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Sleep Apnea01:21

Sleep Apnea

484
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...
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Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
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Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

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Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
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Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

480
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Validation and implementation of ambulatory obstructive sleep apnea polygraphy screening combined with wearable semi-continuous heart rhythm monitoring in patients with atrial fibrillation: a validation and a pilot study.

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Anthropometric indices with high sensitivity for moderate-to-severe obstructive sleep Apnea: A sex-stratified diagnostic accuracy study based on the ESADA cohort.

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Related Experiment Video

Updated: Jan 19, 2026

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
07:32

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment

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Update on oral appliance therapy.

Marie Marklund1, Marc J A Braem2,3, Johan Verbraecken4,5

  • 1Dept of Odontology, Medical Faculty, Umeå University, Umeå, Sweden marie.marklund@umu.se.

European Respiratory Review : an Official Journal of the European Respiratory Society
|September 27, 2019
PubMed
Summary

Mandibular advancement devices (MADs) treat obstructive sleep apnoea (OSA) by repositioning the jaw. While effective for some, predicting patient response and side effects remains challenging.

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Area of Science:

  • Sleep Medicine
  • Dental Sleep Medicine
  • Respiratory Medicine

Background:

  • Oral appliances, particularly mandibular advancement devices (MADs), are alternatives for obstructive sleep apnoea (OSA) patients.
  • Patients seek treatment for snoring, daytime symptoms, sleep disturbances, and cardiovascular risks associated with OSA.

Purpose of the Study:

  • To review current knowledge on MAD treatment for obstructive sleep apnoea.
  • To highlight the need for patient phenotyping to optimize MAD indications and predict outcomes.

Main Methods:

  • Literature review of recent findings on MAD therapy for OSA.
  • Analysis of factors influencing treatment efficacy and patient response.

Main Results:

  • MADs reduce the apnoea-hypopnoea index and may improve daytime sleepiness and blood pressure in OSA patients.
  • Treatment effectiveness varies among individuals, with uncertainty regarding response prediction.
  • Predicting side effects and identifying optimal candidates for MAD therapy requires further research.

Conclusions:

  • Patient phenotyping is crucial for determining appropriate MAD indications in obstructive sleep apnoea.
  • Further research is needed to personalize MAD therapy and improve patient outcomes.
  • MADs offer a viable treatment option for selected OSA patients, but individualized approaches are essential.