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Slaap-registratie

Slaap-registratie. Maurits de Ruiter (MD, DDS) NVTS pre-conference course 4 april 2019. Polysomnografie. 1. EEG - Electro- encephalography 2. ECG - Electro- cardiography 3. EOG - Electro- oculography 4. EMG - Electro- myography 5. Nasal and oral airflow 6. Pulse-oximetry

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Slaap-registratie

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  1. Slaap-registratie Maurits de Ruiter (MD, DDS) NVTS pre-conference course 4 april 2019

  2. Polysomnografie • 1. EEG - Electro-encephalography • 2. ECG - Electro-cardiography • 3. EOG - Electro-oculography • 4. EMG - Electro-myography • 5. Nasalandoralairflow • 6. Pulse-oximetry • 7. Body position • minimum of 12 channelsrequiring 22 wireattachments

  3. Richtlijn OSA (2018)

  4. Richtlijn OSA (2018)

  5. Peripheral Arterial Tonometry (PAT) 14 studies 909 patiensavailablefor pooling Overall, correlation of the RDI and AHI was high (r = 0.889 [95% CI, 0.862-0.911]; P < .001). Studies comparingthe RDI between PAT and PSG had a combinedcorrelation of 0.879 (95% CI, 0.849-0.904; P < .001); thosecomparingthe AHI, 0.893 (0.857-0.920; P < .001); andthosecomparingthe ODI, 0.942 (0.894-0.969; P < .001). Yalamanchali, Sreeya, et al. "Diagnosis of obstructive sleep apneabyperipheral arterial tonometry: meta-analysis." JAMA Otolaryngology–Head & Neck Surgery 139.12 (2013): 1343-1350.

  6. The WatchPat (ItamarMedical, Ltd) Pulseoximetry Actigraphy Peripheral Arterial Tonometry (PAT) Yalamanchali, Sreeya, et al. "Diagnosis of obstructive sleep apneabyperipheral arterial tonometry: meta-analysis." JAMA Otolaryngology–Head & Neck Surgery 139.12 (2013): 1343-1350.

  7. Discussie • Niet in: • Patiënten met verdenking centraal slaapapneu • Periodiclimbmovement disorder • Moderate or severe pulmonarydisease • Neuromusculardisease • Congestiveheart failure Yalamanchali, Sreeya, et al. "Diagnosis of obstructive sleep apneabyperipheral arterial tonometry: meta-analysis." JAMA Otolaryngology–Head & Neck Surgery 139.12 (2013): 1343-1350.

  8. Discussie • Wat kan PAT NIET? • differentieren tussen de verschillende type van slaapapneu (central, obstructive, mixed) • Advies van meeste studies is excluderen van patiënten met • Diabetes • Perifere neuropathy • Vasculopathy • Cardiovasculaire aandoeningen • Gebruik van α-adrenergic receptor–blockingagents. Yalamanchali, Sreeya, et al. "Diagnosis of obstructive sleep apneabyperipheral arterial tonometry: meta-analysis." JAMA Otolaryngology–Head & Neck Surgery 139.12 (2013): 1343-1350.

  9. DiagnOSAS - OSAsense • Digitale vragenlijst • Berlin Questionnaire • STOP-BANG • Athens insomnia scale • Pulseoximeter

  10. ECTOsense - NightOwl

  11. Veel meer pulsoximeters…

  12. ECTOsense - NightOwl

  13. ECTOsense - NightOwl

  14. Samenvattend • PSG gouden standaard • PG type 3 en PAT mogelijk voor diagnostiek, maar onder specifieke voorwaarden • Onderscheid maken voor toepassing: • Screening • Diagnose • Follow-up • Nieuwe ontwikkelingen heel interessant!!

  15. Hartelijk dank voor uw aandacht Maurits de Ruiter m.h.deruiter@amc.uva.nl

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