Chapter

Neuromuscular and skeletal diseases, and obstructive sleep apnoea

John Shneerson

in Supportive Care in Respiratory Disease

Second edition

Published in print January 2012 | ISBN: 9780199591763
Published online May 2012 | e-ISBN: 9780191739149 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199591763.003.0013

Series: Supportive Care Series

Neuromuscular and skeletal diseases, and obstructive sleep apnoea

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Neuromuscular and skeletal disorders affecting respiratory function may cause a variety of symptoms, of which breathlessness is the most prominent. Respiratory insufficiency usually occurs during sleep before it is apparent in wakefulness and can lead to episodes of breathlessness during sleep, early morning headaches due to carbon dioxide retention, and excessive daytime sleepiness due to fragmentation of sleep. This chapter focuses on the symptom of breathlessness, emphasizes the importance of the analysis of the factors contributing to this symptom, and describes the modern methods of supportive care. Most of the symptoms of obstructive sleep apnoea respond to treatment by the closure of the airway during sleep, particularly continuous positive airway pressure treatment. Occasionally, however, there are residual symptoms despite control of the apnoeas themselves and the treatment of these is addressed in the chapter.

Keywords: respiratory function; breathlessness; airway closure; sleep; positive airway pressure treatment; supportive care

Chapter.  7658 words.  Illustrated.

Subjects: Palliative Medicine

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