Archive for the ‘sleep apnea and commercial drivers’ 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.

Sleep Apnea and Commercial Drivers

Tuesday, October 4th, 2011

sleep apnea and commercial driversCommercial truck accidents are serious due to the size, weight and speed of these large vehicles. The Federal Motor Carrier Administration’s (FCMSA) Large Truck Crash Study revealed that 50% of such accidents result in fatal or incapacitating injuries. The truck driver was judged to be at fault in 87% of these crashes, and in 7% of cases the driver admitted to having fallen asleep while driving. Truck accidents result in over 5200 deaths annually and more than 125,000 injuries proving that sleep apnea and commercial drivers are a deadly combination. These figures are likely the tip of the iceberg regarding the total number of truck crashes due to driver fatigue. The prevalence of sleep apnea and commercial drivers is believed to be between 17% to 28%. Given that there are roughly 14 million commercial drivers license holders in the United States, somewhere between 2.4 and 3.9 million of these drivers are expected to be affected by OSA.

Unfortunately, OSA often remains unrecognized or unreported by professional drivers and their employers, as well as undiagnosed by physicians. OSA has been shown to significantly increase a driver’s likelihood of driving drowsy. Medical research demonstrates that undiagnosed sleep apnea and commercial drivers have an increased risk for falling asleep while driving and increases the possibility of an individual developing health issues such as hypertension, stroke, ischemic heart disease, and mood disorders.