P484 Rapid reduction of anti-hypertensive medications and insulin requirements post tracheostomy in a patient with severe obstructive sleep apnea syndrome - a cautionary tale

Bhimaraj, Arvind; Havaligi, Navasuma; Ramachandran, Siva

doi:10.1016/j.sleep.2006.07.301

Cited by 2 publications

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“…Other studies have also demonstrated that tracheostomies successfully decrease systemic hypertension . In addition, there is a case study that demonstrated a significant decrease in insulin requirement 9 days after a tracheostomy was performed . Tilkian et al and other studies have demonstrated that tracheostomies improved cardiac arrhythmia control and in some cases even allowed for reversal .…”

Section: Introductionmentioning

confidence: 95%

“…Later, Lugaresi et al and Coccagna et al described treating patients with hypersomnia and periodic breathing with tracheostomies who subsequently demonstrated complete resolution of hypersomnia, normalization of systemic and pulmonary pressures, and normalization of blood gas values . Other studies have also demonstrated that tracheostomies successfully decrease systemic hypertension . In addition, there is a case study that demonstrated a significant decrease in insulin requirement 9 days after a tracheostomy was performed .…”

Section: Introductionmentioning

confidence: 99%

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Tracheostomy as Treatment for Adult Obstructive Sleep Apnea

et al. 2013

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Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Tracheostomy as Treatment for Adult Obstructive Sleep Apnea

et al. 2013

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“…Tracheotomy is effective at preventing arrhythmias, reducing pulmonary artery pressure and improving hypertension and diabetes in patients with OSA along with reported resolution of nocturnal symptoms and daytime sleepiness [41][42][43] . Unfortunately, tracheotomy has several problems including patient dissatisfaction (e.g.…”

Section: Tracheotomymentioning

confidence: 99%

Diagnosis and Management of Obstructive Sleep Apnea

Mehta¹,

Ariga²

2014

J Biol Sci Opin

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Sleep is defined as a naturally recurring state characterized by altered consciousness, relatively inhibited sensory activity and inhibition of nearly all voluntary muscles. Poor sleep quality results in excessive daytime sleepiness, impaired health status, depressive symptoms and poor quality of life. Upper airway sleep disorders (UASD) are becoming commonly recognized by medical and dental communities. Snoring is a mild form of these disorders. Obstructive Sleep Apnea (OSA) is a severe yet under-diagnosed sleep related breathing disorder. It is characterized by repetitive complete or partial occlusion of the upper airway, resulting in apnea, hypopnea, oxygen desaturation and sleep fragmentation. OSA can lead to a series of systemic, dental and psychological problems if left untreated. Efforts have been made to pin-point the symptoms to effectively evaluate this disorder and to efficiently treat it. This review gives a brief description on the evaluation criteria, associated systemic complications and series of invasive and non invasive treatment options for management and improvement of individuals affected with OSA.

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P484 Rapid reduction of anti-hypertensive medications and insulin requirements post tracheostomy in a patient with severe obstructive sleep apnea syndrome - a cautionary tale

Cited by 2 publications

References 0 publications

Tracheostomy as Treatment for Adult Obstructive Sleep Apnea

Tracheostomy as Treatment for Adult Obstructive Sleep Apnea

Diagnosis and Management of Obstructive Sleep Apnea

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