{"id":353,"date":"2017-03-26T13:10:45","date_gmt":"2017-03-26T13:10:20","guid":{"rendered":"http:\/\/papergp.com\/index.php\/ent\/obstructive-sleep-apnoea\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"obstructive-sleep-apnoea","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/others\/misc\/obstructive-sleep-apnoea\/","title":{"rendered":"Obstructive Sleep Apnoea"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; fall asleep while driving<\/li>\n<li>Others &#8211; witnesses, snoring, concentrating, daytime sleepiness<\/li>\n<li>Examine &#8211; BMI, ENT<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Epworth sleepiness scale<\/li>\n<li>Bloods &#8211; FBC, TFTs<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>breathing stops for short spells when asleep, occurs because throat muscles relax and become so floppy they block the airway &#8211; this wakes you up briefly several times at night<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle &#8211; weight loss, decrease alcohol, stop smoking, sleep on side, ear plugs for partner<\/li>\n<li>Mandibular advancement device (dental appliance similar to gum shield)<\/li>\n<li>Safety net &#8211; if above not helping<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net\n<ul>\n<li>Refer sleep clinic &#8211; sleep study, CPAP, surgery<\/li>\n<li>DVLA (if daytime sleepiness)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; fall asleep while driving Others &#8211; witnesses, snoring, concentrating, daytime sleepiness Examine &#8211; BMI, ENT &nbsp; Clinical management Investigations Epworth sleepiness scale Bloods &#8211; FBC, TFTs Explanation breathing stops for short spells when asleep, occurs because throat muscles relax and become so floppy they block the airway &#8211; this wakes &hellip; <a href=\"https:\/\/papergp.com\/index.php\/others\/misc\/obstructive-sleep-apnoea\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Obstructive Sleep Apnoea<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2487,"menu_order":205,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-353","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=353"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/353\/revisions"}],"predecessor-version":[{"id":2042,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/353\/revisions\/2042"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2487"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}