Clinical Case Database / Category: Patient Management
Management of obstructive sleep apnoea
Publication details
David E Simcock MB, BS, MRCP, Himender K Makker DM, FRCP
Foundation Years Journal, volume 3, issue 6, p.40 (123Doc Education, London, July 2009)
Abstract
A 46-year-old shopkeeper, originally from Bangladesh, presents to the sleep clinic after referral by the ENT surgeons. His GP had originally referred him to ENT following complaints from his wife about loud snoring, to which he is oblivious. ENT examination was unremarkable. He is a smoker, drinks alcohol each evening and has no previous medical history, however, his blood pressure is under surveillance in the community and he has recently had some blood tests to look at his blood glucose and lipids. His wife is upset that her husband has changed, is becoming withdrawn and she has had to move to sleep in another room in the house. He feels un-refreshed after a night's sleep and his wife also reports finding him asleep on the sofa when she return from work in the evening. His BMI is 30, oxygen saturations of 96% and normal spirometry.
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Authors
David E Simcock MB, BS, MRCP
David E Simcock MB, BS, MRCP
Specialist Registrar
Department of Thoracic Medicine
University College London Hospital
Grafton Way
London WC1E 6AU
david.simcock@kcl.ac.uk
Himender K Makker DM, FRCP
Consultant Physician/Senior Lecturer in Respiratory Medicine
Sleep Unit
Department of Thoracic Medicine
University College London Hospital
Grafton way
London WC1E 6AU
email: Himender.makker
Himender.makker@uclh.nhs.uk
References
1. Scottish Intercollegiate Guideline Network. Management of obstructive
sleep apnoea/hypopnoea syndrome in adults (guideline no. 73). Available at: www.sign.ac.uk.
2. Kelly E, Cullen G, McGurk C. Obstructive sleep apnoea in patients with type 2 diabetes. Thorax, July 2007, 62(7):651.
3. Bradley TD, Floras JS. Obstructive sleep apnoea and its cardiovascular consequences. Lancet, January 2009, 3;373(9657):82–93.
4. Stradling J. Driving and obstructive sleep apnoea. Thorax, June 2008, 63(6):481–483.
5. Schlosshan D, Elliott MW. Sleep 3: Clinical presentation and diagnosis of the obstructive sleep apnoea hypopnoea syndrome. Thorax, April 2004, 59(4):347–352.
6. Shneerson J, Wright J. Lifestyle modification for obstructive sleep apnoea (Cochrane Review). The Cochrane Database of Systematic Reviews, 2001, (3):CD002875.
7. McDaid C, Griffin S, Weatherly H, Durée K, van der Burgt M, van Hout S, Akers J, Davies RJ, Sculpher M, Westwood M. Continuous positive airway pressure devices for the treatment of obstructive sleep apnoea/hypopnoea syndrome: a systematic review and economic analysis. Health Technol Assess, January 2009, 13(4):iii–iv, xi-xiv, 1–119, 143–274.
8. Lim J, Lasserson TJ, Fleetham J, Wright J. Oral appliances for obstructive sleep apnoea. Cochrane Database Syst Rev, January 2006, 25(1):CD004435.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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