / Tobias, Joseph D. ·Departments of Anesthesiology and Pain Medicine, Nationwide Children's Hospital and the Ohio State University, Columbus, OH, United States. Electronic address: Vidya.Raman@Nationwidechildrens.org. · Department of Otolaryngology - Head & Neck Surgery, Nationwide Children's Hospital and the Ohio State University, Columbus, OH, United States. · Departments of Anesthesiology and Pain Medicine, Nationwide Children's Hospital and the Ohio State University, Columbus, OH, United States. ·Int J Pediatr Otorhinolaryngol · Pubmed #24239021.

ABSTRACT: INTRODUCTION: Tonsillectomy has become one of the most commonly performed surgical procedures in the pediatric-aged patient. Many of these children are diagnosed with obstructive sleep apnea (OSA). Although polysomnography is considered the gold standard, many practioners rely on the clinical examination and parental history. Nationwide Children's Hospital recently instituted pediatric adenotonsillectomy guidelines for hospital admission to help determine which patients should be done in main hospital OR vs. outpatient surgery facility. The main goal was to decrease unanticipated admissions. The secondary goal was to determine areas for practice improvement. METHODS: Using databases for the hospital, operating room, and otolaryngology, all cases with CPT codes 42820, 42830, 42825, 42826, and 42821 were evaluated from October 2009 to August 2012 in the main operating room and 2 outpatient surgery centers. Data for each unanticipated admission were reviewed to determine whether the criteria were met according to the developed guidelines. Fisher's exact test was applied to the unplanned admission rate before and after the institution of the guidelines. Non-paired t-test and a Fisher's exact test were used for comparison of the demographic data between the two groups. RESULTS: Following the institution of the pediatric adenotonsillectomy guidelines, the number of unanticipated admissions decreased from an absolute number of 88 to 43. This represents a decrease from 2.38% to 1.44% (p=0.008). Forty-two percent of the unanticipated admissions prior to establishing guidelines were in patients who would have met criteria for admission based on the guidelines. This decreased to 30% after establishing the guidelines. CONCLUSION: We found that the institution of pediatric adenotonsillectomy guidelines for patients undergoing adenotonsillectomy significantly decreased the rate of unanticipated admission. However, there was still a significant percentage (30%) of unanticipated admissions due to non-compliance with the guidelines demonstrating the need for ongoing practice improvement.

11 Guideline [Introduction to 2011 American clinical practice guideline: polysomnography for sleep disordered breathing prior to tonsillectomy in children]. 2013

Qiu, Shu-yao / Liu, Da-bo. · · Email: daboliu@126.com. ·Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi · Pubmed #24406195.

ABSTRACT: -- No abstract --

12 Guideline Clinical guidelines for oral appliance therapy in the treatment of snoring and obstructive sleep apnoea. 2013

Ngiam, J / Balasubramaniam, R / Darendeliler, M A / Cheng, A T / Waters, K / Sullivan, C E. ·Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, Sydney, New South Wales; Faculty of Medicine, The University of Sydney, New South Wales. · ·Aust Dent J · Pubmed #24320895.

ABSTRACT: The purpose of this review is to provide guidelines for the use of oral appliances (OAs) for the treatment of snoring and obstructive sleep apnoea (OSA) in Australia. A review of the scientific literature up to June 2012 regarding the clinical use of OAs in the treatment of snoring and OSA was undertaken by a dental and medical sleep specialists team consisting of respiratory sleep physicians, an otolaryngologist, orthodontist, oral and maxillofacial surgeon and an oral medicine specialist. The recommendations are based on the most recent evidence from studies obtained from peer reviewed literature. Oral appliances can be an effective therapeutic option for the treatment of snoring and OSA across a broad range of disease severity. However, the response to therapy is variable. While a significant proportion of subjects have a near complete control of the apnoea and snoring when using an OA, a significant proportion do not respond, and others show a partial response. Measurements of baseline and treatment success should ideally be undertaken. A coordinated team approach between medical practitioner and dentist should be fostered to enhance treatment outcomes. Ongoing patient follow-up to monitor treatment efficacy, OA comfort and side effects are cardinal to long-term treatment success and OA compliance.

