Understanding Sleep Disordered Breathing (SDB) and Sleep Apnea

 
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Do you snore while you sleep?
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Is it your 
nature
 to just snore?
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Are you a 
light sleeper
?
4.
Who has ever fallen asleep while driving?
5.
You cannot stay without falling asleep during meetings!
6.
Whose child has a behavioural problem or coping poorly in school?
7.
Whose blood pressure/blood glucose level remains high despite
adequate and good adherence to therapy?
 
 
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Sleep disorders that involve difficulty in breathing during sleep are
classified as sleep related breathing disorders
 
Types:
Obstructive Sleep Apnoea (OSA)
Central Sleep Apnoea
Others
 
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"Apnea" literally means "no breath" or "stopping breathing"
 
Obstructive sleep apnea
  - is a clinical disorder marked by frequent
pauses in breathing during sleep usually accompanied by 
loud snoring
 
Central sleep apnea
 - a group of sleep-related breathing disorders in
which 
respiratory effort is diminished or absent
 in an intermittent or
cyclical fashion during sleep
 
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OSA is a major public health issue
Prevalence is increasing due to obesity pandemic and aging
population
Is not a life-threatening condition in itself
But it can result in serious problems such as 
cardiovascular
 and
cerebrovascular diseases
OSA can impact on the quality of life
But can be easily managed
 
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Overall population prevalence ranged from 9% to 38% (higher in men)
It increases with increasing age
In some elderly groups, it is as high as 90% in men and 78% in women
Many people have sleep apnea, but may not even know it
So it's more common than you might think
 
 
 
Does it affect children?
Y
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!
 
Paediatric obstructive sleep apnea
  - is a sleep
disorder in which your child's breathing
is partially or completely blocked repeatedly during sleep
Due to narrowing or blockage of the upper airway during sleep
 
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Snoring. ...
Frequent breaks or pauses in breathing. ...
You're Tired all the Time. ...
You frequently wake with headaches. ...
You Have High Blood Pressure. ...
You are overweight or obese. ...
You are often irritable, depressed, or experience mood swings
 
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Choking or gasping sounds
Daytime sleepiness or fatigue
Unrefreshing sleep
Insomnia
Morning headaches
Nocturia (waking during the night to go to the bathroom)
Difficulty concentrating
Memory loss
Decreased sexual desire
 
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Excess weight
Large neck size
Middle age
Male gender
Hypertension
Family history
 
 
 
 
Breaking News
 
 
 
 
  
 Sleep apnea can occur in slim people too!
Sleep apnea can occur in slim people too!
 
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In adults, certain physical features or body types can make a person
more likely to have sleep apnea
 
Small lower jaw
A prominent overbite
A short, large neck
Nasal breathing obstruction
Very crowded teeth
 
→ smaller air passage at the back of the throat
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Have you been told that you snore loudly on most nights?
 
Yes   No   Not Sure
Have you been told (or noticed on your own) that you stop breathing or struggle
to breathe in your sleep?
 
Yes   No   Not Sure
Are you tired, fatigued or sleepy on most days?
 
Yes   No   Not Sure
Do you have acid reflux or high blood pressure (or use medicines to treat either
of these conditions?)
 
Yes   No   Not Sure
Are you overweight?
 
Yes   No   Not Sure
 
Please Remember!
 
 
That questionnaires are screening tools only and cannot replace a
thorough history and physical or 
objective sleep laboratory
evaluation
 
 
 
 
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CPAP (Continuous Positive Airway Pressure)
Oral Appliance Therapy
Surgery
Weight Management
Positional Therapy
Lifestyle Changes (
Cognitive Behavioral Therapy, quitting smoking, no
alcohol use)
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Sleep related 
groaning
, also called catathrenia, causes you to groan
vocally while you sleep
 
The cause of sleep related groaning is not known
It is not related to any problem with breathing
There is also no abnormal brain activity involved
A physical exam tends to show no related medical cause
There also does not appear to be any link to mental disorders
 
T
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Dental Sleep Expert
E.N.T Surgeon
Paediatric Sleep Physician
Sleep Nurse
Sleep Respiratory Therapist
Adult Sleep Physician (Pulmonologist, Neurologist, Psychiatrist)
 
S
o
m
e
 
P
e
r
t
i
n
e
n
t
 
Q
u
e
s
t
i
o
n
s
 
1.
Do you snore while you sleep?
2.
Is it your nature to just snore?
3.
Are you a light sleeper?
4.
Who has ever fallen asleep while driving?
5.
You cannot stay without falling asleep during meetings!
6.
Whose child has a behavioral problem or coping poorly in school
7.
Whose blood pressure/blood glucose level remains high despite
adequate and good adherence to therapy?
 
 
 
 
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Sleep Disordered Breathing (SDB) encompasses various breathing difficulties during sleep, including Obstructive Sleep Apnea (OSA) and Central Sleep Apnea. These disorders can lead to serious health issues but are manageable. OSA, a common type of SDB, poses risks to cardiovascular and cerebrovascular health but can be addressed effectively. The prevalence of sleep apnea is higher in men and increases with age, affecting a significant portion of the population, often without their knowledge.


