Sleep Apnoea Treatment at Nanavati Max Hospital

Irregular or unhealthy sleep can lead to serious sleep disorders like sleep apnoea, which is directly linked with a variety of health conditions such as heart disease, depression, obesity and lower life expectancy. There are millions of people in India suffering from chronic, severe sleep disorders and face difficulties sleeping at night, problems with excessive daytime sleepiness, or other medical problems that may occur or exacerbates during sleep.

The Sleep Apnoea Clinic at Nanavati Max Super Speciality Hospital is a comprehensive clinic committed to providing outstanding, compassionate and state-of-the-art patient care for these conditions while advancing treatment methods. Our aim is to provide proficient, convenient, and comprehensive sleep health treatment, to every patient under our care.

Our team of experts consists of specialists in obstructive sleep apnoea, narcolepsy, insomnia, parasomnias, paediatric sleep, restless legs syndrome, and other sleep disorders. Here, our experts follow a multidisciplinary approach to treating patients suffering from a variety of sleep disorders. The excellence and innovation we offer in sleep services are facilitated in a professional manner and in accordance with international standards.

The clinic offers both inpatient and outpatient services to deal with sleep problems and offers advanced patient-centric treatment including continuous positive airway pressure (CPAP) and other therapies.

Conditions We Treat

Some of the major conditions we treat include:
Narcolepsy
Obstructive Sleep Apnoea
Insomnia
Parasomnia (Sleepwalking)
Excessive daytime sleepiness (Idiopathic hypersomnia)
Circadian rhythm sleep disorders
Sleep Movement Disorders
Sleep Deprivation
Sleep Disordered Breathing & Snoring

Comprehensive Services We Offer:

Some of the major services we offer include:

Important Investigation:

Multiple Sleep Latency Test (MSLT)- Also termed as day nap study, MSLT is a standard test used to diagnose disorders such as excessive daytime sleepiness (narcolepsy) and idiopathic hypersomnia. It is performed in a quiet environment to know how quickly a patient can fall asleep during the day.
Maintenance Of Wakefulness Testing (MWT) - The test is performed to know how to alert a patient or his/her ability to stay awake during the day in quiet times of inactivity.
Overnight Diagnostic Polysomnogram (PSG) Or Sleep Study

Types of Sleep Apnea

Sleep apnea is available in three types. This includes:

- Obstructive sleep apnea

- Central sleep apnea

- Complex sleep apnea

Stages of Sleep Apnea

The stages of sleep apnea are classified as follows based on the episodes of apnea that range from 5 to 30+ episodes.

- Mild apnea

- Moderate apnea

- Severe apnea

Signs and Symptoms of Sleep Apnea

Sleep Apnea Symptoms are:

You might be a patient with sleeping disorders if you experience any of the conditions stated below:
Snoring
Unspecified sleep problems
Excessive daytime sleepiness
Difficulty staying asleep or initiating sleep
Morning headaches
Waking up unrefreshed
Witnessed apnoea
Difficulty in maintaining concentration during the day
Experiencing the uncontrollable urge to sleep (this may be associated with vivid dreams, muscle weakness, etc.)
Abnormal limb movements during sleep (most often with lower legs or feet)
Abnormal behaviour during sleep (flailing limbs, yelling, large movement etc.)
Sleep pattern problems (due to shift work disorder, or regular overseas travel)

Causes and Risks Factors of Sleep Apnea

The common causes and risk factors that lead to sleep apnea include:

- Excess weight

- Family history

- Smoking

- Nasal congestion

- Older males

- Medical conditions like heart disorders

Possible Complication of Sleep Apnea

The possible complications related to sleep apnea include the following:

- Daytime fatigue

- High blood pressure

- Type 2 diabetes

- Metabolic syndrome

- Liver problems

Treatment of Sleep Apnea

The treatments for sleep apnea include:

- Continuous positive airway pressure (CPAP)

- Other airway pressure devices

- Oral appliances

- Supplemental Oxygen

- Adaptive servo-ventilation (ASV)

- Treatment for existing medical conditions

One or more treatment options are suggested based on the sleep apnea type and patient’s condition.

Precautions for Sleep Apnea

Some of the ways to prevent sleep apnea include:

- Get to the ideal weight range

- Quit alcohol and smoking

- Get into the habit of sleeping on the side

Prognosis

The treatment options mentioned above offer an appreciating prognosis for nearly 80% of the patients who have been treated for sleep apnea.

Diagnosis and Typical Test for Sleep Apnea

Sleep apnea is diagnosed with home sleep tests. Clinically, it is diagnosed with the help of nocturnal polysomnography. Here, an equipment is attached to the patient which measures vitals including breathing patterns and blood oxygen levels when the patient is asleep.

Pathophysiology

This aspect of sleep apnea mainly involves an interaction between sleep related changes in upper airway function and unfavourable anatomic upper airway susceptibility present in the patient.