title: Consensus & evidence-based INOSA Guidelines 2014 (first edition).
abstract: Obstructive sleep apnoea (OSA) and obstructive sleep apnoea syndrome (OSAS) are subsets of sleep-disordered breathing. Awareness about OSA and its consequences amongst the general public as well as the majority of primary care physcians across India is poor. This necessiated the development of the INdian initiative on Obstructive sleep apnoea (INOSA) guidelines under the auspices of Department of Health Research, Ministry of Health & Family Welfare, Government of India. OSA is the occurrence of an average five or more episodes of obstructive respiratory events per hour of sleep with either sleep related symptoms or co-morbidities or ≥ 15 such episodes without any sleep related symptoms or co-morbidities. OSAS is defined as OSA associated with daytime symptoms, most often excessive sleepiness. Patients undergoing routine health check-up with snoring, daytime sleepiness, obesity, hypertension, motor vehicular accidents and high risk cases should undergo a comprehensive sleep evaluation. Medical examiners evaluating drivers, air pilots, railway drivers and heavy machinery workers should be educated about OSA and should comprehensively evaluate applicants for OSA. Those suspected to have OSA on comprehensive sleep evaluation should be referred for a sleep study. Supervised overnight polysomnography (PSG) is the "gold standard" for evaluation of OSA. Positive airway pressure (PAP) therapy is the mainstay of treatment of OSA. Oral appliances are indicated for use in patients with mild to moderate OSA who prefer oral appliances to PAP, or who do not respond to PAP or who fail treatment attempts with PAP or behavioural measures. Surgical treatment is recommended in patients who have failed or are intolerant to PAP therapy.
authors.affiliation: All India Institute of Medical Sciences
authors.forename: Surendra K
authors.initials: SK
authors.lastname: Sharma
authors.forename: Vishwa Mohan
authors.initials: VM
authors.lastname: Katoch
authors.forename: Alladi
authors.initials: A
authors.lastname: Mohan
authors.forename: T
authors.initials: T
authors.lastname: Kadhiravan
authors.forename: A
authors.initials: A
authors.lastname: Elavarasi
authors.forename: R
authors.initials: R
authors.lastname: Ragesh
authors.forename: Neeraj
authors.initials: N
authors.lastname: Nischal
authors.forename: Prayas
authors.initials: P
authors.lastname: Sethi
authors.forename: D
authors.initials: D
authors.lastname: Behera
authors.forename: Manvir
authors.initials: M
authors.lastname: Bhatia
authors.forename: A G
authors.initials: AG
authors.lastname: Ghoshal
authors.forename: Dipti
authors.initials: D
authors.lastname: Gothi
authors.forename: Jyotsna
authors.initials: J
authors.lastname: Joshi
authors.forename: M S
authors.initials: MS
authors.lastname: Kanwar
authors.forename: O P
authors.initials: OP
authors.lastname: Kharbanda
authors.forename: Suresh
authors.initials: S
authors.lastname: Kumar
authors.forename: P R
authors.initials: PR
authors.lastname: Mohapatra
authors.forename: B N
authors.initials: BN
authors.lastname: Mallick
authors.forename: Ravindra
authors.initials: R
authors.lastname: Mehta
authors.forename: Rajendra
authors.initials: R
authors.lastname: Prasad
authors.forename: S C
authors.initials: SC
authors.lastname: Sharma
authors.forename: Kapil
authors.initials: K
authors.lastname: Sikka
authors.forename: Sandeep
authors.initials: S
authors.lastname: Aggarwal
authors.forename: Garima
authors.initials: G
authors.lastname: Shukla
authors.forename: J C
authors.initials: JC
authors.lastname: Suri
authors.forename: B
authors.initials: B
authors.lastname: Vengamma
authors.forename: Ashoo
authors.initials: A
authors.lastname: Grover
authors.forename: V K
authors.initials: VK
authors.lastname: Vijayan
authors.forename: N
authors.initials: N
authors.lastname: Ramakrishnan
authors.forename: Rasik
authors.initials: R
authors.lastname: Gupta
mesh_terms: D050110:Bariatric Surgery; D017408:Guidelines as Topic; D006801:Humans; D007194:India; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012913:Snoring / Q000503:physiopathology / Q000601:surgery; D014463:Ultrasonography