Matthew T Naughton
Snoring and sleepiness are common presentations in general
To describe the frequency, clinical findings, investigations and
management options for obstructive sleep apnoea.
Obstructive sleep apnoea should be considered in a range
of presentations. Diagnosis is based on history, examination,
investigation and, occasionally, a trial of therapy. Management
options should start with lifestyle management. Further options
include surgery, dental splints and continuous positive airway
pressure. Continuous positive airway pressure requires long
term input by both the patient and the general practitioner.
Common issues with the use of machines for the management of
sleep apnoea are also discussed.
Snoring and sleepiness are common symptoms presenting to general practice. In the United States of America, 60% of subjects consecutively surveyed in a primary care setting presented with symptoms of an underlying sleep disorder.1 In Australia, 6% of patients reported visiting a doctor for a problem of sleep apnoea or snoring.2
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