The Experts below are selected from a list of 81537 Experts worldwide ranked by ideXlab platform
G. Brookes - One of the best experts on this subject based on the ideXlab platform.
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Sleep related breathing disorders in the shy drager syndrome observations on investigation and management
European Journal of Neurology, 1996Co-Authors: J. Harcourt, P. Spraggs, C. Mathias, G. BrookesAbstract:We report on 18 patients with the Shy-Drager syndrome who were referred for assessment of a Sleep-related breathing disorder. The main symptoms of snoring, apnoea, stridor and daytime hypersomnolence were detailed and vocal cord movement graded by laryngoscopy as normal, mild weakness of abduction or near paralysis of vocal cord movement Sleep Studies involving oximetry and observations were performed. Obstructive and central apnoeas were detected in six patients. Many patients with near paralysis of vocal cord abduction had normal Sleep Studies. Successful management strategies of obstructive cases included CPAP, nasal surgery and tracheostomy or arytenoidectomy alone or in combination. Sleep-related breathing disorders in the Shy-Drager syndrome may involve significant nocturnal desaturation; investigation with suitable medical or surgical treatment should be employed in these patients.
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Sleep-related breathing disorders in the Shy–Drager syndrome. Observations on investigation and management
European journal of neurology, 1996Co-Authors: J. Harcourt, P. Spraggs, C. Mathias, G. BrookesAbstract:We report on 18 patients with the Shy-Drager syndrome who were referred for assessment of a Sleep-related breathing disorder. The main symptoms of snoring, apnoea, stridor and daytime hypersomnolence were detailed and vocal cord movement graded by laryngoscopy as normal, mild weakness of abduction or near paralysis of vocal cord movement Sleep Studies involving oximetry and observations were performed. Obstructive and central apnoeas were detected in six patients. Many patients with near paralysis of vocal cord abduction had normal Sleep Studies. Successful management strategies of obstructive cases included CPAP, nasal surgery and tracheostomy or arytenoidectomy alone or in combination. Sleep-related breathing disorders in the Shy-Drager syndrome may involve significant nocturnal desaturation; investigation with suitable medical or surgical treatment should be employed in these patients.
Adam T. Whittle - One of the best experts on this subject based on the ideXlab platform.
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Use of home Sleep Studies for diagnosis of the Sleep apnoea/hypopnoea syndrome.
Thorax, 1997Co-Authors: Adam T. Whittle, S.p. Finch, I L Mortimore, T. W. Mackay, Neil J. DouglasAbstract:BACKGROUND: A study was undertaken to test the hypothesis that unsupervised domiciliary limited Sleep Studies do not impair the accuracy of diagnosis when used to investigate the Sleep apnoea/hypopnoea syndrome (SAHS) and can be cheaper than laboratory polysomnography. METHODS: For validation, 23 subjects with suspected SAHS underwent laboratory polysomnography and a home study (EdenTec 3711) on successive nights. All subjects with > 15 apnoeas + hypopnoeas (A + H)/hour on polysomnography showed > 30 A + H/hour on their home study. Thereafter, in a prospective trial 150 subjects had a home study as the initial investigation and Studies showing > 30 events/hour were regarded as diagnostic of SAHS. Those showing fewer events were investigated with polysomnography if necessary. Time to treatment, outcome, and costs of this protocol were compared with those of 75 patients investigated initially with polysomnography. RESULTS: Of the prospective trial subjects, 29% had > 30 A + H/hour and proceeded directly from home study to treatment; 15% without daytime Sleepiness were not investigated further. Polysomnography was undertaken to establish a diagnosis in 56% of cases, including 18% whose home Studies were unsuccessful. Compared with the 75 control patients, this protocol gave a diagnosis faster (median 18 (range 0-221) versus 47 (0-227) days, p < 0.001) and more cheaply (mean (SD) 164 pounds (104) versus 210 pounds (0), p < 0.001). The proportions offered CPAP (61% versus 67%) and subsequent objective CPAP usage (mean 4.7 (2.4) versus 5.0 (2.4) hours/night) were not different. CONCLUSIONS: Use of home Sleep Studies has benefits in time and cost. For diagnostic reliability a further Sleep study was required in 56% of cases.