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  1. OVERVIEW OF SLEEP DISORDERED BREATHING (SDB) OVERVIEW OF SLEEP DISORDERED BREATHING (SDB)

  2. Some Pertinent Questions Some Pertinent Questions 1. Do you snore while you sleep? 2. Is it your nature to just snore? 3. Are you a light sleeper? 4. Who has ever fallen asleep while driving? 5. You cannot stay without falling asleep during meetings! 6. Whose child has a behavioural problem or coping poorly in school? 7. Whose blood pressure/blood glucose level remains high despite adequate and good adherence to therapy?

  3. Sleep Disordered Breathing (SDB) Sleep Disordered Breathing (SDB) Sleep disorders that involve difficulty in breathing during sleep are classified as sleep related breathing disorders Types: Obstructive Sleep Apnoea (OSA) Central Sleep Apnoea Others

  4. What is sleep apnea? What is sleep apnea? "Apnea" literally means "no breath" or "stopping breathing" Obstructive sleep apnea - is a clinical disorder marked by frequent pauses in breathing during sleep usually accompanied by loud snoring Central sleep apnea - a group of sleep-related breathing disorders in which respiratory effort is diminished or absent in an intermittent or cyclical fashion during sleep

  5. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) OSA is a major public health issue Prevalence is increasing due to obesity pandemic and aging population Is not a life-threatening condition in itself But it can result in serious problems such as cardiovascular and cerebrovascular diseases OSA can impact on the quality of life But can be easily managed

  6. How Common is Sleep Apnea? How Common is Sleep Apnea? Overall population prevalence ranged from 9% to 38% (higher in men) It increases with increasing age In some elderly groups, it is as high as 90% in men and 78% in women Many people have sleep apnea, but may not even know it So it's more common than you might think

  7. Does it affect children?

  8. YES! YES! Paediatric obstructive sleep apnea - is a sleep disorder in which your child's breathing is partially or completely blocked repeatedly during sleep Due to narrowing or blockage of the upper airway during sleep

  9. Sleep Apnea Sleep Apnea - - Symptoms & Risk Factors Symptoms & Risk Factors Snoring. ... Frequent breaks or pauses in breathing. ... You're Tired all the Time. ... You frequently wake with headaches. ... You Have High Blood Pressure. ... You are overweight or obese. ... You are often irritable, depressed, or experience mood swings

  10. Other Other symptoms of sleep apnea include symptoms of sleep apnea include Choking or gasping sounds Daytime sleepiness or fatigue Unrefreshing sleep Insomnia Morning headaches Nocturia (waking during the night to go to the bathroom) Difficulty concentrating Memory loss Decreased sexual desire

  11. Common risk factors for sleep apnea include Common risk factors for sleep apnea include Excess weight Large neck size Middle age Male gender Hypertension Family history

  12. Breaking News

  13. Sleep apnea can occur in slim people too! Sleep apnea can occur in slim people too!

  14. Sleep Apnea Sleep Apnea - - Risk Factors Risk Factors In adults, certain physical features or body types can make a person more likely to have sleep apnea Small lower jaw A prominent overbite A short, large neck Nasal breathing obstruction Very crowded teeth smaller air passage at the back of the throat

  15. Sleep Apnea Screening Sleep Apnea Screening Have you been told that you snore loudly on most nights? Yes No Not Sure Have you been told (or noticed on your own) that you stop breathing or struggle to breathe in your sleep? Yes No Not Sure Are you tired, fatigued or sleepy on most days? Yes No Not Sure Do you have acid reflux or high blood pressure (or use medicines to treat either of these conditions?) Yes No Not Sure Are you overweight? Yes No Not Sure

  16. Please Remember! That questionnaires are screening tools only and cannot replace a thorough history and physical or objective sleep laboratory evaluation

  17. Sleep Apnea Sleep Apnea - - Treatment Treatment CPAP (Continuous Positive Airway Pressure) Oral Appliance Therapy Surgery Weight Management Positional Therapy Lifestyle Changes (Cognitive Behavioral Therapy, quitting smoking, no alcohol use)

  18. FOR CLEARITY SAKE! FOR CLEARITY SAKE! Sleep related groaning, also called catathrenia, causes you to groan vocally while you sleep The cause of sleep related groaning is not known It is not related to any problem with breathing There is also no abnormal brain activity involved A physical exam tends to show no related medical cause There also does not appear to be any link to mental disorders

  19. THE SLEEP TEAM THE SLEEP TEAM Dental Sleep Expert E.N.T Surgeon Paediatric Sleep Physician Sleep Nurse Sleep Respiratory Therapist Adult Sleep Physician (Pulmonologist, Neurologist, Psychiatrist)

  20. Some Pertinent Questions Some Pertinent Questions 1. Do you snore while you sleep? 2. Is it your nature to just snore? 3. Are you a light sleeper? 4. Who has ever fallen asleep while driving? 5. You cannot stay without falling asleep during meetings! 6. Whose child has a behavioral problem or coping poorly in school 7. Whose blood pressure/blood glucose level remains high despite adequate and good adherence to therapy?

  21. T hank you for listening

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