Obstructive sleep apnoea

Abstract 

Obstructive sleep apnoea occurs during sleep, when there is repeated pharyngeal collapse obstructing the airway, and causing repeated awakenings from sleep. Sufferers complain of unrefreshing sleep, daytime somnolence, and bed partners usually report snoring with frequent apnoeic attacks. Problems with tasks requiring concentration, such as driving, are common, and in severe sleep apnoea the rate of road traffic accidents secondary to sleepiness is known to be high. Investigation with a sleep study is required to confirm the diagnosis and severity, before the decision is made to initiate life-long treatment with nasal continuous positive airways pressure treatment. Milder cases may respond to a jaw advancement device, and weight loss.

Keywords: continuous positive airways pressure, daytime somnolence, jaw advancement device, obstructive sleep apnoea, snoring