Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Diagnosis of Sleep Breathing Disorders in a General Hospital: Experience and Recommendations

Diagnosis of Sleep Breathing Disorders in a General Hospital: Experience and Recommendations Abstract In the 24 months after a sleep breathing laboratory opened in a general hospital, 48 patients thought to have a primary sleep breathing disorder were referred for study. Evaluation of breathing during sleep was most useful in those having excessive daytime sleepiness or unexplained polycythemia. The sleep apnea syndrome was documented in 19 of 24 patients with excessive daytime sleepiness. Of 15 patients with unexplained polycythemia, ten were found to have severe hypoxemia during sleep. This experience suggests that facilities for evaluation of sleep breathing disorders should be available in larger medical centers. Back to top Article Information Reprint requests to Department of Respiratory Medicine, St Boniface General Hospital, 409 Tache Ave, Winnipeg, Manitoba, Canada R2H 2A6 (Dr Kryger). References 1. Guilleminault C, Dement WC: Sleep Apnea Syndromes.. New York, Alan R Liss Inc, 1978. 2. Fleetham JA, Mezon B, West P, et al: Chemical control of ventilation and sleep arterial oxygen desaturation in COPD patients. Am Rev Respir Dis. 1980;122:583-589. PubMedGoogle Scholar 3. Rechtschaffen A, Kales A: A Manual of Standardized Terminology, Techniques and Scoring Systems for Sleep Stages. National Institutes of Health publication204, 1968. 4. Kryger M, Quesney LF, Holder D, et al: The sleep deprivation syndrome of the obese patient. Am J Med. 1974;56:531-539. PubMedGoogle ScholarCrossref 5. Gastaut H, Tassinari CA, Duron B: Polygraphic study of the episodic diurnal and nocturnal (hypnic and respiratory) manifestations of the Pickwick syndrome. Brain Res. 1966;1:167-186. PubMedGoogle ScholarCrossref 6. Tammelling GJ, Blokzijl EJ, Boonstra S, et al: Micrognathia, hypersomnia and periodic breathing. Bull Physiopathol Respir. 1972;8:1229-1238. PubMedGoogle Scholar 7. Ainger LE: Large tonsils and adenoids in small children with cor pulmonale. Br Heart J. 1968;30:356-362. PubMedGoogle ScholarCrossref 8. Lugaresi E, Coccagna G, Mantovani M, et al: Effects of tracheostomy in two cases of hypersomnia with periodic breathing. J Neurol Neurosurg Psychiatry. 1973;36:15-26. PubMedGoogle ScholarCrossref 9. Remmers JE, deGroot WJ, Sauerland EK, et al: Pathogenesis of upper airway occlusion during sleep. J Appl Physiol. 1978;44:931-938.Google ScholarCrossref 10. Tilkian AG, Guilleminault C, Schroeder JS, et al: Sleep-induced apnea syndrome: Prevalence of cardiac arrhythmias and their reversal after tracheostomy. Am J Med. 1977;63:348-358.Google ScholarCrossref 11. Clark RW, Schmidt HS, Schaal SF, et al: Sleep apnea: Treatment with protriptyline. Neurology. 1979;29:1287-1292.Google ScholarCrossref 12. Hensley MJ, Saunders NA, Strohl KP: Medroxyprogesterone treatment of obstructive sleep apnea. Sleep. 1980;3:441-446. PubMedGoogle ScholarCrossref 13. Sullivan CE, Berthon-Jones M, Issa Faiq G, et al: Reversal of obstructive sleep apnea by continuous positive airway pressure applied through the nares. Lancet. 1981;1:862-866. PubMedGoogle ScholarCrossref 14. Conway W, Fujitas S, Zorick F, et al: Uvulo-palato-pharyngoplasty in treatment of upper airway sleep apnea. Am Rev Respir Dis. 1980;121(suppl):121.Google Scholar 15. Guilleminault C, Tilkian A, Dement WC: The sleep apnea syndromes. Ann Rev Med. 1976;27:465-484.Google ScholarCrossref 16. White DP, Zwillich CW, Pickett C, et al: Acetazolamide therapy for central sleep apnea. Am Rev Respir Dis. 1981;123(suppl):177.Google Scholar http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Diagnosis of Sleep Breathing Disorders in a General Hospital: Experience and Recommendations

Loading next page...
 
