Obstructive sleep apnoea osa central sleep apnoea csa. Epub 2015 nov 5.
Obstructive sleep disordered breathing in 2 to 18 year old children.
Obstructive sleep disordered breathing. Upper airway obstruction occurring during sleep that is sleep disordered breathing sdb was first demonstrated in the 1960s. Sleep disordered breathing schizophrenia depression obstructive sleep apnea syndrome osa as a physician begins to explore a patient s sleep disturbances the physician may begin to realize how the pursuit of a good night s sleep can affect patients lives. Pediatric sleep disordered breathing sdb is a general term for breathing difficulties during sleep.
Sdb represents a group of physiopathologic conditions that are characterized by an abnormal respiratory pattern during sleep that can be isolated or can coexist with other respiratory nervous cardiovascular or endocrine diseases. Sleep disordered breathing orofacial growth and prevention of obstructive sleep apnea. These muscles support structures including the back of the roof of your mouth soft palate the triangular piece of tissue hanging from the soft palate uvula the tonsils and the tongue.
4 patients who have compsa present with both a reduced upper airway tone resulting in an obstruction during sleep and unstable ventilatory control resulting in a cessation of respiratory effort leading to a central apnea. Types of sleep disordered breathing sdb there are three main types of sleep disordered breathing which are manifested in sleep apnoea. Guilleminault c 1 sullivan ss 2 huang ys 3.
Obstructive sleep apnea occurs when the muscles in the back of your throat relax too much to allow normal breathing. 1 division of sleep medicine stanford university 450 broadway pavillion c 2nd floor redwood city ca 94063 usa. Discovering the specific differences between them can help you recognise how best to treat your patients.
Obstructive sleep apnea in the pediatric population is defined as either frank obstruction or evidence of hypopnea or obstructive hypoventilation on a sleep study occurring in the context of a history of snoring labored breathing during sleep daytime sleepiness or learning and behavioral issues tables 3 and and4. Complex sleep apnea compsa can be clinically defined as a combination of obstructive sleep apnea with central sleep apnea or cheyne stokes breathing pattern. Sdb can range from frequent loud snoring to obstructive sleep apnea osa a condition where part or all of the airway is blocked repeatedly during sleep.
Obstructive sleep apnea osa is the most common type of sleep apnea and is characterised by repeated episodes of complete or partial obstructions of the upper airway during sleep despite the effort to breathe and is usually associated with a reduction in blood oxygen saturation in the obstructive sleep apnea hypopnea syndrome the episodes of decreased breathing are called hypopnea.
