WSS and OSA… What we NEED to know Ned Barnes, RPSGT, RST, CCSH, Clinical Sleep Educator Tiffin Mercy Hospital Sleep Improvement Center A Catholic healthcare ministry serving Ohio and Kentucky

Normal Breathing While Asleep Airway is Open

Normal Breathing While Asleep Airway is Open Air flow is Unobstructed

Normal Breathing While Asleep Airway is Open Air flow is Unobstructed Brain is at Rest

Obstructive Pattern Air Flow is Obstructed

Obstructive Pattern Air Flow is Obstructed Brain is Unable to Effectively Rest

Cycle of Obstructive Sleep Onset of Snoring

Cycle of Obstructive Sleep Onset of Snoring Airway Narrows

Normal Obstructed

Cycle of Obstructive Sleep Onset of Snoring Airway Narrows Breathing Becomes Labored or Stops

Cycle of Obstructive Sleep Onset of Snoring Sleep is Airway Disrupted Narrows Breathing Becomes Labored or Stops

Cycle of Obstructive Sleep Onset of Snoring Sleep is Airway Disrupted Narrows Breathing Becomes Labored or Stops

What Does OSA Do? Causes Hardening of the Arteries Dr. Louis Tartaglia, MD, DABSM

What Does OSA Do? Causes Hardening of the Arteries High Blood Pressure Heart Attack Stroke Excessive Weight (BMI) Erectile Dysfunction Dr. Louis Tartaglia, MD DABSM

What Does OSA Do? Decreases Blood Oxygen During Sleep Dr. Louis Tartaglia, MD DABSM

What Does OSA Do? Decreases Blood Oxygen During Sleep Headaches Cardiac Arrhythmia A-Fib Dr. Louis Tartaglia, MD DABSM

What Does OSA Do? 80% correlation to onset of Diabetes in Patients with Moderate to Severe OSA who do not use CPAP. 2007 study, University of Chicago

What Does OSA Do? OSA is now linked with Cancer 2016 BRPT Clinical Sleep Educator Seminar Dr. Naresh A. Dewan, MD

Symptoms of OSA Fatigue and/or Excessive Daytime Sleepiness

Symptoms of OSA Fatigue and/or Excessive Daytime Sleepiness Falling Asleep at Inappropriate Times

Symptoms of OSA Fatigue and/or Excessive Daytime Sleepiness Falling Asleep at Inappropriate Times Recurrent Awakening from Sleep

Symptoms of OSA Fatigue and/or Excessive Daytime Sleepiness Falling Asleep at Inappropriate Times Recurrent Awakening from Sleep Trouble Concentrating

American Academy of Sleep Medicine ‘Hidden Health Crisis Costing America Billions’ Article: Monday August 8, 2016

American Academy of Sleep Medicine ‘Hidden Health Crisis Costing America Billions’ Article: Monday August 8, 2016 ‘OSA is a chronic disease that is rising in prevalence in the U.S…OSA afflicts 29.4 million American men and women, which represents 12 percent of the U.S. adult population…’

Weidemann-Steiner Syndrome Obstructive Sleep Apnea and Sleep Disorders

Weidemann-Steiner Syndrome Developmental Syndromes with a propensity for Obstructive Sleep Apnea… --Down Syndrome --Weidemann-Steiner Syndrome --Prader Willi Syndrome --Williams Syndrome --Kabuki Syndrome

Weidemann-Steiner Syndrome Developmental Syndromes with a propensity for Obstructive Sleep Apnea… --Down Syndrome --Weidemann-Steiner Syndrome --Prader Willi Syndrome --Williams Syndrome --Kabuki Syndrome Common Denominator: Lack of patent airway in sleep, due to Hypotonia and/or facial/airway anatomical structure

Weidemann-Steiner Syndrome Complications of untreated OSA in developmental years… --Cognative Development and Function --Physical Growth and overall health --Cardiovascular issues Dr. Daniel J. Sak D.O., FCCP

Weidemann-Steiner Syndrome Airway issues Sleep Stages and Architecture Parasomnias

Weidemann-Steiner Syndrome Airway issues Sleep Stages and Architecture Parasomnias

Weidemann-Steiner Syndrome Allison’s Airway…

Weidemann-Steiner Syndrome

Weidemann-Steiner Syndrome Airway issues Sleep Stages and Architecture Parasomnias

Weidemann-Steiner Syndrome Stage 1… Sleep Onset (transitional)… Stage 2… Consolidated Sleep (unrestorative) Stage 3… Slow Wave Sleep (physically restorative) REM… Rapid Eye Movement (mentally/cognitively restorative)

Weidemann-Steiner Syndrome Normal Adult Sleep Architecture… Stage 1… 8% - 10% Stage 2… 41% - 56% Stage 3… 16% - 20% REM… 20% – 29%

Weidemann-Steiner Syndrome Normal Adult Sleep Architecture… Stage 1… 8% - 10% Stage 2… 41% - 56% Stage 3… 16% - 20% (30% - 60% in developing years) REM… 20% – 29%

Weidemann-Steiner Syndrome Stage 1… Sleep Onset (transitional)… Stage 2… Consolidated Sleep (unrestorative) Stage 3… Slow Wave Sleep (Insufficient N3 may yield Physical Development, Metabolism and/or Immune System affects) REM… Rapid Eye Movement (Insufficient REM may yield Cognitive Issues i.e. memory and/or emotional stability)

Weidemann-Steiner Syndrome Airway issues Sleep Stages and Architecture Parasomnias

Weidemann-Steiner Syndrome Parasomniaˌ[perəˈsämnēə] a disorder characterized by abnormal or unusual behavior of the nervous system during sleep. --Sleep Walking (Talking) --Bed Wetting --Bruxism --Head Banging (rolling) --Sleep/Wake interface anomalies --Night Terrors

How to get help for Sleep Disorders… PCP Referral Consultation with a Sleep Specialist Overnight Sleep Study (PSG or HST) Follow Up with Sleep Specialist CPAP Titration (if indicated by PSG) Referral to DME Supplier of Choice Regular Follow Ups with Sleep Specialist

Tiffin Mercy Sleep Wellness Center

WSS and OSA… What we NEED to know Thanks for Coming WSS and OSA… What we NEED to know Ned Barnes, RPSGT, RST, CCSH, Clinical Sleep Educator Tiffin Mercy Hospital Sleep Improvement Center A Catholic healthcare ministry serving Ohio and Kentucky