13 Guideline [ATS clinical policy statement: congenital central hypoventilation syndrome. Genetic basis, diagnosis and management]. 2013

Weese-Mayer, D E / Berry-Kravis, E M / Ceccherini, I / Keens, T G / Loghmanee, D A / Trang, H / Anonymous5530762. · ·Rev Mal Respir · Pubmed #24182656.

ABSTRACT: -- No abstract --

14 Guideline Management of obstructive sleep apnea in adults: A clinical practice guideline from the American College of Physicians. 2013

Qaseem, Amir / Holty, Jon-Erik C / Owens, Douglas K / Dallas, Paul / Starkey, Melissa / Shekelle, Paul / Anonymous3510769. ·190 N. Independence Mall West, Philadelphia, PA 19106. · ·Ann Intern Med · Pubmed #24061345.

ABSTRACT: DESCRIPTION: The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the management of obstructive sleep apnea (OSA) in adults. METHODS: This guideline is based on published literature from 1966 to September 2010 that was identified by using MEDLINE, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews. A supplemental MEDLINE search identified additional articles through October 2012. Searches were limited to English-language publications. The clinical outcomes evaluated for this guideline included cardiovascular disease (such as heart failure, hypertension, stroke, and myocardial infarction), type 2 diabetes, death, sleep study measures (such as the Apnea-Hypopnea Index), measures of cardiovascular status (such as blood pressure), measures of diabetes status (such as hemoglobin A1c levels), and quality of life. This guideline grades the evidence and recommendations using ACP's clinical practice guidelines grading system. RECOMMENDATION 1: ACP recommends that all overweight and obese patients diagnosed with OSA should be encouraged to lose weight. (Grade: strong recommendation; low-quality evidence) RECOMMENDATION 2: ACP recommends continuous positive airway pressure treatment as initial therapy for patients diagnosed with OSA. (Grade: strong recommendation; moderate-quality evidence) RECOMMENDATION 3: ACP recommends mandibular advancement devices as an alternative therapy to continuous positive airway pressure treatment for patients diagnosed with OSA who prefer mandibular advancement devices or for those with adverse effects associated with continuous positive airway pressure treatment. (Grade: weak recommendation; low-quality evidence).

15 Guideline An official American Thoracic Society statement: continuous positive airway pressure adherence tracking systems. The optimal monitoring strategies and outcome measures in adults. 2013

Schwab, Richard J / Badr, Safwan M / Epstein, Lawrence J / Gay, Peter C / Gozal, David / Kohler, Malcolm / Lévy, Patrick / Malhotra, Atul / Phillips, Barbara A / Rosen, Ilene M / Strohl, Kingman P / Strollo, Patrick J / Weaver, Edward M / Weaver, Terri E / Anonymous3020757. · ·Am J Respir Crit Care Med · Pubmed #23992588.

ABSTRACT: BACKGROUND: Continuous positive airway pressure (CPAP) is considered the treatment of choice for obstructive sleep apnea (OSA), and studies have shown that there is a correlation between patient adherence and treatment outcomes. Newer CPAP machines can track adherence, hours of use, mask leak, and residual apnea-hypopnea index (AHI). Such data provide a strong platform to examine OSA outcomes in a chronic disease management model. However, there are no standards for capturing CPAP adherence data, scoring flow signals, or measuring mask leak, or for how clinicians should use these data. METHODS: American Thoracic Society (ATS) committee members were invited, based on their expertise in OSA and CPAP monitoring. Their conclusions were based on both empirical evidence identified by a comprehensive literature review and clinical experience. RESULTS: CPAP usage can be reliably determined from CPAP tracking systems, but the residual events (apnea/hypopnea) and leak data are not as easy to interpret as CPAP usage and the definitions of these parameters differ among CPAP manufacturers. Nonetheless, ends of the spectrum (very high or low values for residual events or mask leak) appear to be clinically meaningful. CONCLUSIONS: Providers need to understand how to interpret CPAP adherence tracking data. CPAP tracking systems are able to reliably track CPAP adherence. Nomenclature on the CPAP adherence tracking reports needs to be standardized between manufacturers and AHIFlow should be used to describe residual events. Studies should be performed examining the usefulness of the CPAP tracking systems and how these systems affect OSA outcomes.