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use of home Sleep Studies for diagnosis of the Sleep apnoea hypopnoea syndrome
Thorax, 1997Co-Authors: Adam T. Whittle, S.p. Finch, I L Mortimore, T. W. Mackay, N. J. DouglasAbstract:BACKGROUND: A study was undertaken to test the hypothesis that unsupervised domiciliary limited Sleep Studies do not impair the accuracy of diagnosis when used to investigate the Sleep apnoea/hypopnoea syndrome (SAHS) and can be cheaper than laboratory polysomnography. METHODS: For validation, 23 subjects with suspected SAHS underwent laboratory polysomnography and a home study (EdenTec 3711) on successive nights. All subjects with > 15 apnoeas + hypopnoeas (A + H)/hour on polysomnography showed > 30 A + H/hour on their home study. Thereafter, in a prospective trial 150 subjects had a home study as the initial investigation and Studies showing > 30 events/hour were regarded as diagnostic of SAHS. Those showing fewer events were investigated with polysomnography if necessary. Time to treatment, outcome, and costs of this protocol were compared with those of 75 patients investigated initially with polysomnography. RESULTS: Of the prospective trial subjects, 29% had > 30 A + H/hour and proceeded directly from home study to treatment; 15% without daytime Sleepiness were not investigated further. Polysomnography was undertaken to establish a diagnosis in 56% of cases, including 18% whose home Studies were unsuccessful. Compared with the 75 control patients, this protocol gave a diagnosis faster (median 18 (range 0-221) versus 47 (0-227) days, p < 0.001) and more cheaply (mean (SD) 164 pounds (104) versus 210 pounds (0), p < 0.001). The proportions offered CPAP (61% versus 67%) and subsequent objective CPAP usage (mean 4.7 (2.4) versus 5.0 (2.4) hours/night) were not different. CONCLUSIONS: Use of home Sleep Studies has benefits in time and cost. For diagnostic reliability a further Sleep study was required in 56% of cases.
J. Harcourt - One of the best experts on this subject based on the ideXlab platform.
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Sleep related breathing disorders in the shy drager syndrome observations on investigation and management
European Journal of Neurology, 1996Co-Authors: J. Harcourt, P. Spraggs, C. Mathias, G. BrookesAbstract:We report on 18 patients with the Shy-Drager syndrome who were referred for assessment of a Sleep-related breathing disorder. The main symptoms of snoring, apnoea, stridor and daytime hypersomnolence were detailed and vocal cord movement graded by laryngoscopy as normal, mild weakness of abduction or near paralysis of vocal cord movement Sleep Studies involving oximetry and observations were performed. Obstructive and central apnoeas were detected in six patients. Many patients with near paralysis of vocal cord abduction had normal Sleep Studies. Successful management strategies of obstructive cases included CPAP, nasal surgery and tracheostomy or arytenoidectomy alone or in combination. Sleep-related breathing disorders in the Shy-Drager syndrome may involve significant nocturnal desaturation; investigation with suitable medical or surgical treatment should be employed in these patients.
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Sleep-related breathing disorders in the Shy–Drager syndrome. Observations on investigation and management
European journal of neurology, 1996Co-Authors: J. Harcourt, P. Spraggs, C. Mathias, G. BrookesAbstract:We report on 18 patients with the Shy-Drager syndrome who were referred for assessment of a Sleep-related breathing disorder. The main symptoms of snoring, apnoea, stridor and daytime hypersomnolence were detailed and vocal cord movement graded by laryngoscopy as normal, mild weakness of abduction or near paralysis of vocal cord movement Sleep Studies involving oximetry and observations were performed. Obstructive and central apnoeas were detected in six patients. Many patients with near paralysis of vocal cord abduction had normal Sleep Studies. Successful management strategies of obstructive cases included CPAP, nasal surgery and tracheostomy or arytenoidectomy alone or in combination. Sleep-related breathing disorders in the Shy-Drager syndrome may involve significant nocturnal desaturation; investigation with suitable medical or surgical treatment should be employed in these patients.
