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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Alterations in Respiration II01:30

Alterations in Respiration II

There are numerous types of normal and abnormal respiration. Based on ventilatory movements, breathing patterns are classified as regular, deep, or shallow. Examples include Biot's breathing, Cheyne-Stokes respiration, Kussmaul's breathing, hyperventilation, and hypoventilation. Each pattern is clinically significant and aids in evaluating patients.
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes include...
Respiratory Volumes and Capacities I01:26

Respiratory Volumes and Capacities I

Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:

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Related Experiment Video

Updated: Jul 5, 2026

Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
04:53

Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Published on: October 18, 2024

Sleep abnormalities and treatment in emphysema.

Samuel Krachman1, Omar A Minai, Steven M Scharf

  • 1Sleep Disorders Center, Division of Pulmonary and Critical Care, Temple University School of Medicine, Philadelphia, PA 19140, USA. krachms@tuhs.temple.edu

Proceedings of the American Thoracic Society
|May 6, 2008
PubMed
Summary

Severe emphysema often causes sleep problems like low oxygen levels and poor sleep quality. Lung volume reduction surgery shows promise in improving sleep and oxygenation for these patients.

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Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders
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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

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Last Updated: Jul 5, 2026

Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
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Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders
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Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders

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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Area of Science:

  • Pulmonary Medicine
  • Sleep Medicine
  • Respiratory Physiology

Background:

  • Severe emphysema frequently presents with sleep disturbances, including diminished sleep quality, nocturnal hypoxemia, and coexisting obstructive sleep apnea.
  • Altered respiratory mechanics and baseline hypoxemia in severe emphysema exacerbate sleep-related ventilatory control and respiratory muscle function changes.
  • The precise impact of these sleep abnormalities on quality of life, cardiopulmonary hemodynamics, and survival in emphysema patients requires further elucidation.

Purpose of the Study:

  • To review the current understanding of sleep abnormalities in severe emphysema.
  • To discuss the potential mechanisms underlying sleep disturbances in this population.
  • To evaluate the efficacy of interventions, including lung volume reduction surgery, on sleep parameters in severe emphysema.

Main Methods:

  • Literature review of studies investigating sleep abnormalities in severe emphysema.
  • Analysis of data from clinical trials, including the National Emphysema Treatment Trial (NETT).
  • Examination of recommendations for polysomnography in emphysema patients.

Main Results:

  • Lung volume reduction surgery has demonstrated improvements in sleep quality and nocturnal oxygenation in patients with severe emphysema.
  • Conflicting results exist regarding the effects of standard chronic obstructive pulmonary disease treatments on sleep abnormalities.
  • Established recommendations for polysomnography in emphysema patients are available.

Conclusions:

  • Sleep abnormalities are a significant complication of severe emphysema with uncertain long-term consequences.
  • Lung volume reduction surgery represents a potential therapeutic strategy for improving sleep in severe emphysema.
  • Further research is necessary to understand disease mechanisms and optimize treatment responses for sleep abnormalities in severe emphysema.