Obstructive Sleep Apnoea
Steps in Assessment & Management
Summary & Recommendations
Introduction
Definition
Prevalence
Pathophysiology
Comorbidities & Complications
Presentation & Risk Factors
Screening
Assessment - History
Assessment - Questionnaires
Assessment - Fitness to Drive
Physical Examination
Management of Risk Factors
Sleep Studies & Referral
Treatment Options - Weight Reduction
Treatment Options - Continuous Positive Airway Pressure (CPAP)
Treatment Options - Mandibular Advancement Splint (MAS)
Treatment Options - Positional Therapy (PT)
Treatment Options - Surgery
Treatment Options - Pharmacologic
Co-morbid Insomnia & OSA
Review, CPAP Adherence, & Follow-up
OSA Questionnaires
Epworth Sleepiness Scale (ESS)
OSA50
STOP-Bang
Insomnia
Insomnia - Steps in Assessment & Management
Summary
Acute Insomnia
Introduction
Definition
Prevalence
Pathogenesis, Risk Factors & Development
Co-morbid Insomnia
Clinical Presentation
Assessment – Sleep History
Assessment – Questionnaires
Management
Basic Sleep and Sleep Hygiene Education
Brief Behavioural Therapy for Insomnia (BBTi)
Bedtime Restriction Therapy
Stimulus Control Therapy
Relaxation Techniques
Cognitive Behavioural Therapy for Insomnia (CBTi)
Referral to Psychologist
Bright Light Therapy
Pharmacological Therapy
Insomnia Questionnaires
Sleep Condition Indicator (SCI)
Insomnia Severity Index (ISI)
Resources
OSA resources
Insomnia resources
About
CPAP
MAS
ESS
OSA50
STOP-Bang
Referral
Fitness to drive
Acute insomnia
CBTi
BBTi
Sleep hygiene
Sleep Health Primary Care Resources
Obstructive Sleep Apnoea
OSA50
Answer the following questions to determine a risk of Obstructive Sleep Apnea (OSA)
Obesity
Waist circumference - Males >102cm or Females >88cm. Measured at the level of the umbilicus.
Snoring
Has your snoring ever bothered other people?
Apneas
Has anyone observed you stop breathing or choking/gasping during your sleep?
Age
Are you aged 50 years or over?
Epworth Sleepiness Scale (ESS)
STOP-Bang
Chai-Coetzer CL, et al. Thorax 2011;66:213-19