16 Guideline [Practical guidelines for the diagnosis and treatment of obstructive sleep apnea syndrome]. 2013

Nogueira, Facundo / Nigro, Carlos / Cambursano, Hugo / Borsini, Eduardo / Silio, Julio / Avila, Jorge. ·Sección Sueño, Oxigenoterapia y otros Cuidados Respiratorios Domiciliarios, Asociación Argentina de Medicina Respiratoria, Buenos Aires. nogueirafacundo@speedy.com.ar · ·Medicina (B Aires) · Pubmed #23924537.

ABSTRACT: Obstructive sleep apnoea syndrome (OSAS) is one of the most relevant chronic respiratory pathologies due to its high prevalence and impact in morbidity and mortality. In 2001, the Asociación Argentina de Medicina Respiratoria (AAMR) published the first Argentinean Consensus on Sleep-Related breathing Disorders. Since then, wide new scientific evidence has emerged, increasing significantly the knowledge about this pathology. According to this, the Sleep-Related breathing Disorders and Oxygen Therapy Section of the AAMR, decided to update its Consensus, developing this Practical Guidelines on Management of patients with OSAS. A working group was created with members belonging to the section, experts in OSAS. They extensively reviewed the literature and wrote these guidelines, orientated to practical resolution of clinical problems and giving answers to questions emerged from dealing with patients who suffer from this syndrome. The document defines OSAS and describes the diagnosis and severity criteria, as well as the risk factors, ways of presentation and epidemiology. Clinical consequences, mainly on cognition, cardiovascular system and metabolism are pointed out. Different diagnostic methods, with their indications and technical aspects for validation and interpretation are detailed. Finally, we describe therapeutic alternatives, as well as practical aspects of their implementation. The authors' aim was to generate an accessible tool for teaching and spreading the knowledge on these disorders, which have a great impact in public health.

