Case Study of Obstructive Sleep Apnea and Methods of Treatment for a Professional Driver
This study evaluates obstructive sleep apnea treatment through a case study involving a 67-year-old male driver who had a successful continuous positive airway pressure (CPAP) treatment at home but experienced difficulties with traveling and dental care. There are many cheap sleep apnea and snoring devices available, but there is little professional advice on what kind of devices can help. Professional drivers receive yearly specialized medical care follow-up.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.3566289Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 367
 F. Green, I. López and M. Simmons, “Obstructive Sleep Apnea Disparity among Truck Drivers: Danger on American Roads”, Florida Public Health Review Vol. 15, Article 8, 2018, pp. 75-82. Available at: https://digitalcommons.unf.edu/fphr/vol15/iss1/8
 American Academy of Sleep Medicine (AASM), Hidden health crisis costing American billions: Underdiagnosing and undertreating obstructive sleep apnea draining healthcare system, 2016. Retrieved from http://aasm.prg/resources/pdf/sleepapnea-economic-crisis.pdf
 National Highway Transportation Safety Administration, Large trucks: 2014 data, Traffic Safety Facts. Report No. DOT HS 812 279, May 2016. Washington, DC.
 European Union. Commission Directive 2014/85/EU of 1 July 2014, amending Directive 2006/126/EC of the European Parliament and of the Council on driving licences. OJ L 194, 2.7.2014, pp. 10–13.
 W.T. McNicholas (ed), “New Standards and Guidelines for Drivers with Obstructive Sleep Apnoea Syndrome”, Report of the Obstructive Sleep Apnoea Working Group. Brussels, European Commission, 2013.
 M. R. Bonsignore, W. Randerath, R. Riha, D. Smyth, C. Gratziou, M. Goncalves and W. T. McNicholas, “New rules on driver licensing for patients with obstructive sleep apnoea”, EU Directive 2014/85/EU, Editorial, Eur Respir J, Vol. 47, 2016, pp. 39–41
 A. Dwarakanath, M. Twiddy, D. Ghosh, et al., “Variability in clinicians’ opinions regarding fitness to drive in patients with obstructive sleep apnoea syndrome (OSAS)”. Thorax Vol. 70, 2015, pp. 495–497.
 N. Bitterman, K. Klimovich & G. Pillar, “Home healthcare devices. Challenge of CPAP design for effective home treatment”, The Design Journal, Vol. 22, sup1, April 2019, pp. 669-681, DOI: 10.1080/14606925.2019.1595446
 A. Bachour, P. Vitikainen, P. Virkkula & P. Maasilta, “CPAP interface: satisfaction and side effects”. Sleep and Breathing, Vol. 17(2), 2013, pp. 667-672.
 T. E. Weaver, “Don't start celebrating—CPAP adherence remains a problem”, Journal of Clinical Sleep Medicine, Vol. 9(06), 2013, pp.551-552.
 C. F. Ryan, L. L. Love, D. Peat, J. A. Fleetham, A. A. Lowe, “Mandibular advancement oral appliance therapy for obstructive sleep apnea: eVect on awake calibre of the velopharynx”, Thorax,Vol 54, November 1999, pp.972–977.
 W. Schmidt-Nowara, A. Lowe, L. Wiegand, et al., “Oral appliances for the treatment of snoring and obstructive sleep apnea: a review”, Sleep Vol 18, March 1995, pp. 501–510.
 American Sleep Disorders Association, “Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances”, Sleep, Vol. 18, March 1995, pp. 511–3.
 M. Friedman, J. Ofer, M. S. Hwang, W. F. Bergler, I. Fietze, P. Rombaux, G. B. Mwenge, S. Yalamanchali, J. N. Campana and J. T. Maurer. “Targeted hypoglossal nerve stimulation for the treatment of obstructive sleep apnea: Six-month results”, The Laryngoscope, Vol. 126, 11 November 2016, pp. 2618-2623.
 B. Tucker Woodson, R. J. Soose, M.B. Gillespie, P. Kingman Strohl, J. T. Maurer, N. de Vries, D. L. Steward, J. Z. Baskin, M. S.Badr, H. Lin, T. A. Padhya, S. Mickelson, W. McDowell Anderson, O. M. Vanderveken, P. J. Strollo, Jr, on Behalf of STAR Trial Investigators, “Three-Year Outcomes of Cranial Nerve Stimulation for Obstructive Sleep Apnea: The STAR Trial”, Otolaryngology–Head and Neck Surgery, Vol. 154 issue 1, November 2015, pp. 181-188
 V. Bisogni, M. F Pengo, A. De Vito, G. Maiolino, G. Paolo Rossi, J. Moxham & J. Steier, “Electrical stimulation for the treatment of obstructive sleep apnoea: a review of the evidence”, Expert Review of Respiratory Medicine, Vol. 11:9, July 2017, pp. 711-720, DOI: 10.1080/17476348.2017.1358619
 The Finnish Medical Society Duodecim, “Sleep apnea (obstructive sleep apnea in adults). Current Care Guidelines. Working group set up by the Finnish Medical Society Duodecim”, The Finnish Respiratory Society and Finnish Sleep Research Society. Helsinki. In The Finnish Medical Society Duodecim, 2017 (referred May 31, 2019). Available online at: www.kaypahoito.fi
 Anon, “Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research”, Sleep Vol. 22, August 1999, pp. 667-89.
 Institute for Clinical Systems Improvement (ICSI), Diagnosis and treatment of obstructive sleep apnea. Bloomington (MN). March 2005
 L. Agarwal and A. Gupta, “Role of Orthodontist in Obstructive Sleep Apnea - An Orthodontic Review”. Journal of Orthodontics & Endodontics, Vol. 2, No. 3, August 2016 10, pp. 1-7. http://orthodontics-endodontics.imedpub.com.
 H. Avellan-Hietanen, P. Brander, A. Bachour, “Symptoms during CPAP therapy are the major reason for contacting the sleep unit between two routine contacts”, J Clin Sleep Med. Vol. 15(1), 2019, pp. 47–53.
 S. Garbarino, P. Durando, O. Guglielmi, G. Dini, F. Bersi, S. Fornarino, et al., “Sleep Apnea, Sleep Debt and Daytime Sleepiness Are Independently Associated with Road Accidents. A Cross-Sectional Study on Truck Drivers”. PLoS ONE, Vol. 11(11), November 2016. e0166262. doi:10.1371/journal.
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