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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

768
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...
768

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Emerging technology: electrical stimulation in obstructive sleep apnoea.

Martino F Pengo1, Joerg Steier1

  • 11 Guy's and St. Thomas' NHS Foundation Trust, Lane Fox Respiratory Unit/Sleep Disorders Centre, London, UK ; 2 Department of Medicine (DIMED), University of Padua, Padua, Italy ; 3 King's College London School of Medicine, London, UK ; 4 King's Health Partners, London, UK.

Journal of Thoracic Disease
|September 19, 2015
PubMed
Summary

Electrical stimulation (ES) for obstructive sleep apnoea (OSA) shows promise. Both invasive hypoglossal nerve stimulation (HNS) and non-invasive transcutaneous ES reduce breathing disruptions, offering a potential alternative to CPAP for some patients.

Keywords:
Transcutaneous genioglossal stimulationhypoglossal nerve stimulation (HNS)implantable deviceoxygen desaturationsleep-disordered breathingupper airway (UAW)

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Biomedical Engineering

Background:

  • Obstructive sleep apnoea (OSA) affects millions globally, with limited treatment adherence for standard therapies like CPAP.
  • Electrical stimulation (ES) of upper airway (UAW) muscles has resurged as a potential OSA treatment.
  • Recent research highlights the efficacy of both invasive and non-invasive ES methods.

Purpose of the Study:

  • To review the current state and potential of electrical stimulation for treating obstructive sleep apnoea.
  • To compare the efficacy and limitations of invasive (hypoglossal nerve stimulation) and non-invasive (transcutaneous) ES.
  • To identify areas for future research and potential clinical integration.

Main Methods:

  • Review of prospective trials and feasibility studies on ES for OSA.
  • Analysis of outcomes including apnoea-hypopnoea index and oxygen desaturation index (ODI).
  • Comparison of adverse events, costs, and technical challenges between invasive and non-invasive approaches.

Main Results:

  • Hypoglossal nerve stimulation (HNS) significantly reduces the apnoea-hypopnoea index and ODI.
  • Transcutaneous ES shows promising results in feasibility studies with rare complications.
  • Invasive HNS has limitations including cost and adverse events; transcutaneous ES faces challenges in delivering sufficient current without arousal.

Conclusions:

  • ES of UAW dilator muscles is a promising alternative to CPAP for selected OSA patients with poor compliance.
  • Further research is needed to optimize stimulation parameters, devices, and patient selection.
  • International guidelines may require updates to incorporate ES as a viable OSA treatment option.