Volumen 64,Numero 1, Suplemento SAHOS, Revista de la Facultad de Medicina

Publicado

2017-08-02

Tratamiento médico del síndrome de apnea-hipopnea obstructiva del sueño (SAHOS)

Medical treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS)

DOI:

https://doi.org/10.15446/revfacmed.v65n1Sup.59727

Palabras clave:

Apnea del sueño obstructiva, Síndromes de la apnea del sueño, Terapia combinada. (es)
Sleep Apnea, Obstructive, Sleep Apnea Syndromes, Combined Modality Therapy. (en)

Descargas

Autores/as

  • Karem Parejo-Gallardo Fundación Clínica Shaio - Bogotá D.C. - Colombia.
  • Claudia Mariana Saltos-Cristiano Hospital Santa Clara - Bogotá D.C. - Colombia.

El tratamiento de síndrome de apnea obstructiva del sueño busca solucionar los signos y síntomas relacionados con la enfermedad, así como la reducción del índice de apnea-hipopnea y las desaturaciones, para así disminuir los riesgos y comorbilidades vinculados a este trastorno. Sin embargo, esta enfermedad requiere tratamiento a largo plazo, con terapias combinadas y desarrolladas por un equipo multidisciplinario. El tratamiento médico se debe realizar en todos los pacientes, aun si se requieren terapias adicionales. Asimismo, este síndrome se puede asociar a otras enfermedades que necesitan tratamiento específico.

The treatment of the obstructive sleep apnea syndrome (OSAHS) seeks to solve the signs and symptoms related to the disease, as well as to reduce the apnea-hypopnea index (AHI) and the desaturations, to achieve a decrease of associated risks and comorbidities. However, this disease requires long-term treatment, with combined therapies developed by a multidisciplinary team. Medical treatment should be performed on all patients, even if additional therapies are necessary. In addition, this syndrome may be associated with other diseases that need specific treatment.

Referencias

Nogueira F, Nigro C, Cambursano H, Borsini E, Silio J, Ávila J. Guías prácticas de diagnóstico y tratamiento del síndrome de apneas e hipopneas obstructivas del sueño. Medicina. 2013;73(4):349-62.

Qaseem A, Holty JE, Owens DK, Dallas P, Starkey M, Shekelle P. Management of obstructive sleep apnea in adults: A clinical practice guideline from the American College of Physicians. Ann Intern Med. 2013;159(7):471-83. http://doi.org/bnsh.

Kushida CA, Littner MR, Hirshkowitz M, Morgenthaler TI, Alessi CA, Bailey D, et al. Practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep-related breathing disorders. Sleep. 2006;29(3):375-80.

Kushida CA, Morgenthaler TI, Littner MR, Alessi CA, Bailey D, Coleman J Jr, et al. Practice parameters for the treatment of snoring and Obstructive Sleep Apnea with oral appliances: an update for 2005. Sleep. 2006;29(2):240-3.

Thorpy M, Chesson A, Derderian S. Practice parameters for the treatment of obstructive sleep apnea in adults: the efficacy of surgical modifications of the upper airway. Report of the American Sleep Disorders Association. Sleep. 1996;19(2):152-5.

Sharma S, Katosh V, Mohan A, Kadhiravan T, Elavarasi A, Ragesh R, et al. Consensus and evidence-based Indian initiative on obstructive sleep apnea guidelines 2014. Lung India. 2015;32(4):422-34. http://doi.org/bnsj.

Qaseem A, Dallas P, Owens DK, Starkey M, Holty JE, Shekell. Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2014;161(3):210-20. http://doi.org/bnsh.

Randerath WJ, Verbraecken J, Andreas S, Bettega G, Boudewyns A, Hamans E, et al. Non-CPAP therapies in obstructive sleep apnoea. Eur Respir J. 2011;37(5):1000-28. http://doi.org/d6q4rv.

