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Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
Sleep apnea and driving accidents
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Sleep apnea and driving accidents

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Sleep Apnea and Traffic Accidents: By Dr.K.O.Paulose. FRCS DLO …

Sleep Apnea and Traffic Accidents: By Dr.K.O.Paulose. FRCS DLO
Consultant ENT Surgeon
Jubilee Hospital, Trivandrum,South India.
www.drpaulose.com www.snorefreesleep.com

Published in: Health & Medicine, Business
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  • 1. SLEEP APNEA AND DRIVING ACCIDENTS Dr.K.O.Paulose FRCS DLO Consultant ENT Surgeon Jubilee Hospital, Trivandrum South Indiawww.drpaulose.com,www.snorefreesleep.com
  • 2. Avoid Falling AsleepWhile DrivingEvery year, over 100,000 accidentdeaths2,500 deaths are caused by driverfatigue
  • 3. RTA related Sleep debt
  • 4. Sleep Apnea and Sleep Debt
  • 5. Accidents more in early morning
  • 6. Sleep Apnea can kill others too
  • 7. Funeral Driving
  • 8. Lack of sleep affectsdriver fatiguereaction timejudgment and abilityto concentrate
  • 9. When Is It Most Likely To Happen?1 pm and 4 pmand 2 am and 6am.
  • 10. Warning Signs of Drowsy DrivingYawningInability to keep eyes openDrifting out of the laneHitting rumble strips
  • 11. What Can Be Done?Caffeine, stimulants and other tricks, loud music,washing face-temporaryAvoid sleep debt- sleep 7-9 hrs/dayTake Breaks-will allow you to stretch, move andwake up Pull over in a safe area to napAwareness among patients, relatives, and Trafficpolice-DLThe only long-lasting solution is to get adequatesleep.
  • 12. Definition of Sleep ApneaApnea is defined as a cessation of oronasalairflow of at least 10-30 seconds in durationWhen it occurs 30 or more times during a 7-hour period of nocturnal sleep.>10 episodes per night
  • 13. Types of Sleep ApneaCSA- brain stem -bulbar polio stroke, abrain tumor, a viral brain infectionOSA- upper airway obstructionMixed- with chronic respiratory disease
  • 14. Description of OSAUpper airway narrowingLoud snoringWake upGasping for airFall back to sleep
  • 15. Snoring and OSA can lead to divorceThe spouse cannotsleepSeparate bed roomMarital discordLack of sex driveEJDInfertilityLack of libido
  • 16. Causes of OSA
  • 17. Mechanism of Snoring and OSA
  • 18. Symptoms of OSALoud snoringFrequent cessation of breathing (apnea) during sleep.Choking sensation, Sudden awakeningsSnorting or gasping for breath during sleepingObeseExtreme daytime sleepinessProblems concentratingMemory lossPoor judgmentPersonality changes such as irritation, depressionlowest oxygen saturation(LSAT)>Hypoxia>HypercarbiaPickwickian syndrome
  • 19. Obesity OSA Diabetes
  • 20. Snoring is not funny
  • 21. ComplicationsSocial-relationship, accidentsPulmonary hypertensionHypertension, arrhythmiasType 2 DiabetesCVA
  • 22. DiagnosisGood History: Talking to the patientand the spouseQuestionnaire. Epworth Scale
  • 23. Sleep Study or Polysomnogram (PSG) Home Sleep Study or LabDiagnostic Overnight PSGEEG or electroencephalogram,EMG or electromyogram,EOG or electro-oculogramECG or electrocardiogramNasal Airflow SensorOximeterSnore Microphone and video recording
  • 24. Sleep Lab Study
  • 25. Treatment of Sleep ApneaWeight reduction, Diet, ExerciseAvoiding sleep on ones back.Avoid alcoholic beverages, smoking , hypnotic orsedative drugs.Dental appliances, oral devices, and lower jawadjustment devicesMedical- Nasal decongestants, physostigmine,provilgil (increase daytime alertness)CSA-Mechanical ventilatorCPAP -CPAP is not a cure, but a support measure
  • 26. CPAP
  • 27. CPAP in Children?
  • 28. Surgical TreatmentHyoid AdvancementLingualoplasty-tongue reductionMandibular osteotomyNasal SurgeryTS ADS in ChildrenSomnoplasty( RF soft palate)Uvulopalatopharyngoplasty (UPPP)Tracheostomy- *last option
  • 29. LASER ASSISTED UVULOPLASTYLAUP and LAPT: to cure snoring andsleep apneaStarted doing Laser since 1996More than 1000 cases since then
  • 30. Laser Surgery as OPD ProcedureLaser Surgery wasdone in OPDPatient discomfortVasovagal SyncopeBad smell of burningtissueComplaints fromneighboring clinics
  • 31. OPD Set Up of Laser
  • 32. Laser surgery Started in SUT Hospital 2007
  • 33. Laser Team
  • 34. Laser Surgeon
  • 35. Anatomy of Throat
  • 36. Anatomy of Nose
  • 37. Elongated Uvula and Soft palate
  • 38. LAUP in OPD
  • 39. LAUP Procedure under LA
  • 40. After LAUP
  • 41. Snoring in Women
  • 42. LAUP in Women
  • 43. Laser surgery of Nose
  • 44. Before LAUP
  • 45. After LAUP
  • 46. Laser Surgery Nose:LAPT
  • 47. Laser Surgery Nose
  • 48. Laser Surgery of Nose:polyps
  • 49. Laser Septoplasty:LA
  • 50. Laser cautery of Nose
  • 51. Laser surgery Throat
  • 52. Laser Surgery Tongue
  • 53. Pre Op Endoscopy
  • 54. Narrow Retro palatal Area
  • 55. www.drpaulose.comwww.snorefreesleep.com

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