Praxis der Schlafmedizin

Stuck, Boris A.; Maurer, Joachim T.; Schredl, Michael; Weeß, Hans‐Günter

doi:10.1007/978-3-642-34881-5

Cited by 15 publications

(15 citation statements)

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“…Mit zunehmendem Schweregrad der OSA nimmt die Erfolgswahrscheinlichkeit einer chirurgischen Therapie ab [3]. Somit sind laut S3 Leitlinie die chirurgischen Verfahren nur bei normal oder leicht übergewichtigen Patienten mit leicht-bis mittelgradiger OSA zu empfehlen [1].…”

Section: Chirurgische Therapieverfahrenunclassified

“…Weitere Hypothesen der Schlaffunktion sind die des Energiesparens (senken der Körpertemperatur) und Konsolidierung von Gedächtnis und Erlerntem. Ferner hat der Schlaf Bedeutung für das Immunsystem und die Ontogenese [3]. Nach den AASM Kriterien können 5 verschiedene Schlafstadien inklusive des Wachzustands (W) unterschieden werden ( • ▶ Tab.…”

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“…Die Schlafhygiene beinhaltet die Anwendung von Verhaltensmaßnahmen, wodurch der Schlafzyklus des Patienten verbessert werden soll. Hierzu zählen die Meidung von Schlafmitteln und Alkohol, die Einhaltung eines stabilen Tag-Nacht-Rhythmus, regelmäßige körperliche Aktivität, keine schweren Mahlzeiten vor dem zu Bettgehen und Einschlafrituale[3]. Therapieform für alle Schweregrade der OSA ist die nächtliche nichtinvasive nasale Beatmungstherapie, die sogenannte CPAP-Beatmung[19].Sie erfolgt als kontinuierliche Überdruckbeatmung (CPAP = continuous positive airway pressure) am spontan atmenden Patienten.…”

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Schlafmedizin – Was sollte der HNO-Arzt (über das Themengebiet) wissen?

Saul¹,

Hoffmann²,

Lindemann³

2015

Laryngo-Rhino-Otol

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The somnology occupies a firm place in medical care of the ENT physician. The S3 guideline "non-restorative sleep/sleep" defines the standards in diagnosis and therapy. Among the sleep-disordered breathing obstructive sleep apnea syndrome is the most common sleep breathing disorder among those aged 30-60 years. The diagnostics is based on a stepwise approach by ambulatory polygraphy and subsequent inpatient polysomnography. Depending on the focus degree of OSA and symptoms of the patient various treatment options surgical and conservative for the ENT specialist are available today. The superior form of therapy for all severities of OSA remains the non-invasive nocturnal airway pressure (CPAP). Detailed knowledge of sleep medicine is essential for differential diagnosis and the correct treatment decision. An interdisciplinary collaboration with a neurologist, pediatrician or pulmonologist should be included in more complex cases.

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Section: Chirurgische Therapieverfahrenunclassified

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Schlafmedizin – Was sollte der HNO-Arzt (über das Themengebiet) wissen?

Saul¹,

Hoffmann²,

Lindemann³

2015

Laryngo-Rhino-Otol

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“…Parasomnien sind bei Kindern häufiger als bei Erwachsenen. Ihre Prävalenz wird unter der erwachsenen Bevölkerung auf etwa 5 % geschätzt [12].…”

Section: Diagnostische Kriterien Der Parasomnienunclassified

Strafrechtliche Implikationen schlafassoziierter Verhaltensstörungen

Bumb¹,

Schredl²,

Dreßing³

2015

Fortschr Neurol Psychiatr

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Parasomnias represent a category of disorders that involve complex behaviors or emotional experiences, arising from or occurring during sleep, which might be also associated with (incomplete) awakening. These phenomena are classified as REM- or Non-REM-parasomnias. In particular the latter, including confusional arousal, sleepwalking and sleep terrors but also REM-sleep behavior disorder might result in criminal consequences. Using polysomnography, the pathophysiological mechanisms of these disorders have been investigated thoroughly. Nevertheless, in German literature, forensic implications of complex behaviors arising from sleep disorders have only been described insufficiently. Here we describe the most relevant parasomnias and also how to proceed in the context of forensic assessments.

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“…Despite the suspected high prevalence of SD in the general population, they are often underidentified by primary care professionals and thus a large percentage of patients remain untreated [ 18 ]. Only in about half of the cases the treating general practitioner knows about sleeping problems [ 50 ]. Given the significant impact of SD on pain experience and the fact that pain is a frequent reason for primary care consultations, the focus of this study was to explore the prevalence and characteristics of CP and SD in primary care patients.…”

Section: Introductionmentioning

confidence: 99%

Chronic Pain and Sleep Disorders in Primary Care

Jank

Gallee²,

Boeckle

et al. 2017

Pain Research and Treatment

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Background Chronic pain (CP) and sleep disorders (SD) are highly prevalent in the general population. However, comprehensive data regarding the prevalence and characteristics of pain and SD in primary care are rare. Methods From N = 578 patients N = 570 were included within 8 weeks (mean age: 50.8 ± 18.7 years, females: 289). Sociodemographic data, Insomnia Severity Index (ISI), and parts of a self-report questionnaire for pain (Multidimensional German Pain Questionnaire) were recorded and additional medical information (pain medication, sleep medication) was gathered from the patient charts. Results Of the total sample, 33.2% (n = 189) suffer from CP (pain ≥ 6 months) and 29.1% (n = 166) from SD. 45.5% of the CP patients suffer from SD and 26.5% from clinical insomnia (ISI ≥ 15). SD (β = 0.872, SE = 0.191, t = 4,572, p < 0.001, CI [0.497; 1.246]) and older age (β = 0.025, SE = 0.005, t = 5.135, p < 0.001, CI [0.015; 0.035]) were significantly associated with pain experience. Conclusion About a quarter of CP patients suffer from clinical insomnia. The suggested bidirectional relation should be considered during comprehensive assessment and treatment of patients.

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Praxis der Schlafmedizin

Cited by 15 publications

References 0 publications

Schlafmedizin – Was sollte der HNO-Arzt (über das Themengebiet) wissen?

Schlafmedizin – Was sollte der HNO-Arzt (über das Themengebiet) wissen?

Strafrechtliche Implikationen schlafassoziierter Verhaltensstörungen

Chronic Pain and Sleep Disorders in Primary Care

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