Morgenthaler TI, Kapen S, Lee-Chiong T, Alessi C, Boehlecke B, Brown T, et al. Practice parameters for the medical therapy of obstructive sleep apnea. Sleep. 2006;29(8):1031-5.

Ravesloot MJ, van Maanen JP, Dun L, de Vries N. The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea-a review of the literature. Sleep Breath. 2012;17(1):39-49. http://doi.org/bnsk.

Johansson K, Neovius M, Lagerros YT, Harlid R, Rössner S, Granath F, Hemmingsson E. Effect of a very low energy diet on moderate and severe obstructive sleep apnoea in obese men: A randomised controlled trial. BMJ. 2009;339:b4609. http://doi.org/c8rb29.

Dobrosielski DA, Patil S, Schwartz AR, Bandeen-Roche K, Stewart KJ. Effects of exercise and weight loss in older adults with obstructive sleep apnea. Med Sci Sports Exerc. 2015;47(1):20-6. http://doi.org/bnsm.

Lin YN, Li QY, Zhang XJ. Interaction between smoking and obstructive sleep apnea: Not just participants. Chin Med J. 2012;125(17):3150-6.

Mason M, Welsh EJ, Smith I. Drug therapy for obstructive sleep apnoea in adults. Cochrane Database of Systematic Reviews. 2013;31(5):CD003002. http://doi.org/bmk5.

Inoue Y, Takasaki Y, Yamashiro Y. Efficacy and safety of adjunctive modafinil treatment on residual excessive daytime sleepiness among nasal continuous positive airway pressure-treated Japanese patients with obstructive sleep apnea syndrome: A double-blind placebo-controlled study. J Clin Sleep Med. 2013;9(8):751-7. http://doi.org/bnsn.

Kay GG, Feldman N. Effects of armodafinil on simulated driving and self-report measures in obstructive sleep apnea patients prior to treatment with continuous positive airway pressure. J Clin Sleep Med. 2013;9(5):445-54. http://doi.org/bnsp.

Park, CY, Hong JH, Lee JH, Lee KE, Cho HS, Lim SJ, et al. Clinical effect of surgical correction for nasal pathology on the treatment of obstructive sleep apnea syndrome. PLoS ONE. 2014;9(6):e98765. http://doi.org/bnsq.

Singhal P, Gupta R, Sharma R, Mishra P. Association of naso-Oro-pharyngeal structures with the sleep architecture in suspected obstructive sleep apnea. Indian J Otolaryngol Head Neck Surg. 2014;66(Suppl 1):81-7. http://doi.org/b6nx4c.

Michels Dde S, Rodrigues A, Nakanishi M, Sampaio AL, Venosa AR. Nasal Involvement in Obstructive Sleep Apnea Syndrome. Int J Otolaryngol. 2014;2014:717419. http://doi.org/bnsr.

Huseni S, Gutierrez MJ, Rodriguez-Martinez CE, Nino CL, Perez GF, Pancham K, et al. The link between rhinitis and rapid-eye-movement sleep breathing disturbances in children with obstructive sleep apnea. Am J Rhinol Allergy. 2014;28(1):e56-61. http://doi.org/bnss.

Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, et al. Clinical practice guideline: allergic rhinitis executive summary. Otolaryngol Head Neck Surg. 2015;152(2):197-206. http://doi.org/bnst.

Dimensions

PlumX

Visitas a la página del resumen del artículo

1825

Descargas

Los datos de descarga aún no están disponibles.

Cómo citar

Parejo-Gallardo, K., & Saltos-Cristiano, C. M. (2017). Tratamiento médico del síndrome de apnea-hipopnea obstructiva del sueño (SAHOS). Revista De La Facultad De Medicina, 65(1Sup), 103-103. https://doi.org/10.15446/revfacmed.v65n1Sup.59727

Licencia

Derechos de autor 2017 Revista de la Facultad de Medicina

Creative Commons License

Esta obra está bajo una licencia Creative Commons Reconocimiento 3.0 Unported.

-