The obesity and OSA
(1) The obesity
OSA의 위험요인 중 비만이 가장 중요한 요인으로 작용한다. 체중이 10% 증가하면 AHI가 32% 증가하고 체중이 10% 감소하면 AHI가 26% 감소한다. 즉 10%의 체중증가는 중증도 SDB를 6배증가시킨다.5 그밖에 여러 연구에서 OSA 환자에서 체중을 감량시키면 무호흡 빈도가 감소하는 것을
Syndrome Air flow Episodes/hr SaO2
UARS No significant decrease >15 No decrease
OSHS Decrease of 30-50% in air flow for >10s >15 May be associated with a decrease of 3-4%
OSAS Cessation of air flow for >10s >5 Usually associated with a decrease of >4%
* All three Syndromes have arousal associated with increasing ventilatory effort and excessive daytime sleepiness
APNEIC EVENT : cess
sleep.
5 There little Tom Dacre, who cried when his head
6 That curled like a lambs back, was shaved, so I said,
7 Hush Tom never mind it, for when your head's bare,
8 You know that the soot cannot spoil your while hair.
9 And so he was quiet, & that very night,
10 as Tom was a sleeping he had such a sight,
11 That thousands of sweepers Dick, Joe Ned & Jack
1
I promise.
Im Dr. McElroy from the Sleep
Institute. This man is my patient.
[Man] Theresnoresponse
to externalstimuli.
- [ Voices Fading ]
- Hes probably slipped into a coma.
Take him to the university hospital.
They have the best head trauma center.
[ Screaming ]
[Man OverP.A.]
Nowarriving in DownTown.
Please exit
to therightofthe car.
[ Panting ]
- Hello?
- Please exit to therightofthe car.
sleep with a
player hitting under .250 unless
he had a lot of R.B.I.s or was a
great glove man up the middle.
(beat)
A womans got to have standards.
SHE HOLDS OUR HER LEGS DISPLAYING THE HEELS, side by side.
Like a little girl showing off her new shoes.
ANNIE
The young players start off full
of enthusiasm and energy but they
dont realize that come July and
August when the weather is hot
its hard