The Journey of Kryger 405

Do you snore loud enough to keep your partner from getting a restful sleep? Continuous positive airway pressure (CPAP) is the most effective treatment for severe obstructive sleep apnea, but oral appliances are considered a first-line approach equal to CPAP for mild to moderate sleep apnea, according to the AASM parameters of care.
A study in the October issue of Anesthesiology shows that diagnosing nasal dilator and prescribing CPAP therapy prior to surgery significantly reduced postoperative cardiovascular complications - specifically cardiac arrest and shock - by more than half.

Although the American Academy of Sleep Medicine advocates for physicians to ask all patients about signs and symptoms of OSA, the U.S. Preventive Services Task Force has no position on this issue, and there are no good outcome studies of net benefit for screening unselected populations.
The Jackson Heart Study is supported and conducted in collaboration with Jackson State University (HHSN268201300049C and HHSN268201300050C), Tougaloo College (HHSN268201300048C), and the University of Mississippi Medical Center (HHSN268201300046C and HHSN268201300047C) contracts NHLBI and the National Institute for Minority Health and Health Disparities.

Your breathing is interrupted either by a physical blockage to your airway (for example, loose skin in the back of your throat, or perhaps your tongue, blocking your airway), in which case you are said to suffer from obstructive sleep apnea, or by a failure on the part of your brain to send out the necessary signals to the muscles of your body that control breathing, in which event your condition is described as central sleep apnea.
The surgical treatments for obstructive sleep apnea include nasal surgery, palate surgery (including uvulopalatopharyngoplasty UPPP), upper airway stimulation therapy, tongue reduction surgery, genioglossus advancement, maxillo-mandibular advancement, tracheostomy , and bariatric surgery.

Central sleep apnea is usually observed in patients with central nervous system dysfunction, such as following a stroke or in patients with neuromuscular diseases like amyotrophic lateral sclerosis It is also common in patients with heart failure and other forms of cardiac and pulmonary disease.