Related Experiment Video
Updated: Aug 4, 2025
07:54
Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
19.9K
The World Trade Center Health Program: Obstructive sleep apnea best practices
Iris G Udasin1, Jag Sunderram2, Geoffrey Calvert3
1World Trade Center Health Program Clinical Center of Excellence, Environmental and Occupational Health Sciences Institute, Rutgers Biomedical and Health Sciences, Piscataway, NJ, USA.
Archives of Environmental & Occupational Health
|April 5, 2023
Summary
9/11 rescue workers exposed to toxins and stress developed aerodigestive diseases. Studies show an increase in obstructive sleep apnea among those with chronic rhinosinusitis, with WTC programs offering treatment.
Area of Science:
- Environmental Health
- Occupational Medicine
- Sleep Medicine
Background:
- September 11, 2001, exposed nearly 500,000 individuals to toxic dust, debris, and stressors during World Trade Center (WTC) rescue and recovery operations.
- Early research identified an increased incidence of aerodigestive conditions, such as rhinosinusitis and gastroesophageal reflux, in affected populations.
- Emerging evidence links WTC-related respiratory conditions to obstructive sleep apnea (OSA).
Purpose of the Study:
- To examine the association between WTC exposure, respiratory conditions, and obstructive sleep apnea.
- To highlight the availability of diagnostic and treatment guidelines for sleep apnea.
- To inform about WTC program coverage for sleep apnea in eligible members.
Main Methods:
- Review of existing studies on WTC responders.
- Analysis of reported respiratory and sleep disorders.
- Information on established clinical guidelines and WTC program benefits.
Main Results:
- Studies indicate an excess of obstructive sleep apnea in WTC responders with new-onset or worsening chronic rhinosinusitis.
- High-quality diagnostic and treatment guidelines for sleep apnea are established.
- The WTC program provides coverage for sleep apnea evaluation and treatment for eligible members with WTC-related conditions.
Conclusions:
- WTC-exposed individuals, particularly those with respiratory issues like chronic rhinosinusitis, face an elevated risk of obstructive sleep apnea.
- Access to established sleep apnea guidelines and WTC program support is crucial for managing these health consequences.
- Early diagnosis and treatment of sleep apnea are recommended for WTC responders experiencing related respiratory and gastroesophageal symptoms.
More Related Videos
Related Concept Videos
01:21Sleep Apnea
205
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...
The condition is more prevalent among...
205
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
35
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...
35
01:28Pulmonary Tuberculosis V
220
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
220
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.1K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.1K
01:26COPD: Management Using Bronchodilators and Corticosteroids
260
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
260