Nasal Pillow Interfaces Evolve

New launches showcase trends such as minimal face contact, noise reducing technology, and a natural feel.

Some sleep apnea patients will tell you that it’s not always easy to sleep with a CPAP mask. Escaping air can create a loud hissing noise that wakes them up during the night. The headgear can feel claustrophobic and restrictive. Tight straps that keep the mask securely in place can dig into the skin and leave marks the next morning. Some patients may find that nasal pillow masks are less bulky, make minimal contact with the face, and allow them to move more freely. These masks continue to evolve, offering lighter, more comfortable interfaces.

“I find that a lot of patients are pulling away from the full facemask. They want the very small, petite, noninvasive, nonintrusive, nasal masks,” says Russell Rozensky, MS, RRT-SDS, CPFT, RPSGT, program director at The Stony Brook School of Health Technology and Management’s Polysomnographic Technology Program in New York.

“A lot of the full facemasks cause a certain level of anxiety for patients and with the new nasal pillows, and the smaller nasal interfaces, it makes it a lot more comfortable for patients to sleep with,” says Rozensky.

When working with a new patient, Rozensky will first have them try a nasal pillow mask. If there isn’t enough pressure or if the sleep apnea is severe, he might move them to a full face mask, but then

Specific Obstructive Sleep Apnea Subtype at Greatest Risk of Cardiovascular Disease

Adults with obstructive sleep apnea (OSA) who experience excessive sleepiness while awake appear to be at far greater risk for cardiovascular diseases than those without excessive daytime sleepiness, according to new research published online in the American Thoracic Society’s American Journal of Respiratory and Critical Care Medicine.

In “Symptom Subtypes of Obstructive Sleep Apnea Predict Incidence of Cardiovascular Outcomes,” Diego R. Mazzotti, PhD, and coauthors report on a study of adults with moderate to severe OSA who were categorized into 4 subtypes according to the symptoms they report: disturbed sleep, minimally symptomatic, moderately sleepy, and excessively sleepy.

Previous studies have linked OSA and cardiovascular disease. To understand this association better, researchers have begun to categorize patients with OSA based on their symptoms.

“Multiple studies from our group have shown that patients with moderate to severe OSA throughout the world can be categorized into specific subtypes based on their reported symptoms,” says Mazzotti, lead study author and a sleep researcher at the University of Pennsylvania. “However, until now, it was unclear whether these subtypes had different clinical consequences, especially in regard to future cardiovascular risk.”

The current study analyzed data from 1,207 adults participating in the Sleep Heart Health Study, available from the National Sleep Research Resource. Patients were 40 years old or older at enrollment and were followed for nearly 12 years. The patients had moderate to severe OSA, which was defined as having at least 15

Can Snoring Be Stopped?

It is interesting that many people get easily annoyed when they hear the loud snoring sounds from sleeping snorers when in reality 1/2 of all adults actually snore. We are speaking of millions of individuals who emit snore sounds once they sleep at night. From your youth until the present, you probably know so many people who are guilty of snoring and the majority of us eventually accepted snoring as part of the norm.

Unfortunately, along with snoring are its medical risks that endanger the snorer’s life and make the life of the non-snoring partner miserable as they endure long and sleepless nights without reprieve from their snoring partner’s annoying nighttime habit.

Snorers may suffer from daytime fatigue, chronic sleeplessness, and sleep deprivation as their sleep quality deteriorates every single night. The airway is blocked and the snorer often gasps for air in their sleep. They experience constant breathing gaps now and then that makes it difficult for the body to pump life-giving oxygen to the brain and the other parts of the body, which can affect certain body functions negatively over time.

There are two types of snorers: Those who know they snore (a partner or family member told them so) and those who think they sleep soundly … But don’t.

Nearly half of all adults snore, which is bad news for their partners and their general health. The body’s reactions to snoring can lead to disrupted sleep

Surgery to Move Jaws Improves Outcomes in Obstructive Sleep Apnea Patients

Surgery that moves both jaws forward—known as maxillomandibular advancement (MMA)—is a significantly effective and safe treatment for obstructive sleep apnea (OSA), resulting in benefits that include improved breathing, daytime wakefulness and quality of life, as well as a lower cardiovascular risk, according to a new study.

MMA should be regarded as the preferred treatment for patients with moderate to severe OSA who cannot stick with the treatment of continuous positive airway pressure (CPAP) or declined CPAP as a long-term treatment, researchers concluded in the study published in the February issue of the Journal of Oral and Maxillofacial Surgerythe official journal of the American Association of Oral and Maxillofacial Surgeons (AAOMS).

During OSA, airway muscles, large tonsils, the tongue, or excess tissue obstruct the airway, resulting in breathing dangerously stopping and starting during sleep. The condition can result in excessive daytime sleepiness, lower quality of life, and impaired cognitive function that impacts daily activities. The sleep disorder is associated with high blood pressure, diabetes, and cardiovascular disease. CPAP, the standard accepted therapy for OSA, blows air to keep the airways open.

The multicenter study included 30 adult patients with severe OSA, most of them overweight and male, who underwent MMA because they were unable to continue CPAP therapy or they declined to use CPAP long term. Data were recorded before and after surgery.

After patients underwent MMA, researchers found the patients experienced significant improvements in sleep-disordered breathing, sleepiness, sleep-specific

Too Much, Too Little Sleep Linked to Increased Cardiovascular Disease Risk

The amount of time you sleep, including daytime naps, is linked to your risk of developing cardiovascular disease and death, according to a study of over 116,000 people in 7 regions of the world, published in the European Heart Journal.

