A review of PAP therapy for the treatment of OSA, An Issue of Sleep Medicine Clinics

1st Edition, Volume 17-4 - November 7, 2022
Editor: Matthew R. Ebben
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 8 7 8 9 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 8 7 9 0 - 5

In this issue of Sleep Medicine Clinics, guest editor Dr. Matthew R. Ebben brings his considerable expertise to the topic of PAP Therapy for the Treatment of OSA. Positive airway… Read more

A review of PAP therapy for the treatment of OSA, An Issue of Sleep Medicine Clinics

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In this issue of Sleep Medicine Clinics, guest editor Dr. Matthew R. Ebben brings his considerable expertise to the topic of PAP Therapy for the Treatment of OSA. Positive airway pressure (PAP) is the treatment of choice for patients with moderate-to-severe obstructive sleep apnea (OSA). Randomized controlled trials have demonstrated that PAP can effectively reduce the apnea-hypopnea index and improve subjective and objective sleepiness. In this issue, top experts provide an up-to-date review of PAP therapy for the treatment of OSA.

Cover image
Title page
Table of Contents
Copyright
Forthcoming Issues
Contributors
Preface
Racial Differences in Positive Airway Pressure Adherence in the Treatment of Sleep Apnea
Key points
Positive airway pressure adherence disparities: differences by race/ethnicity
Socioeconomics and Positive Airway Pressure Use
Summary
Funding
Clinics care points
Outcomes Data for Continuous Positive Airway Pressure Treatment: What Do We Really Know?
Key points
Is apnea-hypopnea index an appropriate measure?
Endotypes and phenotypes
Outcomes studies
Summary: what do we really know?
Clinics care points
Cost-Effectiveness of Continuous Positive Airway Pressure Therapy Versus Other Treatments of Obstructive Sleep Apnea
Key points
Introduction
Cost-effectiveness analysis overview
Cost-effectiveness of continuous positive airway pressure
Cost-effectiveness of oral appliance therapy
Cost-effectiveness of surgical intervention
Cost-effectiveness of hypoglossal nerve stimulation
Summary
Clinics care points
Clinical Decision-making for Continuous Positive Airway Pressure Mask Selection
Key points
Introduction
Breathing route
Importance of evaluating nasal symptoms before continuous positive airway pressure initiation
Comparing outcomes between nasal and oronasal masks
Excessive air leak during nasal continuous positive airway pressure
Oronasal continuous positive airway pressure for whom?
Future directions
Summary
Disclosure
Use of Positive Airway Pressure in the Treatment of Hypoventilation
Key points
Introduction
Summary
Clinics care points
Best Predictors of Continuous Positive Airway Pressure Adherence
Key points
Background
Independent predictors of continuous positive airway pressure adherence
Predictors in multivariate analyses
Summary
Disclosure
Clinics Care Points
Comorbid Insomnia and Sleep Apnea: Assessment and Management Approaches
Key points
Introduction
Comorbid insomnia and sleep apnea
Management approaches for comorbid insomnia and sleep apnea
Summary
Clinics care points
Obstructive Sleep Apnea and Positive Airway Pressure Usage in Populations with Neurological Disease
Key points
Introduction
Stroke
Cognition
Epilepsy
Migraine
Summary
Clinics care points
Continuous Positive Airway Pressure Use for Obstructive Sleep Apnea in Pediatric Patients
Key points
Introduction
History of continuous positive airway pressure use in children
Disorders associated with complex obstructive sleep apnea requiring early/first-line continuous positive airway pressure treatment
Continuous positive airway pressure titration
Continuous positive airway pressure autotitration
Benefits of continuous positive airway pressure
Continuous positive airway pressure adherence
Efficacy of continuous positive airway pressure versus other obstructive sleep apnea treatment options
Side effects of continuous positive airway pressure
Discontinuation of continuous positive airway pressure
Future of continuous positive airway pressure use in children
The Relationship Between Epilepsy, Obstructive Sleep Apnea, and Treatment Outcome
Key points
Background
Relationship between epilepsy and sleep
Relationship between interictal epileptiform discharges and sleep stages
Relationship between seizure control and sleep quality
Effects of antiseizure medications on sleep
Effects of sedative-hypnotic medications on seizures
Relationship between sleep disorders and sudden unexpected death in a person with epilepsy
Relationship between obstructive sleep apnea and epilepsy
Summary
Clinics care points
Cognitive Complaints and Comorbidities in Obstructive Sleep Apnea
Key points
Introduction
Summary
Clinics care points