Obstructive Sleep Apnoea
Interupted breathing leading to reduced oxygenation, increased CO2 and wakefulness
Exacerbated by adipose tissue weighing on relaxed muscles
Causes:
Overweight
Hx
Snoring freq
Apnoea freq
Difficulty waking
Morning headaches
Tired (hyperactive in primary school, Somnolence in high school)
Unsettled sleep
Nocturnal enuresis
Deceleration of growth
Ex
BP
Pulsus paradoxus
Ix
Polysomnography
Complications:
Weight gain (interrupts hormones regulating appetite and satiety)
HTN (each wakening increases BP and HR > hypertrophy)
Nocturnal Enuresis
Exercise intolerance
Insulin resistance (linked to poor oxygenation at night)
Rx
Diet
Exercise
Tonsillectomy
CPAP
Regulating sleep time (if short sleep time/irregular are comorbid)
(BMJ 2005: Didgeridoo practice improves OSA)
Exacerbated by adipose tissue weighing on relaxed muscles
Causes:
Overweight
Hx
Snoring freq
Apnoea freq
Difficulty waking
Morning headaches
Tired (hyperactive in primary school, Somnolence in high school)
Unsettled sleep
Nocturnal enuresis
Deceleration of growth
Ex
BP
Pulsus paradoxus
Ix
Polysomnography
Complications:
Weight gain (interrupts hormones regulating appetite and satiety)
HTN (each wakening increases BP and HR > hypertrophy)
Nocturnal Enuresis
Exercise intolerance
Insulin resistance (linked to poor oxygenation at night)
Rx
Diet
Exercise
Tonsillectomy
CPAP
Regulating sleep time (if short sleep time/irregular are comorbid)
(BMJ 2005: Didgeridoo practice improves OSA)