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BY
AHMAD YOUNES
PROFESSOR OF THORACIC MEDICINE
Mansoura Faculty of Medicine
SLEEP DISORDERED BREATHING
• The standard parameters used to record sleep
and wake are electroencephalography (EEG),
electro-oculography (EOG), electromyography
(EMG), airflow measurement, respiratory effort
measurement, electrocardiography (ECG),
oxygen saturation, snoring monitor, and sleep
position evaluation.
• All these parameters are recorded in
polysomnography which is the gold standard
for diagnosis of Sleep disordered breathing .
Types of Sleep disordered breathing includes :
1-Obstructive sleep apnea syndrome in which
inadequate ventilation occurs despite continued
efforts to breath due to upper airway
obstruction.
2- Central sleep apnea syndrome in which
inadequate ventilation occurs resulting from
absent or diminished respiratory effort.
3-Sleep hypoventilation syndrome in which > 10
mm Hg increase in PaCO2 during sleep in
comparison with an awake supine value.
Apnea: is defined as the drop in peak airflow by >90% of baseline for
10 seconds or longer and at least 90% of the event duration meet the
amplitude reduction.