Obstructive Sleep Apnoea

Data gathering

  • Red flags – fall asleep while driving
  • Others – witnesses, snoring, concentrating, daytime sleepiness
  • Examine – BMI, ENT


Clinical management

  • Investigations
    • Epworth sleepiness scale
    • Bloods – FBC, TFTs
  • Explanation
    • breathing stops for short spells when asleep, occurs because throat muscles relax and become so floppy they block the airway – this wakes you up briefly several times at night
  • Treatment
    • Lifestyle – weight loss, decrease alcohol, stop smoking, sleep on side, ear plugs for partner
    • Mandibular advancement device (dental appliance similar to gum shield)
    • Safety net – if above not helping
  • Follow-up / Safety net
    • Refer sleep clinic – sleep study, CPAP, surgery
    • DVLA (if daytime sleepiness)