Find in Library
Search millions of books, articles, and more
Indexed Open Access Databases
Development of a Clinical Pathway and Technical Aspects of Upper Airway Stimulation Therapy for Obstructive Sleep Apnea
oleh: Olivier M. Vanderveken, Olivier M. Vanderveken, Olivier M. Vanderveken, Jolien Beyers, Jolien Beyers, Sara Op de Beeck, Sara Op de Beeck, Marijke Dieltjens, Marijke Dieltjens, Marc Willemen, Johan A. Verbraecken, Johan A. Verbraecken, Wilfried A. De Backer, Wilfried A. De Backer, Paul H. Van de Heyning, Paul H. Van de Heyning, Paul H. Van de Heyning
Format: | Article |
---|---|
Diterbitkan: | Frontiers Media S.A. 2017-09-01 |
Deskripsi
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.