كتاب
Treatment of sleep-disordered breathing
| العنوان: | Treatment of sleep-disordered breathing |
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| المؤلفون: | Pevernagie, Dirk, Sastry, Manuel, van Maanen, Peter |
| المساهمون: | Bassetti, Claudio, McNicholas, Walter, Paunio, Tiina, Peigneux, Philippe |
| المصدر: | Sleep medicine textbook ; ISBN: 9781119789017 |
| بيانات النشر: | European Sleep Research Society |
| سنة النشر: | 2021 |
| المجموعة: | Ghent University Academic Bibliography |
| مصطلحات موضوعية: | Medicine and Health Sciences |
| الوصف: | This chapter deals with different therapeutic approaches to medical conditions caused by sleep-disordered breathing. General recommendations and conservative measures are important first steps in the management of sleep-disordered breathing. Pharmacological agents have no major role in the treatment of obstructive sleep apnoea but are subject to renewed interest in contemporary clinical research. Some medications may be helpful in the treatment of central sleep apnoea, especially in patients suffering from heart failure. Treatment with oral devices has become a cornerstone in the management of patients with mild to moderate obstructive sleep apnoea and may also be indicated in selected patients with severe disease. Positive airway pressure continues to be the mainstay of treatment of obstructive sleep apnoea patients with moderate to severe disease. Bilevel positive airway pressure is mainly indicated as a therapy for respiratory failure (alveolar hypoventilation with hypercapnia) but not for treating patients with obstructive or central sleep apnoea. Adaptive servo-ventilation has been introduced as a specific treatment of cardiac patients with central sleep apnoea and Cheyne-Stokes respiration, but may also be used in other conditions associated with central sleep apnoea. Heart failure with an ejection fraction less than 45% is a contraindication for this treatment. Surgery of the upper airways or of the maxillomandibular skeleton may be indicated in selected patients with obstructive sleep apnoea. Bariatric surgery is restricted to morbidly obese patients with severe obstructive sleep apnoea who fail to lose weight with conservative measures such as hypocaloric diet and exercise training. |
| نوع الوثيقة: | book part |
| وصف الملف: | application/pdf |
| اللغة: | English |
| ردمك: | 978-1-119-78901-7 1-119-78901-X |
| العلاقة: | https://biblio.ugent.be/publication/8744904Test; http://hdl.handle.net/1854/LU-8744904Test; https://biblio.ugent.be/publication/8744904/file/8745676Test |
| الإتاحة: | https://biblio.ugent.be/publication/8744904Test http://hdl.handle.net/1854/LU-8744904Test https://biblio.ugent.be/publication/8744904/file/8745676Test |
| حقوق: | No license (in copyright) ; info:eu-repo/semantics/restrictedAccess |
| رقم الانضمام: | edsbas.CD2E0FE |
| قاعدة البيانات: | BASE |
| ردمك: | 9781119789017 111978901X |
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