The aim of this sleep medicine podcast is to provide health care professionals who deal with sleep related issues with the most up to date clinical information when. We use expert interviews with leaders in the field of sleep medicine to help guide learning and grow clinical practice. We also try to have some fun along the way.
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The aim of this sleep medicine podcast is to provide health care professionals who deal with sleep related issues with the most up to date clinical information when. We use expert interviews with leaders in the field of sleep medicine to help guide learning and grow clinical practice. We also try to have some fun along the way.
In this months episode we will be discussing all things Inspire with Dr. Paul Hoff, an ENT at Michigan Medicine. What is Hypoglossal Nerve Stimulation? Who can get it? Does it Even work? Listen as we answer all your burning questions.
Show Notes
3:00 get to know you questions
9:20 Favorite Book
Best Advice 10:00
The Inspire Case 11:00
What type of sleep study? 18:20
AHI Cutofffs: 18:55
Goals of Care? 21:50
What is considered effective therapy? 24:30
Star Trial link: Upper-Airway Stimulation for Obstructive Sleep Apnea | NEJM
Adhere Registry Link: Results of the ADHERE upper airway stimulation registry and predictors of therapy
efficacy - Thaler - 2020 - The Laryngoscope - Wiley Online Library
Define CPAP failure? 26:00
Nasal obstruction causing CPAP failure 28:00
Floppy Epiglottis causing Aerophagia? 28:30
Surgery for Aerophagia 29:30
Risks and medical contraindications 33:00
MRI compatibility? 33:30
Surgery description/length 34:30
ICD compatibility? 35:00
Avg Voltage ranges? 37:00
Removing devices 39:00
Recovery time 39:40
Incision size 40:45
Back to the case, parameters for referral 43:00
Drug Induced Sleep Endoscopy (DISE) 43:45
What percentage of patients fail DISE? 47:00
Management after Inspire placement 48:15
Inspire sync: 49:15
Battery life 11 years: 51:00
Explant 51:30
Surgical options other than Inspire 53:15
Does UPPP work? 56:00
What can we expect from surgery? 57:00
When to refer for large tonsils 59:00
Closing comments 1:01:00
The White Noise Podcast
The aim of this sleep medicine podcast is to provide health care professionals who deal with sleep related issues with the most up to date clinical information when. We use expert interviews with leaders in the field of sleep medicine to help guide learning and grow clinical practice. We also try to have some fun along the way.