17 Guideline 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). 2013

Mancia, Giuseppe / Fagard, Robert / Narkiewicz, Krzysztof / Redon, Josep / Zanchetti, Alberto / Böhm, Michael / Christiaens, Thierry / Cifkova, Renata / De Backer, Guy / Dominiczak, Anna / Galderisi, Maurizio / Grobbee, Diederick E / Jaarsma, Tiny / Kirchhof, Paulus / Kjeldsen, Sverre E / Laurent, Stéphane / Manolis, Athanasios J / Nilsson, Peter M / Ruilope, Luis Miguel / Schmieder, Roland E / Sirnes, Per Anton / Sleight, Peter / Viigimaa, Margus / Waeber, Bernard / Zannad, Faiez / Redon, Josep / Dominiczak, Anna / Narkiewicz, Krzysztof / Nilsson, Peter M / Burnier, Michel / Viigimaa, Margus / Ambrosioni, Ettore / Caufield, Mark / Coca, Antonio / Olsen, Michael Hecht / Schmieder, Roland E / Tsioufis, Costas / van de Borne, Philippe / Zamorano, Jose Luis / Achenbach, Stephan / Baumgartner, Helmut / Bax, Jeroen J / Bueno, Héctor / Dean, Veronica / Deaton, Christi / Erol, Cetin / Fagard, Robert / Ferrari, Roberto / Hasdai, David / Hoes, Arno W / Kirchhof, Paulus / Knuuti, Juhani / Kolh, Philippe / Lancellotti, Patrizio / Linhart, Ales / Nihoyannopoulos, Petros / Piepoli, Massimo F / Ponikowski, Piotr / Sirnes, Per Anton / Tamargo, Juan Luis / Tendera, Michal / Torbicki, Adam / Wijns, William / Windecker, Stephan / Clement, Denis L / Coca, Antonio / Gillebert, Thierry C / Tendera, Michal / Rosei, Enrico Agabiti / Ambrosioni, Ettore / Anker, Stefan D / Bauersachs, Johann / Hitij, Jana Brguljan / Caulfield, Mark / De Buyzere, Marc / De Geest, Sabina / Derumeaux, Geneviève Anne / Erdine, Serap / Farsang, Csaba / Funck-Brentano, Christian / Gerc, Vjekoslav / Germano, Giuseppe / Gielen, Stephan / Haller, Herman / Hoes, Arno W / Jordan, Jens / Kahan, Thomas / Komajda, Michel / Lovic, Dragan / Mahrholdt, Heiko / Olsen, Michael Hecht / Ostergren, Jan / Parati, Gianfranco / Perk, Joep / Polonia, Jorge / Popescu, Bogdan A / Reiner, Zeljko / Rydén, Lars / Sirenko, Yuriy / Stanton, Alice / Struijker-Boudier, Harry / Tsioufis, Costas / van de Borne, Philippe / Vlachopoulos, Charalambos / Volpe, Massimo / Wood, David A. ·Centro di Fisiologia Clinica e Ipertensione, Università Milano-Bicocca, Milano, Italy. giuseppe.mancia@unimib.it · ·Eur Heart J · Pubmed #23771844.

ABSTRACT: -- No abstract --

18 Guideline Managing patients with stable respiratory disease planning air travel: a primary care summary of the British Thoracic Society recommendations. 2013

Josephs, Lynn K / Coker, Robina K / Thomas, Mike / Anonymous2080750 / Anonymous2090750. ·Primary Care Research, Aldermoor Health Centre, University of Southampton, Southampton, UK. L.Josephs@soton.ac.uk · ·Prim Care Respir J · Pubmed #23732637.

ABSTRACT: Air travel poses medical challenges to passengers with respiratory disease, principally because of exposure to a hypobaric environment. In 2002 the British Thoracic Society published recommendations for adults and children with respiratory disease planning air travel, with a web update in 2004. New full recommendations and a summary were published in 2011, containing key recommendations for the assessment of high-risk patients and identification of those likely to require in-flight supplemental oxygen. This paper highlights the aspects of particular relevance to primary care practitioners with the following key points: (1) At cabin altitudes of 8000 feet (the usual upper limit of in-flight cabin pressure, equivalent to 0.75 atmospheres) the partial pressure of oxygen falls to the equivalent of breathing 15.1% oxygen at sea level. Arterial oxygen tension falls in all passengers; in patients with respiratory disease, altitude may worsen preexisting hypoxaemia. (2) Altitude exposure also influences the volume of any air in cavities, where pressure x volume remain constant (Boyle's law), so that a pneumothorax or closed lung bulla will expand and may cause respiratory distress. Similarly, barotrauma may affect the middle ear or sinuses if these cavities fail to equilibrate. (3) Patients with respiratory disease require clinical assessment and advice before air travel to: (a) optimise usual care; (b) consider contraindications to travel and possible need for in-flight oxygen; (c) consider the need for secondary care referral for further assessment; (d) discuss the risk of venous thromboembolism; and (e) discuss forward planning for the journey.

