Clinical Guideline for the Evaluation, Management and Long-term Care of Obstructive Sleep Apnea in Adults
| Autor: | Patrick J. Strollo, Richard Schwab, David A. Kristo, Robert M. Rogers, Lawrence J. Epstein, Kannan Ramar, Weinstein, Susheel P. Patil, Edward M. Weaver, Norman R. Friedman, Atul Malhotra |
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| Rok vydání: | 2009 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.diagnostic_test Sleep surgery business.industry medicine.medical_treatment Sleep apnea Polysomnography Guideline medicine.disease Sleep medicine respiratory tract diseases Obstructive sleep apnea Neurology Positive airway pressure Medicine Neurology (clinical) Continuous positive airway pressure business Intensive care medicine |
| Zdroj: | Journal of Clinical Sleep Medicine. :263-276 |
| ISSN: | 1550-9397 1550-9389 |
| Popis: | Background Obstructive sleep apnea (OSA) is a common chronic disorder that often requires lifelong care. Available practice parameters provide evidence-based recommendations for addressing aspects of care. Objective This guideline is designed to assist primary care providers as well as sleep medicine specialists, surgeons, and dentists who care for patients with OSA by providing a comprehensive strategy for the evaluation, management and long-term care of adult patients with OSA. Methods The Adult OSA Task Force of the American Academy of Sleep Medicine (AASM) was assembled to produce a clinical guideline from a review of existing practice parameters and available literature. All existing evidence-based AASM practice parameters relevant to the evaluation and management of OSA in adults were incorporated into this guideline. For areas not covered by the practice parameters, the task force performed a literature review and made consensus recommendations using a modified nominal group technique. Recommendations Questions regarding OSA should be incorporated into routine health evaluations. Suspicion of OSA should trigger a comprehensive sleep evaluation. The diagnostic strategy includes a sleep-oriented history and physical examination, objective testing, and education of the patient. The presence or absence and severity of OSA must be determined before initiating treatment in order to identify those patients at risk of developing the complications of sleep apnea, guide selection of appropriate treatment, and to provide a baseline to establish the effectiveness of subsequent treatment. Once the diagnosis is established, the patient should be included in deciding an appropriate treatment strategy that may include positive airway pressure devices, oral appliances, behavioral treatments, surgery, and/or adjunctive treatments. OSA should be approached as a chronic disease requiring long-term, multidisciplinary management. For each treatment option, appropriate outcome measures and long-term follow-up are described. |
| Databáze: | OpenAIRE |
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