Dmitriy Kogan1. 1. is a Physician in the Pulmonary Medicine, Critical Care, and Sleep Medicine section at the Clement J. Zablocki VA Medical Center in Milwaukee, Wisconsin, and in the Division of Pulmonary, Critical Care, and Sleep Medicine of the Medical College of Wisconsin.
Abstract
BACKGROUND: Obstructive sleep apnea (OSA) is a common disorder in the US and other industrialized countries. Untreated OSA is associated with increased risk of coronary artery disease, cerebrovascular accidents, uncontrolled diabetes mellitus, poor workplace productivity, increased health care utilization, and higher risk of motor vehicle accidents. Continuous positive airway pressure (CPAP) is a commonly used treatment for OSA. CPAP nonadherence continues to be a major problem in clinical practice. METHODS: Upper airway stimulation (UAS) is an alternative option for management of OSA and has been shown to be safe and effective. This therapy involves electrical stimulation of the hypoglossal nerve to facilitate airway opening in the oropharynx. RESULTS: Although the UAS device is implanted by a surgeon in the operating room, the nonsurgical sleep medicine provider can play an important role in this type of therapy. CONCLUSIONS: This article outlines opportunities for a nonsurgical physician to become a leader in development of an institutional UAS program.
BACKGROUND: Obstructive sleep apnea (OSA) is a common disorder in the US and other industrialized countries. Untreated OSA is associated with increased risk of coronary artery disease, cerebrovascular accidents, uncontrolled diabetes mellitus, poor workplace productivity, increased health care utilization, and higher risk of motor vehicle accidents. Continuous positive airway pressure (CPAP) is a commonly used treatment for OSA. CPAP nonadherence continues to be a major problem in clinical practice. METHODS: Upper airway stimulation (UAS) is an alternative option for management of OSA and has been shown to be safe and effective. This therapy involves electrical stimulation of the hypoglossal nerve to facilitate airway opening in the oropharynx. RESULTS: Although the UAS device is implanted by a surgeon in the operating room, the nonsurgical sleep medicine provider can play an important role in this type of therapy. CONCLUSIONS: This article outlines opportunities for a nonsurgical physician to become a leader in development of an institutional UAS program.
Authors: Patrick J Strollo; Ryan J Soose; Joachim T Maurer; Nico de Vries; Jason Cornelius; Oleg Froymovich; Ronald D Hanson; Tapan A Padhya; David L Steward; M Boyd Gillespie; B Tucker Woodson; Paul H Van de Heyning; Mark G Goetting; Oliver M Vanderveken; Neil Feldman; Lennart Knaack; Kingman P Strohl Journal: N Engl J Med Date: 2014-01-09 Impact factor: 91.245
Authors: B Tucker Woodson; Ryan J Soose; M Boyd Gillespie; Kingman P Strohl; Joachim T Maurer; Nico de Vries; David L Steward; Jonathan Z Baskin; M Safwan Badr; Ho-sheng Lin; Tapan A Padhya; Sam Mickelson; W McDowell Anderson; Olivier M Vanderveken; Patrick J Strollo Journal: Otolaryngol Head Neck Surg Date: 2015-11-17 Impact factor: 3.497
Authors: Patrick J Strollo; M Boyd Gillespie; Ryan J Soose; Joachim T Maurer; Nico de Vries; Jason Cornelius; Ronald D Hanson; Tapan A Padhya; David L Steward; B Tucker Woodson; Johan Verbraecken; Olivier M Vanderveken; Mark G Goetting; Neil Feldman; Frédéric Chabolle; M Safwan Badr; Winfried Randerath; Kingman P Strohl Journal: Sleep Date: 2015-10-01 Impact factor: 5.849
Authors: Ryan J Soose; B Tucker Woodson; M Boyd Gillespie; Joachim T Maurer; Nico de Vries; David L Steward; Kingman P Strohl; Jonathan Z Baskin; Tapan A Padhya; M Safwan Badr; Ho-sheng Lin; Olivier M Vanderveken; Sam Mickelson; Eileen Chasens; Patrick J Strollo Journal: J Clin Sleep Med Date: 2016-01 Impact factor: 4.062
Authors: Varsha G Vimalananda; Donald R Miller; Cindy L Christiansen; Wenyu Wang; Patricia Tremblay; B Graeme Fincke Journal: J Gen Intern Med Date: 2013-07 Impact factor: 5.128