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Related Concept Videos

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Sleep Apnea

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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.
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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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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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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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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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Myofunctional therapy for OSA: a meta-analysis.

Sanket Meghpara1, Moeed Chohan2, Anuja Bandyopadhyay3

  • 1Department of Internal Medicine, Tripler Army Medical Center, Honolulu, HI, USA.

Expert Review of Respiratory Medicine
|November 10, 2021
PubMed
Summary

Myofunctional therapy (MT) significantly improves obstructive sleep apnea (OSA) by reducing apnea-hypopnea index scores and sleepiness. This therapy also enhances lowest oxygen saturation levels in patients with OSA.

Keywords:
Myofunctional therapyobstructive sleep apneaupper airway exercises

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Area of Science:

  • Sleep Medicine
  • Respiratory Medicine
  • Otolaryngology

Background:

  • Obstructive sleep apnea (OSA) is a prevalent sleep disorder.
  • Myofunctional therapy (MT) is an emerging treatment for OSA.

Purpose of the Study:

  • To systematically review and meta-analyze the efficacy of MT in treating OSA.
  • To evaluate the impact of MT on key OSA metrics: apnea-hypopnea index (AHI), lowest oxygen saturation (LSAT), and Epworth Sleepiness Scale (ESS).

Main Methods:

  • Systematic review of publications up to June 18, 2021.
  • Meta-analysis of data from 15 studies involving 237 patients.
  • Analysis of changes in AHI, LSAT, and ESS scores before and after MT.

Main Results:

  • MT significantly reduced mean AHI scores from 28.0/h to 18.6/h (SMD -1.34, P < 0.00001).
  • LSAT improved from 83.18% to 85.13% (SMD 0.44, P < 0.007).
  • Sleepiness, measured by ESS, decreased from 12.71 to 8.78 (SMD -1.0, P < 0.0001).

Conclusions:

  • Myofunctional therapy is an effective treatment for improving OSA.
  • MT leads to significant improvements in respiratory events, oxygenation, and daytime sleepiness in OSA patients.