/lp/american-medical-association/diagnosis-of-sleep-breathing-disorders-in-a-general-hospital-kH870yAKW2
Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340180114021
Publisher site
See Article on Publisher Site

Abstract

Abstract In the 24 months after a sleep breathing laboratory opened in a general hospital, 48 patients thought to have a primary sleep breathing disorder were referred for study. Evaluation of breathing during sleep was most useful in those having excessive daytime sleepiness or unexplained polycythemia. The sleep apnea syndrome was documented in 19 of 24 patients with excessive daytime sleepiness. Of 15 patients with unexplained polycythemia, ten were found to have severe hypoxemia during sleep. This experience suggests that facilities for evaluation of sleep breathing disorders should be available in larger medical centers. Back to top Article Information Reprint requests to Department of Respiratory Medicine, St Boniface General Hospital, 409 Tache Ave, Winnipeg, Manitoba, Canada R2H 2A6 (Dr Kryger). References 1. Guilleminault C, Dement WC: Sleep Apnea Syndromes.. New York, Alan R Liss Inc, 1978. 2. Fleetham JA, Mezon B, West P, et al: Chemical control of ventilation and sleep arterial oxygen desaturation in COPD patients. Am Rev Respir Dis. 1980;122:583-589. PubMedGoogle Scholar 3. Rechtschaffen A, Kales A: A Manual of Standardized Terminology, Techniques and Scoring Systems for Sleep Stages. National Institutes of Health publication204, 1968. 4. Kryger M, Quesney LF, Holder D, et al: The sleep deprivation syndrome of the obese patient. Am J Med. 1974;56:531-539. PubMedGoogle ScholarCrossref 5. Gastaut H, Tassinari CA, Duron B: Polygraphic study of the episodic diurnal and nocturnal (hypnic and respiratory) manifestations of the Pickwick syndrome. Brain Res. 1966;1:167-186. PubMedGoogle ScholarCrossref 6. Tammelling GJ, Blokzijl EJ, Boonstra S, et al: Micrognathia, hypersomnia and periodic breathing. Bull Physiopathol Respir. 1972;8:1229-1238. PubMedGoogle Scholar 7. Ainger LE: Large tonsils and adenoids in small children with cor pulmonale. Br Heart J. 1968;30:356-362. PubMedGoogle ScholarCrossref 8. Lugaresi E, Coccagna G, Mantovani M, et al: Effects of tracheostomy in two cases of hypersomnia with periodic breathing. J Neurol Neurosurg Psychiatry. 1973;36:15-26. PubMedGoogle ScholarCrossref 9. Remmers JE, deGroot WJ, Sauerland EK, et al: Pathogenesis of upper airway occlusion during sleep. J Appl Physiol. 1978;44:931-938.Google ScholarCrossref 10. Tilkian AG, Guilleminault C, Schroeder JS, et al: Sleep-induced apnea syndrome: Prevalence of cardiac arrhythmias and their reversal after tracheostomy. Am J Med. 1977;63:348-358.Google ScholarCrossref 11. Clark RW, Schmidt HS, Schaal SF, et al: Sleep apnea: Treatment with protriptyline. Neurology. 1979;29:1287-1292.Google ScholarCrossref 12. Hensley MJ, Saunders NA, Strohl KP: Medroxyprogesterone treatment of obstructive sleep apnea. Sleep. 1980;3:441-446. PubMedGoogle ScholarCrossref 13. Sullivan CE, Berthon-Jones M, Issa Faiq G, et al: Reversal of obstructive sleep apnea by continuous positive airway pressure applied through the nares. Lancet. 1981;1:862-866. PubMedGoogle ScholarCrossref 14. Conway W, Fujitas S, Zorick F, et al: Uvulo-palato-pharyngoplasty in treatment of upper airway sleep apnea. Am Rev Respir Dis. 1980;121(suppl):121.Google Scholar 15. Guilleminault C, Tilkian A, Dement WC: The sleep apnea syndromes. Ann Rev Med. 1976;27:465-484.Google ScholarCrossref 16. White DP, Zwillich CW, Pickett C, et al: Acetazolamide therapy for central sleep apnea. Am Rev Respir Dis. 1981;123(suppl):177.Google Scholar

Journal

Archives of Internal MedicineAmerican Medical Association

Published: May 1, 1982

Keywords: sleep apnea syndromes,polycythemia,hypoxemia,hypersomnolence,sleep,respiration

References