19 Guideline [Sleep related breathing disorders in adults - recommendations of Polish Society of Lung Diseases]. 2013

Pływaczewski, Robert / Brzecka, Anna / Bielicki, Piotr / Czajkowska-Malinowska, Małgorzata / Cofta, Szczepan / Jonczak, Luiza / Radliński, Jakub / Tażbirek, Maciej / Wasilewska, Jolanta / Anonymous5830746. ·r.plywaczewski@igichp.edu.pl · ·Pneumonol Alergol Pol · Pubmed #23609429.

ABSTRACT: -- No abstract --

20 Guideline Pediatric tonsillectomy: clinical practice guidelines. 2012

Lescanne, E / Chiron, B / Constant, I / Couloigner, V / Fauroux, B / Hassani, Y / Jouffroy, L / Lesage, V / Mondain, M / Nowak, C / Orliaguet, G / Viot, A / Anonymous5860730 / Anonymous5870730 / Anonymous5880730. ·Service d'ORL et de chirurgie cervicofacial, CHRU, Tours, France. emmanuel.lescanne@univ-tours.fr · ·Eur Ann Otorhinolaryngol Head Neck Dis · Pubmed #23078979.

ABSTRACT: OBJECTIVE: This article presents the Clinical Practice Guidelines for Pediatric Tonsillectomy of the French Society of ENT and Head and Neck Surgery (SFORL), entitled "Amygdalectomie de l'enfant : Recommandation pour la pratique clinique" (SFORL, 2009). METHOD: The French Society of ENT (SFORL), in partnership with the French Association for Ambulatory Surgery (AFCA) and French Society for Anaesthesia and Intensive Care (SFAR), set up a representative panel in the fields of anesthesiology, ENT and head-and-neck surgery, pediatrics, sleep medicine and general medicine. Following the literature analysis reported in the Presentation of the Guidelines, recommendations were drawn up taking account of risk/benefit ratios, levels of evidence, feasibility in pediatric tonsillectomy and baseline risk assessment in the relevant population. RESULTS: Around 50,000 pediatric tonsillectomies, with or without associated adenoidectomy, are performed in France each year. Postoperative morbidity and mortality are non-negligible, despite progress in peri-operative management. The present guidelines address the following questions: 1) What are the indications for tonsillectomy, notably in case of obstructive sleep disorder; 2) What pre-operative assessment is required? 3) What are the technical principles involved? 4) What are the selection criteria for ambulatory tonsillectomy? 5) How should postoperative follow-up be organized? 6) How should complications be managed? CONCLUSION: The present Clinical Practice Guidelines for pediatric tonsillectomy in France should improve clinical and organizational practices to enhance patient safety. They seek to ensure optimal conditions of care for all children undergoing tonsillectomy.

21 Guideline Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. 2012

Berry, Richard B / Budhiraja, Rohit / Gottlieb, Daniel J / Gozal, David / Iber, Conrad / Kapur, Vishesh K / Marcus, Carole L / Mehra, Reena / Parthasarathy, Sairam / Quan, Stuart F / Redline, Susan / Strohl, Kingman P / Davidson Ward, Sally L / Tangredi, Michelle M / Anonymous3770729. ·University of Florida Health Science Center, Gainesville, FL 32610, USA. richard.berry@medicine.ufl.edu · ·J Clin Sleep Med · Pubmed #23066376.

