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in the clinic
Obstructive sleep
apnea
and Prevention...
Ask all adults about sleep problems or daytime sleepiness
If response is positive: perform OSA screening
Take further clinical history
Use validated questionnaire
Screen is also warranted for all patients with:
Significant obesity
CVD
History of drowsiness while driving
Hypertension
If refractory to medical therapy
Nasal masks
Better tolerated with claustrophobia
Nasal pillows (sit under the nose and fit in the nares)
Also better tolerated with claustrophobia
Patients with unusual nasal bridge anatomy, facial hair, or
absent dentition
Maxillomandibular advancement
Invasive procedure with prolonged postop recovery
Cure rate >90%, particularly in nonobese with retrognathia
Tracheostomy
Cures OSA
Can be used in life-threatening situations
Copyright Annals of Internal Medicine, 2014
Ann Int Med. 161 (5): ITC5-1.