Archive for the ‘commercial driver sleep apnea’ Category

Sleep Apnea.. Did you know?

Wednesday, November 21st, 2012

Snoring. Fatigue. Long pauses in breathing. These are just a couple of symptoms and warning signs of sleep apnea. Similar to seeing smoke alerting you of a fire, daytime sleepiness or gasping for air during your sleep can alert you to sleep apnea and should be mentioned to your doctor. If left untreated it could lead to diabetes, heart failure or stroke. Possible treatments of sleep apnea include therapies, surgeries and even an implant that shocks you every time the airways in your lungs close. Each of these possible treatments does include a list of pros and cons.

Therapies for sleep apnea include CPAP (Continuous Positive Airway Pressure) or BiPAP (Bilevel Positive Airway Pressure) machines designed to continuously deliver various pressure of air into the nose or mouth in order to keep the airway passages open for the free flow of air into your lungs. The pro to this treatment is not having to get surgery. If going under the knife doesn’t please you, then wearing a mask over your nose or mouth during slumber is your best bet. However, the con to this treatment is wearing the mask at night. Many PAP users feel the masks can be quite obtrusive and uncomfortable during slumber. If you’re a stomach sleeper then you would certainly need to adjust your sleeping habit in order to wear a PAP mask. Another con, of course, would have to be constantly replacing your PAP supplies every 3 to 6 months. Bacteria build-up and deterioration is common when using these machines on a daily basis. Make sure you have insurance that will cover durable medical equipment.

If wearing a mask on a nightly basis doesn’t necessarily tickle your fancy, you might want a more permanent treatment to your restless night’s sleep. The most commonly performed surgeries to combat sleep apnea include nasal surgery (correction of nasal problems such as a deviated septum), Uvulopalatopharyngoplasty – UPPP (surgically removing the soft tissue in the back of your throat and palate in order to increase the width of the airway at the opening of the throat) and Mandibular maxillar advancement surgery (constructive surgery to improve a birth defect in your face or throat that may contribute to sleep apnea). The pro to this treatment is that it is permanent. The con would be having to go under the knife which might scare a lot of OSA sufferers.

In some cases especially with only mild cases, weight loss or cutting cigarettes and alcohol out of your diet can improve your night’s slumber. Therapies and surgeries are suggested by your doctor only in moderate or severe cases. If either of these does not sound pleasing to you, you can always look into shock treatment like a Wisconsin man did earlier this year. Dan Gutzman, husband and father of two in Milwaukee, tried a CPAP and could not get used to it. He thought surgery was far too drastic. His doctor explained the shock treatment to him as a nerve stimulator that sends an electric shock wave to his lungs and tongue when his airway is blocked and snoring occurs. If you’d rather not sleep with probes in your mouth and lungs and think an electric shock is just scary, keep to a CPAP therapy treatment.

Increasing Standards for Sleepy Truck Drivers

Thursday, May 24th, 2012

Tougher standards for commercial driver sleep apnea are being proposed by the Federal Motor Carrier Safety Administration (FMCSA). Recommendations from the medical community and an advisory panel representing industry, enforcement, labor and safety advocacy interests, for how medical examiners should evaluate the condition are being adopted. commercial driver sleep apneaThe panels recommendation was that FMCSA should require medical examiners to evaluate drivers with a body mass index of 35 or more for sleep apnea. While the recommendation provides guidance to examiners, the panels see this as an interim step toward a comprehensive rule in the industry.

Recommended conditions that should trigger immediate disqualification of a driver pending evaluation and treatment for commercial driver sleep apnea would be falling asleep while driving or having a fatigue-related crash.

The determination of a body mass index of 35 being the trigger for screening is a result of research that shows BMI, a measurement of body fat based on height and weight, is a primary indicator that a person may have sleep apnea. The higher a driver’s BMI, the greater the likelihood of sleep apnea. There are other indicators, such as male gender and middle age, but BMI is an effective tool for medical examiners to make the initial screening.

Sleep apnea can lead to chronic fatigue, which can result in negative performance issues such as lapses of attention, slowed reaction time and distractibility. According to Charles Czeisler, professor of sleep medicine at Harvard Medical School, “The crash risk for a person with sleep apnea is 242% greater than a person without the disorder.”

Commercial Driver Sleep Apnea

Monday, October 31st, 2011

commercial driver sleep apneaPeople with sleep apnea, especially commercial driver sleep apnea, need to be evaluated by a medical professional in order to get the treatment they need. Treatment requires an individualized program that focuses on the needs of the person experiencing this debilitating disorder.

Commercial driver sleep apnea needs a complete medical history, physical examination and specific testing done immediately. The condition usually will not respond well to drug therapy. Treatment protocol requires commitment and determination by both the doctor and the patient.

Lifestyle and behavioral changes are a must in the treatment of commercial driver sleep apnea. Mild cases of the disorder respond well to changes as simple as sleep position. Losing weight is a treatment option recommended for obese individuals. Episodes can also be reduced by using special devices that keep individuals on their side during sleep.

For more serious cases of commercial driver sleep apnea, continuous positive airway pressure (CPAP) is usually recommended. It is the most widely used and effective treatment method in use today. The patient sleeps with a mask while continuous air is forced through the nasal passages into the airways. This prevents the throat from collapsing during sleep. Some side effects that might be experienced are nasal irritation, abdominal bloating and headaches. Doctors sometimes prescribe dental appliances for the patient to wear in an effort to control sleep apnea.