ABSTRACT: The American Academy of Sleep Medicine (AASM) Sleep Apnea Definitions Task Force reviewed the current rules for scoring respiratory events in the 2007 AASM Manual for the Scoring and Sleep and Associated Events to determine if revision was indicated. The goals of the task force were (1) to clarify and simplify the current scoring rules, (2) to review evidence for new monitoring technologies relevant to the scoring rules, and (3) to strive for greater concordance between adult and pediatric rules. The task force reviewed the evidence cited by the AASM systematic review of the reliability and validity of scoring respiratory events published in 2007 and relevant studies that have appeared in the literature since that publication. Given the limitations of the published evidence, a consensus process was used to formulate the majority of the task force recommendations concerning revisions.The task force made recommendations concerning recommended and alternative sensors for the detection of apnea and hypopnea to be used during diagnostic and positive airway pressure (PAP) titration polysomnography. An alternative sensor is used if the recommended sensor fails or the signal is inaccurate. The PAP device flow signal is the recommended sensor for the detection of apnea, hypopnea, and respiratory effort related arousals (RERAs) during PAP titration studies. Appropriate filter settings for recording (display) of the nasal pressure signal to facilitate visualization of inspiratory flattening are also specified. The respiratory inductance plethysmography (RIP) signals to be used as alternative sensors for apnea and hypopnea detection are specified. The task force reached consensus on use of the same sensors for adult and pediatric patients except for the following: (1) the end-tidal PCO(2) signal can be used as an alternative sensor for apnea detection in children only, and (2) polyvinylidene fluoride (PVDF) belts can be used to monitor respiratory effort (thoracoabdominal belts) and as an alternative sensor for detection of apnea and hypopnea (PVDFsum) only in adults.The task force recommends the following changes to the 2007 respiratory scoring rules. Apnea in adults is scored when there is a drop in the peak signal excursion by ≥ 90% of pre-event baseline using an oronasal thermal sensor (diagnostic study), PAP device flow (titration study), or an alternative apnea sensor, for ≥ 10 seconds. Hypopnea in adults is scored when the peak signal excursions drop by ≥ 30% of pre-event baseline using nasal pressure (diagnostic study), PAP device flow (titration study), or an alternative sensor, for ≥ 10 seconds in association with either ≥ 3% arterial oxygen desaturation or an arousal. Scoring a hypopnea as either obstructive or central is now listed as optional, and the recommended scoring rules are presented. In children an apnea is scored when peak signal excursions drop by ≥ 90% of pre-event baseline using an oronasal thermal sensor (diagnostic study), PAP device flow (titration study), or an alternative sensor; and the event meets duration and respiratory effort criteria for an obstructive, mixed, or central apnea. A central apnea is scored in children when the event meets criteria for an apnea, there is an absence of inspiratory effort throughout the event, and at least one of the following is met: (1) the event is ≥ 20 seconds in duration, (2) the event is associated with an arousal or ≥ 3% oxygen desaturation, (3) (infants under 1 year of age only) the event is associated with a decrease in heart rate to less than 50 beats per minute for at least 5 seconds or less than 60 beats per minute for 15 seconds. A hypopnea is scored in children when the peak signal excursions drop is ≥ 30% of pre-event baseline using nasal pressure (diagnostic study), PAP device flow (titration study), or an alternative sensor, for ≥ the duration of 2 breaths in association with either ≥ 3% oxygen desaturation or an arousal. In children and adults, surrogates of the arterial PCO(2) are the end-tidal PCO(2) or transcutaneous PCO(2) (diagnostic study) or transcutaneous PCO(2) (titration study). For adults, sleep hypoventilation is scored when the arterial PCO(2) (or surrogate) is > 55 mm Hg for ≥ 10 minutes or there is an increase in the arterial PCO(2) (or surrogate) ≥ 10 mm Hg (in comparison to an awake supine value) to a value exceeding 50 mm Hg for ≥ 10 minutes. For pediatric patients hypoventilation is scored when the arterial PCO(2) (or surrogate) is > 50 mm Hg for > 25% of total sleep time. In adults Cheyne-Stokes breathing is scored when both of the following are met: (1) there are episodes of ≥ 3 consecutive central apneas and/or central hypopneas separated by a crescendo and decrescendo change in breathing amplitude with a cycle length of at least 40 seconds (typically 45 to 90 seconds), and (2) there are five or more central apneas and/or central hypopneas per hour associated with the crescendo/decrescendo breathing pattern recorded over a minimum of 2 hours of monitoring.

