Treatment of Obstructive Sleep Apnea
Positive airway ...
208
Description

Treatment of Obstructive Sleep Apnea

Positive airway pressure therapy

   → Positive pharyngeal transmural pressure

   → Stabilizes upper airway through increased end-expiratory lung volume

Mandibular advancement devices

   → Similar symptomatic improvement to PAP, but not as effective at reducing respiratory events/desats

   → Not ideal if severe OSA

Upper airway surgery

   → Most effective if severe, surgically correctable, obstructing lesion of upper airway

Lifestyle Modifications

   → Weight loss, exercise, sleeping position, avoidance of EtOH, avoid BZD, opioids, sedatives

Hypoglossal nerve stimulation

   → Severe OSA refractory to CPAP, with BMI <32 and no unfavorable collapse on drug-induced sleep endoscopy

Pharmacotherapy

   → Theophylline, acetazolamide, desipramine, oxybutynin...



- BWH Medicine Chiefs @BrighamChiefs



#Obstructive #SleepApnea #Treatment #management #pulmonary
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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