Development of a Clinical Pathway and Technical Aspects of Upper Airway Stimulation Therapy for Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is a common disease with high morbidity and related mortality. Narrowing and collapse of the pharyngeal airway during sleep characterize the disease, resulting in a decrease (hypopnea) or a complete cessation (apnea) of oronasal airflow. Upper airway stimulation (UAS),...

Full description

Saved in:
Bibliographic Details
Published in:Frontiers in neuroscience 2017-09, Vol.11, p.523-523
Main Authors: Vanderveken, Olivier M, Beyers, Jolien, Op de Beeck, Sara, Dieltjens, Marijke, Willemen, Marc, Verbraecken, Johan A, De Backer, Wilfried A, Van de Heyning, Paul H
Format: Article
Language:English
Subjects:
Apnea
care pathways
complete concentric collapse
drug-induced sleep endoscopy
Endoscopy
Hospitals
Hypoglossal nerve
hypoglossal nerve stimulation
Morbidity
Neuroscience
neurostimulation
Ostomy
pathophysiology
Patients
Pharynx
Respiration
Respiratory tract
Sleep
Sleep apnea
Sleep disorders
Standardization
Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Obstructive sleep apnea (OSA) is a common disease with high morbidity and related mortality. Narrowing and collapse of the pharyngeal airway during sleep characterize the disease, resulting in a decrease (hypopnea) or a complete cessation (apnea) of oronasal airflow. Upper airway stimulation (UAS), using electrical neurostimulation of the hypoglossal nerve (n. XII) synchronized with ventilation, is a novel, evolving treatment option. UAS was found to be an effective treatment in CPAP-intolerant patients. The treatment success is partly due to the strict selection of the patients, based on previous findings. Furthermore, post-operative follow-up is needed in order to maintain or improve treatment outcome. Therefore, a clinical pathway, which provides structure and standardization, is crucial. In this paper, the aim is to discuss the technical aspects of UAS therapy and to describe a clinical pathway to organize the care process of UAS for OSA in a structured and standardized way.
ISSN:1662-4548
1662-453X
1662-453X
DOI:10.3389/fnins.2017.00523