Obstructive Sleep Apnea versus Central Sleep Apnea
Obstructive sleep apnea is when the airwaybecomes narrowed or obstructed and you're making the effort to breathe but we do notsee any flow in air movement coming from your nose or mouth. Where central sleep apnea occurswhere your brain forgets to tell your body to breathe. If we're looking at it from avery simplistic term and so we do not see the drive to breathe. So the first step isto come into the and be seen by one of our physicians in the sleep medicine .We'll go through a questionnaire and try to determine what risk factors we think you havefor sleep apnea such as obesity, snoring, daytime sleepiness and then if we think thatyou have a high risk for meeting those criteria
then we would set you up for a sleep studyeither in your home to do an overnight sleep study or in our laboratory, depending on yoursituation. The CPAP can be used to treat both conditions and, in some patients, that isenough. However, there are some patients that have more complex types of central sleep apneathat require more complicated types of machines to treat that condition. Obstructive sleepapnea actually has been linked to a lot of other problems such as high blood pressureand then, you know, difficulty functioning during the day. If it goes untreated for along period of time there's an increased risk of early heart problems and those types ofthings.
OSA Screening Guidance for AMEs
*Music* *Airplane Sound Effect* Hello. Welcometo this update on Obstructive Sleep Apneascreening guidance for Aviation Medical Examiners. According to the Federal AirSurgeon, the new guidance willsignificantly improve the safety of the NationalAirspace System while
simultaneously improving pilothealth and career longevity. Today, I'll walk youthrough a triage function resulting in six possibledeterminations. But first, a littlehistory on this topic: In 2008 the NTSB providedrecommendations to the FAA to mitigate the safety riskof Obstructive Sleep Apnea. In response to theserecommendations, the FAA developed lectures onsleeprelated disorders
and in particularObstructive Sleep Apnea, to be delivered at alltraining events. Unfortunately, after fiveyears of awareness training, the number of pilotsidentified with OSA was virtually unchanged. It's important to note thatthe NTSB has recently placed OSA on their quot;Most Wantedquot;list for transportation safety improvements for 2015.
As a result, the FAA hasdeveloped new guidance to address thisgrowing concern. This tutorial outlines the processthat AMEs are expected to perform at eachpilot examination. The process is aresult of input given by industrystakeholders and medical practice guidelinesestablished by the American Academy ofSleep Medicine, or AASM.
AMEs will perform what isessentially a triage function screening and assigningpilots into one of six OSA groups while enteringexam results into AMCS. We do not expect theAME to perform a sleep medicine evaluation,nor do we encourage it. When performing the triage, itis important to keep in mind two principles. Number one: Apilot should not be denied or deferred unless the AMEbelieves he or she represents
an immediate safety hazard. This should be rare regardingOSA. And number two: No pilot willbe deferred based on Body Mass Index alone. Let's go over how anAME will assign pilots to the OSA groups. When examining pilots for OSA,AMEs should apply al judgment using criteriadeveloped by the AASM.
Predicting Death From Sleep Apnea
Sleep apnea patients may be at risk. I'm ErinWhite and this is a dailyRX minute. Sleep apnea patients who have have impaired functionalcapacity, or IFC, which is influenced by things like being overweight and smoking, had almosta three times greater general risk of death than those who weren't impaired. s believethat testing for IFC may help identify patients at especially high risk. Ask your abouttreatment for your sleep apnea. For dailyRx TV, I'm Erin White.