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Supportive Care in Respiratory Disease$
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Sam H. Ahmedzai, David R. Baldwin, and David C. Currow

Print publication date: 2012

Print ISBN-13: 9780199591763

Published to Oxford Scholarship Online: May 2012

DOI: 10.1093/acprof:oso/9780199591763.001.0001

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Neuromuscular and skeletal diseases, and obstructive sleep apnoea

Neuromuscular and skeletal diseases, and obstructive sleep apnoea

Chapter:
(p.215) Chapter 13 Neuromuscular and skeletal diseases, and obstructive sleep apnoea
Source:
Supportive Care in Respiratory Disease
Author(s):

John Shneerson

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199591763.003.0013

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

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