22 Guideline Diagnosis and management of childhood obstructive sleep apnea syndrome. 2012

Marcus, Carole L / Brooks, Lee Jay / Draper, Kari A / Gozal, David / Halbower, Ann Carol / Jones, Jacqueline / Schechter, Michael S / Sheldon, Stephen Howard / Spruyt, Karen / Ward, Sally Davidson / Lehmann, Christopher / Shiffman, Richard N / Anonymous1720726. · ·Pediatrics · Pubmed #22926173.

ABSTRACT: OBJECTIVES: This revised clinical practice guideline, intended for use by primary care clinicians, provides recommendations for the diagnosis and management of the obstructive sleep apnea syndrome (OSAS) in children and adolescents. This practice guideline focuses on uncomplicated childhood OSAS, that is, OSAS associated with adenotonsillar hypertrophy and/or obesity in an otherwise healthy child who is being treated in the primary care setting. METHODS: Of 3166 articles from 1999-2010, 350 provided relevant data. Most articles were level II-IV. The resulting evidence report was used to formulate recommendations. RESULTS AND CONCLUSIONS: The following recommendations are made. (1) All children/adolescents should be screened for snoring. (2) Polysomnography should be performed in children/adolescents with snoring and symptoms/signs of OSAS; if polysomnography is not available, then alternative diagnostic tests or referral to a specialist for more extensive evaluation may be considered. (3) Adenotonsillectomy is recommended as the first-line treatment of patients with adenotonsillar hypertrophy. (4) High-risk patients should be monitored as inpatients postoperatively. (5) Patients should be reevaluated postoperatively to determine whether further treatment is required. Objective testing should be performed in patients who are high risk or have persistent symptoms/signs of OSAS after therapy. (6) Continuous positive airway pressure is recommended as treatment if adenotonsillectomy is not performed or if OSAS persists postoperatively. (7) Weight loss is recommended in addition to other therapy in patients who are overweight or obese. (8) Intranasal corticosteroids are an option for children with mild OSAS in whom adenotonsillectomy is contraindicated or for mild postoperative OSAS.

23 Guideline British Thoracic Society guideline for respiratory management of children with neuromuscular weakness. 2012

Hull, Jeremy / Aniapravan, Roona / Chan, Elaine / Chatwin, Michelle / Forton, Julian / Gallagher, Jayne / Gibson, Neil / Gordon, Jill / Hughes, Imelda / McCulloch, Renee / Russell, Robert Ross / Simonds, Anita. ·Department of Paediatrics, Oxford University Hospitals NHS Trust, Oxford, UK. jeremy.hull@ouh.nhs.uk · ·Thorax · Pubmed #22730428.

ABSTRACT: -- No abstract --

24 Guideline Peri-operative management of obstructive sleep apnea. 2012

Anonymous5770717. · ·Surg Obes Relat Dis · Pubmed #22503595.

ABSTRACT: -- No abstract --

25 Guideline [Consensus document on sleep apnea-hypopnea syndrome in children (full version). Sociedad Española de Sueño. El Área de Sueño de la Sociedad Española de Neumología y Cirugía Torácica(SEPAR)]. 2011

Luz Alonso-Álvarez, María / Canet, Teresa / Cubell-Alarco, Magdalena / Estivill, Eduard / Fernández-Julián, Enrique / Gozal, David / Jurado-Luque, María José / Lluch-Roselló, María Amalia / Martínez-Pérez, Francisco / Merino-Andreu, Milagros / Pin-Arboledas, Gonzalo / Roure, Nuria / Sanmartí, Francesc X / Sans-Capdevila, Oscar / Segarra-Isern, Francisco / Tomás-Vila, Miguel / Terán-Santos, Joaquín / Anonymous6120705 / Anonymous6130705. ·Unidad Multidisciplinar de Sueño, CIBERES, Complejo Asistencial Universitario de Burgos, Burgos, España. · ·Arch Bronconeumol · Pubmed #22682520.

ABSTRACT: -- No abstract --

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