The researchers found that people who slept for longer than the recommended duration of 6 to 8 hours a day had an increased risk of dying or developing diseases of the heart or blood vessels in the brain. Compared to people who slept for the recommended time, those who slept a total of 8 to 9 hours a day had a 5% increased risk; people sleeping between 9 and 10 hours a day had an increased risk of 17% and those sleeping more than ten hours a day had a 41% increased risk. They also found a 9% increased risk for people who slept a total of 6 or fewer hours, but this finding was not statistically significant.

Before adjusting for factors that might affect the results, the researchers found that for every 1000 people sleeping six or fewer hours a night, 9.4 developed cardiovascular disease (CVD) or died per year; this occurred in 7.8 of those sleeping 6 to 8 hours, 8.4 of those sleeping 8 to 9 hours, 10.4 of those sleeping 9 to 10 hours and 14.8 of those sleeping more than 10 hours.

The lead author of the publication, Chuangshi Wang, a PhD student at

How Does Sleep Protect Against Heart Disease? Mouse Study Offers Insight

Researchers say they are closer to solving the mystery of how a good night’s sleep protects against heart disease. In studies using mice, they discovered a previously unknown mechanism between the brain, bone marrow, and blood vessels that appears to protect against the development of atherosclerosis, or hardening of the arteries—but only when sleep is healthy and sound. The study, funded by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health, will appear in the journal Nature.

The discovery of this pathway underscores the importance of getting enough quality sleep to maintain cardiovascular health and could provide new targets for fighting heart disease, the leading cause of death among women and men in the United States, the researchers say.

“We’ve identified a mechanism by which a brain hormone controls production of inflammatory cells in the bone marrow in a way that helps protect the blood vessels from damage,” says Filip Swirski, PhD, the study’s lead author who also is an associate professor at Harvard Medical School and Massachusetts General Hospital, in a release. “This anti-inflammatory mechanism is regulated by sleep, and it breaks down when you frequently disrupt sleep or experience poor sleep quality. It’s a small piece of to a larger puzzle.”

Swirski notes that while other similar mechanisms may exist, the findings are nonetheless exciting. Recent research has linked sleep deficiency and certain sleep disorders, such as sleep apnea, to an

Childhood Sleep Deprivation — 11 Ways it Can Affect Your Child

childhood sleep deprivationDo you have a tantrum-throwing, fussy, emotional child? If so, you may be dealing with a case of sleep deprivation. Sleep is incredibly important for all of us, especially our children.

Shorter Sleep Affects Academics and Behavior

Rebecca G. Astill of the Department of Sleep and Cognition at the Netherlands Institute for Neuroscience conducted a study researching the effects of sleep impairment in children.

In this study, Astill’s study examined more than 35,000 children ages 5 to 12. She was looking at how sleep affected school performance and behavior.

Astill found that shorter episodes of sleep resulted in poor academic performance, and that these same children had more behavioral issues than their well-rested peers.

“The suggestion that insufficient sleep in children affects cognitive performance and aggravates behavioral problems is of particular practical relevance given the increasing tendency towards curtailment of their sleep,” she concluded.

As if this were not motivation enough, there is evidence that lack of sleep can contribute to an increased risk of obesity, diabetes, and hyperactivity. Additionally, recent studies have shown that some children diagnosed with ADHD may actually be sleep deprived. So how can you tell if your child needs more sleep?

11 Signs of Sleep Deprivation in Toddlers and Children

  • Overly emotional (explosive temper tantrums, easily hurt feelings, no patience)
  • Difficult to wake in the morning
  • Difficulty concentrating or focusing during play
  • Taking long, or excessive naps
  • Hyperactivity
  • Defiant or contrary behavior
  • Difficulty falling

Is There Love In Sharing A Bed Or Sleeping Apart?

With the day of ‘lurve’ just around the corner, nothing beats finishing off Valentine’s day curling up in bed with your partner – before kicking them out to go sleep in the spare bedroom! And who said romance was dead? According to our 2017 Great British Bedtime Report* while the majority of us (76%) still […]

The post Is There Love In Sharing A Bed Or Sleeping Apart? appeared first on The Sleep Council.

from The Sleep Council…

Itamar Medical Partners with CardioVisual

Sleep diagnostics company Itamar Medical Ltd has entered into a digital education partnership with CardioVisual to educate cardiovascular patients and physicians on the importance of diagnosing and treating sleep apnea to improve patient outcomes and streamline cardiology practice workflow.

Obstructive sleep apnea has been shown to increase the risk for stroke, sudden cardiac death and cardiovascular mortality.  The treatment of obstructive sleep apnea has also been shown to reduce AFib recurrence post ablation. The educational program is delivered through CardioVisual, a multimedia interactive heart health app created by cardiologists for both healthcare professionals and patients. Through the interactive app, videos describe the importance of diagnosing and treating sleep apnea and the clinical benefits of Itamar Medical’s WatchPAT home sleep apnea testing device.

“There are an estimated 36 million cardiovascular patients who have undiagnosed sleep apnea, putting them at further risk for cardiovascular mortality. Itamar Medical’s WatchPAT technology is recognized within the US cardiology community as a simple and reliable tool to accurately diagnose sleep apnea at home,” says Gilad Glick, president and CEO of Itamar Medical, in a release. “The addition of information about the dangers of undiagnosed sleep apnea and the simplicity, accuracy and reliability of WatchPAT in the CardioVisual app will support physicians’ efforts to educate patients about the importance of diagnosing sleep apnea to reduce cardiovascular disease risk. We are excited to partner with CardioVisual’s strong position within the cardiology community to build greater awareness amongst patients