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Related Concept Videos

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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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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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Sleep Apnea Syndrome (SAS) Clinical Practice Guidelines 2020.

Tsuneto Akashiba1, Yuichi Inoue2, Naohisa Uchimura3

  • 1Shiki Respiratory Clinic, Saitama, Japan.

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|January 6, 2022
PubMed
Summary
This summary is machine-generated.

Obstructive sleep apnea (OSA) affects millions globally, with continuous positive airway pressure (CPAP) therapy rising in Japan. New guidelines offer updated medical care standards for sleep apnea syndrome (SAS).

Keywords:
Clinical question (CQ)Continuous positive airway pressure (CPAP)GuidelineSleep apnea syndrome (SAS)

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Area of Science:

  • Sleep Medicine
  • Respiratory Medicine
  • Clinical Practice Guidelines

Background:

  • Sleep disordered breathing (SDB), particularly obstructive sleep apnea (OSA), has a high prevalence globally.
  • Moderate-to-severe OSA affects approximately 20% of adult males and 10% of postmenopausal women in both Western and Eastern countries.
  • Continuous positive airway pressure (CPAP) therapy for sleep apnea has seen a sharp increase in Japan since 1998, nearing 500,000 patients.

Purpose of the Study:

  • To establish standard medical care for sleep apnea syndrome (SAS) based on the latest trends.
  • To update the 2005 guidelines for diagnosis and treatment of SAS in adults.
  • To provide a comprehensive guideline addressing the interdisciplinary nature of sleep apnea.

Main Methods:

  • Development of a new guideline supervised by the Japanese Respiratory Society and other academic societies.
  • Inclusion of 36 clinical questions (CQs) to cover various aspects of sleep apnea.
  • Referencing previous guidelines and incorporating the latest research and trends.

Main Results:

  • The guideline addresses therapies and management strategies for SAS (CQ16-36 in the English version).
  • The Japanese version was published in July 2020.
  • The guideline was permitted and published by Minds clinical practice guidelines in Japan in July 2021.

Conclusions:

  • Updated clinical practice guidelines are crucial for standardizing sleep apnea syndrome (SAS) care.
  • The guideline reflects the interdisciplinary nature and evolving trends in sleep apnea management.
  • These guidelines aim to improve the diagnosis and treatment of sleep apnea globally.