6 - ENT - Upper airway - OSA - Complications, Assessment, Management Flashcards Preview

CP2 > 6 - ENT - Upper airway - OSA - Complications, Assessment, Management > Flashcards

Flashcards in 6 - ENT - Upper airway - OSA - Complications, Assessment, Management Deck (11):
1

neurocognitive consequences

deterioration in memory, concentration, and intellectual capability

2

CV consequences

HTN, possibly, IHD, CVA

3

Other consequences

impotence, GORD

4

What is looked at/for in physical examination

endoscopy of airway and tonsils
exam of mandible and tongue
hypothyroid? acromegaly?

5

What 5 other assessments can be done

sleep studies
polysomnography
epworth sleepiness scale
ambulatory pulse oximetry
upper airway pressure assessment

6

sleep study vs polysomnography

ss - overnight studies - ECG, sats, movement, AV recordings
polyss - extended sleep study, EEG, electrooculogram

7

management of simple snoring and OSAHS

ss - lifestyle, oral devices, some surgery
OSAHS - gold standard is CPAP

8

Lifestyle changes for managing OSA

lose weight, decrease alcohol, smoking, avoid sedatives, sleep on side, partner sleep first using ear plugs

9

conservative mgmt of OSA

jaw advancement devices, nasal splints

10

medical mgmt of OSA

resp stimulants - increase upper airway tone
CPAP

11

what 6 surgical mgmt procedures can be done

ADENOTONSILLECTOMY
nasal - polypectomy, turbinectomy
uvulopalatopharyngoplasty
radiofrequency procdures
maxillofacial surgery
tracheostomy as last resort

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