Real Time - apnoeic
Affective.com: Obstructive sleep apnoea
22 May 2012, 11:20 pm
Affective.com
Obstructive sleep apnoea - http://affective.com/news...
Tuesday
from Affective | Health...
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Abstract: Obstructive sleep apnoea occurs during sleep, when there is repeated pharyngeal collapse obstructing the airway, and causing repeated awakenings from sleep. Sufferers complain of unrefreshing sleep and daytime somnolence, and bed partners usually report snoring with frequent
apnoeic attacks. Problems with tasks requiring concentration, such as driving, are common, and in severe sleep apnoea the rate of road traffic accidents secondary to sleepiness is known to be high. Investigation with a sleep study is required to confirm the diagnosis and severity before the decision is made to initiate life-long treatment with nasal continuous positive airway pressure treatment. Milder cases may respond to a jaw advancement device, and weight loss. (Source: Medicine)MedWorm Sponsor Message: Please support the Doctors In Chains campaign for the medics tortured and sentenced for up to 15 years in Bahrain. #FreeDoctors - Affective.com
Affective.com: Clinical and polysomnographic determinants of snoring
22 May 2012, 1:20 pm
Affective.com
Clinical and polysomnographic determinants of snoring - http://affective.com/news...
Tuesday
from Affective | Health...
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SummarySnoring is considered one of the hallmarks of sleep‐disordered breathing, but its determinants remain obscure in both obstructive sleep apnoea (
apnoeic) and non‐
apnoeic snorers. We aimed to document positional dependency of snoring along with its association with clinical and polysomnographic variables. Seventy‐seven
apnoeic and 27 non‐
apnoeic snorers who complained for every‐night loud snoring and slept in supine and lateral positions in all sleep stages during overnight polysomnography were included. Snoring (i.e. sound intensity > 40 dB) was quantified by measuring the mean and maximum sound intensity, and snoring frequency. In
apnoeic and non‐
apnoeic snorers, mean snoring intensity and snoring frequency were higher in supine than in lateral positions irrespect...MedWorm Sponsor Message: Please support the Doctors In Chains campaign for the medics tortured and sentenced for up to 15 years in Bahrain. #FreeDoctors - Affective.com
Qbank: RECURRENT APNOEAS
8 February 2012, 3:35 am
Qbank
RECURRENT APNOEAS - http://qbank.org/Thread-...
February 8
from USMLE Medical MCQs Questions...
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History Baby Carmichael is admitted to the neonatal unit on the day of birth because of a low blood glucose. He was born at 35 weeks’ gestation by vaginal delivery after 48 hours of ruptured membranes but an otherwise uneventful pregnancy. His birth weight was 2.0 kg (ninth centile). His mother had two previous pregnancies which resulted in liveborn infants. This baby was thought to be jittery within a few hours of birth, and blood glucose was 1.8 mmol/L. A breast-feed was attempted, but he did not latch on well. He was admitted to the neonatal unit at that point for a nasogastric feed, some blood tests were done and the blood glucose rose to 3.2 mmol/L after the first feed. At the age of 6 hours he became
apnoeic and a neonatal nurse stimulated him and gave some oxygen. Over the next hour he had five more
apnoeic episodes requiring stimulation, and on the last occasion he required a brief period of facemask intermittent positive pressure ventilation. Examination Baby Carmichael does... - Qbank