Tag Sleep apnea

Want to Improve CPAP Adherence? Team Up with a Buddy!


Poor adherence to the primary treatment of Obstructive Sleep Apnea—continuous positive airway pressure (CPAP)—therapy is common, with 29% to 93% of patients being non-adherent to therapy when adherence is defined as greater than 4 hours of CPAP use per night.

A study of 39 patients by Dr Parthasarathy et al. (Journal of Clinical Sleep Medicine – Volume 09-06) showed that partnering with an experienced CPAP user (peer buddy system) can improve the compliance significantly.

 

 

peerbuddy

 

 

Participants in this study improved CPAP adherence by an hour or two each night when they teamed up with a buddy, who listened to them, understood their concerns, provided suggestions to solve their issues, and encouraged them to use CPAP every night. So, ask your doctor or equipment provider about such a support group, and be an active member of that group. Find a CPAP buddy, keep on using CPAP, and then later be a buddy for a new user.

Thank you for using CPAP. Sleep Well, Lead Well. God bless you.

 

 

How You Can Help Your Husband Use CPAP – a Study


Continuous positive airway pressure (CPAP) improves sleep and quality of life for both patients with obstructive sleep apnea (OSA) and their spouses, but adherence to CPAP therapy can be a challenge.

A study by Dr Baron and colleagues at Northwestern University (the Journal of Clinical Sleep Medicine 2012) assessed the effect of spousal involvement in CPAP adherence in 23 married male OSA patients after the first week of treatment. At 3 months, 16 participants completed a second assessment of spousal involvement. Types of involvement assessed included positive (e.g., encouraging), negative (e.g., blaming), collaboration (e.g., working together), and one-sided (e.g., asking).

Spousal collaboration improves CPAP adherence

 

The result showed that collaborative spousal involvement was associated with higher CPAP adherence at 3 months.

CPAP adherence can eliminate excessive daytime sleepiness and reduce the risk of drowsy driving, uncontrolled blood pressure, blood sugar elevation, stroke, heart attack, congestive heart failure exacerbation, atrial fibrillation, and chronic lung disease exacerbation, but it can be difficult treatment to comply with the night after night. You can help your husband by collaborating from the beginning.

1. Tell him that you are happy he is trying to use CPAP.

2. Help him arrange the CPAP and supplies on the lampstand.

3. Repeatedly remind him to use CPAP.

4. Persuade and bargain with him to use CPAP. 

Remember that this is a major lifestyle change and it can be difficult to adjust to CPAP. Your support can get him started on this life-saving treatment.

Thanks.

God bless you.

 

 

 

11 Tips to Prevent a Drowsy Driving Death this Weekend


In 2010, 397 people died in crashes over the Memorial Day weekend.

Memorial Day Weekend is traditionally one of the heaviest travel weekend of the year. If you are one of the millions of Americans traveling this holiday, please follow these tips and save a life.

Please remember that turning on the radio, stretching your neck, putting your face out of the window, slapping your face, chewing a gum, or pushing a sharp pin in your thigh does not work!

 

1. Get a good night’s sleep every night, certainly prior to the long trip.

2. Avoid driving between mid-night and 7 am as our brain is sleepiest during these hours.

3. Be extra careful driving around mid-afternoon.

4. Share driving responsibility.

5. Take a break every 2 hours.

6. Take a 10-15 minute nap before you become sleepy.

7. Enjoy a strong cup of coffee in anticipation of drowsiness.

8. If you have untreated sleep apnea, shift work sleep disorder, or any other sleep disorder, let someone else drive.

9. Resist distractions. Don’t play with your Smartphone or MP3 player.

10. If your thoughts become dreamy or lose touch with reality, pull over right away, or you shall die.

11. Do not drive drunk. According to National Highway Traffic Safety Administration, 40 percent of the 397 deaths from car accidents nationally were alcohol-related.

Please share freely and save a life.

FDA Approves a Novel Sleep Apnea Treatment


 

The US Food and Drug Administration (FDA) has approved the first fully implantable neurostimulator to treat obstructive sleep apnea (OSA), but only as a second-line therapy.

The device, called Inspire Upper Airway Stimulation therapy, is manufactured by Inspire Medical Systems, which announced the FDA’s decision today.

The implant helps keep a patient’s airway open by stimulating the hypoglossal nerve during sleep in tandem with a patient’s inspiration. The stimulation contracts upper airway muscles to pull the base of the tongue forward.

The FDA has approved Inspire Upper Airway Stimulation therapy specifically for patients with moderate to severe OSA who cannot use continuous positive airway pressure.

Adverse events reported in a clinical trial of the device included tongue weakness, dry mouth, pain, and numbness. The device is incompatible with having a magnetic resonance imaging scan.

(From Medscape)

Obstructive Sleep Apnea leads to Cardiac Dysunction even in Patients without Congestive Heart Failure; a Study


A study published in this month’s Journal of Clinical Sleep Medicine indicates that Obstructive Sleep Apnea is associated with cardiac dysfunction even in the absence of Congestive Heart Failure.

A total of 79 patients with sleep disordered breathing, but preserved systolic function, and normal pro-brain natriuretic peptide level were enrolled. Sixty-five patients were classified to have moderate to severe OSAS (apnea-hypopnea index [AHI] ≥ 15/h), while the other 14 patients with mild or no OSAS (AHI < 15/h) served as control subjects.

The left atrial size, mitral A-wave velocity, and left ventricular end-diastolic volume were significantly larger, while E/A ratio was lower in patients with moderate to severe OSA than those without (p < 0.05). Notably, Apnea Hypopnea Index (number of times a patient stops breathing per hour) in Rapid Eye Movement sleep was significantly correlated with the aortic root size, E/A ratio, left ventricular volume, and stroke volume. In addition, the area under the receiver operator characteristic curve for AHI in REM sleep ≥ 32.3/h was 0.647 (95% CI [0.525, 0.769]) in predicting the development of left ventricular diastolic dysfunction. 

Patients with moderate to severe OSAS tend to have cardiac dysfunction revealed by echocardiography. High AHI in REM sleep is significantly associated with cardiovascular remodeling and ventricular diastolic dysfunction, and may be a potential variable to predict cardiac dysfunction.

JCSM – Influence and Predicting Variables of Obstructive Sleep Apnea on Cardiac Function and Remodeling in Patients without Congestive Heart Failure.

If you snore, please talk to your physician or us about a convenient and cost-effective home sleep test to diagnose sleep apnea.

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