Neil J. Douglas - One of the best experts on this subject based on the ideXlab platform.
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Use of home Sleep Studies for diagnosis of the Sleep apnoea/hypopnoea syndrome.
Thorax, 1997Co-Authors: Adam T. Whittle, S.p. Finch, I L Mortimore, T. W. Mackay, Neil J. DouglasAbstract:BACKGROUND: A study was undertaken to test the hypothesis that unsupervised domiciliary limited Sleep Studies do not impair the accuracy of diagnosis when used to investigate the Sleep apnoea/hypopnoea syndrome (SAHS) and can be cheaper than laboratory polysomnography. METHODS: For validation, 23 subjects with suspected SAHS underwent laboratory polysomnography and a home study (EdenTec 3711) on successive nights. All subjects with > 15 apnoeas + hypopnoeas (A + H)/hour on polysomnography showed > 30 A + H/hour on their home study. Thereafter, in a prospective trial 150 subjects had a home study as the initial investigation and Studies showing > 30 events/hour were regarded as diagnostic of SAHS. Those showing fewer events were investigated with polysomnography if necessary. Time to treatment, outcome, and costs of this protocol were compared with those of 75 patients investigated initially with polysomnography. RESULTS: Of the prospective trial subjects, 29% had > 30 A + H/hour and proceeded directly from home study to treatment; 15% without daytime Sleepiness were not investigated further. Polysomnography was undertaken to establish a diagnosis in 56% of cases, including 18% whose home Studies were unsuccessful. Compared with the 75 control patients, this protocol gave a diagnosis faster (median 18 (range 0-221) versus 47 (0-227) days, p < 0.001) and more cheaply (mean (SD) 164 pounds (104) versus 210 pounds (0), p < 0.001). The proportions offered CPAP (61% versus 67%) and subsequent objective CPAP usage (mean 4.7 (2.4) versus 5.0 (2.4) hours/night) were not different. CONCLUSIONS: Use of home Sleep Studies has benefits in time and cost. For diagnostic reliability a further Sleep study was required in 56% of cases.
N. J. Douglas - One of the best experts on this subject based on the ideXlab platform.
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use of home Sleep Studies for diagnosis of the Sleep apnoea hypopnoea syndrome
Thorax, 1997Co-Authors: Adam T. Whittle, S.p. Finch, I L Mortimore, T. W. Mackay, N. J. DouglasAbstract:BACKGROUND: A study was undertaken to test the hypothesis that unsupervised domiciliary limited Sleep Studies do not impair the accuracy of diagnosis when used to investigate the Sleep apnoea/hypopnoea syndrome (SAHS) and can be cheaper than laboratory polysomnography. METHODS: For validation, 23 subjects with suspected SAHS underwent laboratory polysomnography and a home study (EdenTec 3711) on successive nights. All subjects with > 15 apnoeas + hypopnoeas (A + H)/hour on polysomnography showed > 30 A + H/hour on their home study. Thereafter, in a prospective trial 150 subjects had a home study as the initial investigation and Studies showing > 30 events/hour were regarded as diagnostic of SAHS. Those showing fewer events were investigated with polysomnography if necessary. Time to treatment, outcome, and costs of this protocol were compared with those of 75 patients investigated initially with polysomnography. RESULTS: Of the prospective trial subjects, 29% had > 30 A + H/hour and proceeded directly from home study to treatment; 15% without daytime Sleepiness were not investigated further. Polysomnography was undertaken to establish a diagnosis in 56% of cases, including 18% whose home Studies were unsuccessful. Compared with the 75 control patients, this protocol gave a diagnosis faster (median 18 (range 0-221) versus 47 (0-227) days, p < 0.001) and more cheaply (mean (SD) 164 pounds (104) versus 210 pounds (0), p < 0.001). The proportions offered CPAP (61% versus 67%) and subsequent objective CPAP usage (mean 4.7 (2.4) versus 5.0 (2.4) hours/night) were not different. CONCLUSIONS: Use of home Sleep Studies has benefits in time and cost. For diagnostic reliability a further Sleep study was required in 56% of cases.
