[Practical guidelines for the diagnosis and treatment of obstructive sleep apnea syndrome].
Obstructive sleep apnoea syndrome (OSAS) is one of the most relevant chronic respiratory pathologies due to its high prevalence and impact in morbidity and mortality. In 2001, the Asociación Argentina de Medicina Respiratoria (AAMR) published the first Argentinean Consensus on Sleep-Related breathing Disorders. Since then, wide new scientific evidence has emerged, increasing significantly the knowledge about this pathology. According to this, the Sleep-Related breathing Disorders and Oxygen Therapy Section of the AAMR, decided to update its Consensus, developing this Practical Guidelines on Management of patients with OSAS. A working group was created with members belonging to the section, experts in OSAS. They extensively reviewed the literature and wrote these guidelines, orientated to practical resolution of clinical problems and giving answers to questions emerged from dealing with patients who suffer from this syndrome. The document defines OSAS and describes the diagnosis and severity criteria, as well as the risk factors, ways of presentation and epidemiology. Clinical consequences, mainly on cognition, cardiovascular system and metabolism are pointed out. Different diagnostic methods, with their indications and technical aspects for validation and interpretation are detailed. Finally, we describe therapeutic alternatives, as well as practical aspects of their implementation. The authors' aim was to generate an accessible tool for teaching and spreading the knowledge on these disorders, which have a great impact in public health.
Sección Sueño, Oxigenoterapia y otros Cuidados Respiratorios Domiciliarios, Asociación Argentina de Medicina Respiratoria, Buenos Aires. nogueirafacundo@speedy.com.ar
Facundo
F
Nogueira
Carlos
C
Nigro
Hugo
H
Cambursano
Eduardo
E
Borsini
Julio
J
Silio
Jorge
J
Avila
D001118:Argentina; D006801:Humans; D019186:Mandibular Advancement / Q000379:methods; D010092:Oximetry; D017286:Polysomnography; D012307:Risk Factors; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D012955:Societies, Medical
guidelines; hypersomnolence; polysomnography; sleep apnea syndromes