Podcast Beta
Questions and Answers
What is Inspire therapy?
What is the traditional approach to implanting Inspire therapy?
Who developed the two-incision approach for implanting Inspire therapy?
What is the advantage of the two-incision approach for implanting Inspire therapy?
Signup and view all the answers
What is the primary measure of success for Inspire therapy?
Signup and view all the answers
What is the average reduction in obstructive sleep apnea with Inspire therapy?
Signup and view all the answers
What is the average adherence to Inspire therapy?
Signup and view all the answers
Who is a suitable candidate for Inspire therapy?
Signup and view all the answers
What is the primary cause of obstructive sleep apnea?
Signup and view all the answers
What is the most effective treatment for sleep apnea?
Signup and view all the answers
What is Inspire therapy?
Signup and view all the answers
How many incisions are typically made in the traditional approach to implanting Inspire therapy?
Signup and view all the answers
Who developed the two-incision approach for implanting Inspire therapy?
Signup and view all the answers
What are the advantages of the two-incision approach for implanting Inspire therapy?
Signup and view all the answers
What is the average reduction in obstructive sleep apnea with Inspire therapy?
Signup and view all the answers
What exam must candidates pass to be considered for Inspire therapy?
Signup and view all the answers
Study Notes
Two-Incision Approach for Inspire Therapy for Sleep Apnea
-
Obstructive sleep apnea occurs when tissues in the throat collapse during sleep, leading to breathing difficulties and reduced oxygen levels.
-
CPAP (continuous positive airway pressure) is the most effective treatment for sleep apnea, but oral appliances and surgery are also options.
-
Inspire is a completely implanted system that stimulates the hypoglossal nerve to move the tongue forward with each breath, preventing throat obstruction during sleep.
-
Inspire was FDA-approved in 2014 and has been on the market for about seven years.
-
The traditional approach to implanting Inspire involves three incisions, but a two-incision approach has been developed to reduce invasiveness and speed up recovery.
-
The two-incision approach was developed by a team of academic physicians and has been standardized for safety and efficiency.
-
The team includes Dr. David Kent at Vanderbilt University, Dr. Eugene Cho at Ohio State University, Dr. Mark Wedenbecker at Case Western Reserve University, and the author of the presentation.
-
The two-incision approach involves incisions below the jaw and in the upper chest, rather than a third incision in the right flank.
-
The two-incision approach has been shown to be safe and effective, with patients experiencing a quick recovery and minimal pain.
-
The two-incision approach has been recently approved for training other surgeons by the FDA.
-
The author has implanted about 85 patients using the two-incision approach and is collecting data to improve the process.
-
The two-incision approach offers advantages such as reduced invasiveness, faster recovery, and standardized safety and efficiency.Overview of Inspire Therapy for Obstructive Sleep Apnea
-
Inspire therapy eliminates the need for a third incision or scar by placing the pressure sensor between two ribs through the same incision made for the impulse generator.
-
The reduction in incisions reduces operative time by about 20 minutes and post-operative pain.
-
Patients no longer have to follow post-operative restrictions like not raising their right arm over their head for two weeks or resting their right arm in a sling for four days.
-
Valley Sleep turns on the system for the first time about a month after the initial procedure and establishes initial settings that are comfortable and effective for the patient.
-
Inspire therapy reduces obstructive sleep apnea by about 80%, with an average of 6.2 obstructions per hour, which is considered almost normal.
-
Patients' average pre-op AHI is over 34, and the post-op AHI is around 6.7, with 50% of patients having an AHI under five.
-
While snoring significantly improves, the primary measure of success is the reduction in apnea.
-
Patient satisfaction with therapy is high, with about 94% of patients categorizing themselves as satisfied with therapy.
-
Long-term adherence to therapy is critical, and Inspire therapy shows an average of almost six hours per night, with some studies showing even higher compliance.
-
Over 200 published papers in high-quality peer-reviewed publications support the effectiveness of Inspire therapy.
-
Most insurers, including Medicare, cover Inspire therapy, and it is suitable for moderate to severe obstructive sleep apnea patients who cannot benefit from CPAP therapy.
-
Candidates must pass an airway anatomy exam called sleep endoscopy, where the surgeon evaluates the exact airway obstruction during sleep, and BMI and age criteria are also considered.
Two-Incision Approach for Inspire Therapy for Sleep Apnea
-
Obstructive sleep apnea occurs when tissues in the throat collapse during sleep, leading to breathing difficulties and reduced oxygen levels.
-
CPAP (continuous positive airway pressure) is the most effective treatment for sleep apnea, but oral appliances and surgery are also options.
-
Inspire is a completely implanted system that stimulates the hypoglossal nerve to move the tongue forward with each breath, preventing throat obstruction during sleep.
-
Inspire was FDA-approved in 2014 and has been on the market for about seven years.
-
The traditional approach to implanting Inspire involves three incisions, but a two-incision approach has been developed to reduce invasiveness and speed up recovery.
-
The two-incision approach was developed by a team of academic physicians and has been standardized for safety and efficiency.
-
The team includes Dr. David Kent at Vanderbilt University, Dr. Eugene Cho at Ohio State University, Dr. Mark Wedenbecker at Case Western Reserve University, and the author of the presentation.
-
The two-incision approach involves incisions below the jaw and in the upper chest, rather than a third incision in the right flank.
-
The two-incision approach has been shown to be safe and effective, with patients experiencing a quick recovery and minimal pain.
-
The two-incision approach has been recently approved for training other surgeons by the FDA.
-
The author has implanted about 85 patients using the two-incision approach and is collecting data to improve the process.
-
The two-incision approach offers advantages such as reduced invasiveness, faster recovery, and standardized safety and efficiency.Overview of Inspire Therapy for Obstructive Sleep Apnea
-
Inspire therapy eliminates the need for a third incision or scar by placing the pressure sensor between two ribs through the same incision made for the impulse generator.
-
The reduction in incisions reduces operative time by about 20 minutes and post-operative pain.
-
Patients no longer have to follow post-operative restrictions like not raising their right arm over their head for two weeks or resting their right arm in a sling for four days.
-
Valley Sleep turns on the system for the first time about a month after the initial procedure and establishes initial settings that are comfortable and effective for the patient.
-
Inspire therapy reduces obstructive sleep apnea by about 80%, with an average of 6.2 obstructions per hour, which is considered almost normal.
-
Patients' average pre-op AHI is over 34, and the post-op AHI is around 6.7, with 50% of patients having an AHI under five.
-
While snoring significantly improves, the primary measure of success is the reduction in apnea.
-
Patient satisfaction with therapy is high, with about 94% of patients categorizing themselves as satisfied with therapy.
-
Long-term adherence to therapy is critical, and Inspire therapy shows an average of almost six hours per night, with some studies showing even higher compliance.
-
Over 200 published papers in high-quality peer-reviewed publications support the effectiveness of Inspire therapy.
-
Most insurers, including Medicare, cover Inspire therapy, and it is suitable for moderate to severe obstructive sleep apnea patients who cannot benefit from CPAP therapy.
-
Candidates must pass an airway anatomy exam called sleep endoscopy, where the surgeon evaluates the exact airway obstruction during sleep, and BMI and age criteria are also considered.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on Inspire Therapy for Obstructive Sleep Apnea and the Two-Incision Approach with this quiz! Learn about the traditional three-incision approach and the newer, less invasive two-incision approach. Explore the benefits of Inspire Therapy, including its ability to reduce obstructive sleep apnea by 80%, average compliance rates of almost six hours per night, and patient satisfaction rates of 94%. Test your understanding of candidacy criteria, insurance coverage, and the sleep endoscopy exam
