Test Your Knowledge on Inspire Therapy for Sleep Apnea Treatment

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Questions and Answers

What is obstructive sleep apnea?

A condition where the lungs cannot expand fully during sleep

A condition where tissues in the throat collapse during sleep, resulting in breathing interruptions and decreased oxygen levels (correct)

A condition where the airway is blocked by mucus during sleep

A condition where the brain stops sending signals to the lungs to breathe during sleep

What percentage of the adult population over 30 is estimated to have moderate to severe obstructive sleep apnea?

8-10% (correct)

30-40%

20%

50%

What is the frontline treatment for obstructive sleep apnea?

Oral appliances

Inspire therapy

Surgery to alter the anatomy of the throat

Continuous positive airway pressure (CPAP) (correct)

What is Inspire therapy?

A completely implanted system that stimulates the tongue to move forward with each breath during sleep, preventing the throat from obstructing Signup and view all the answers

What is the two-incision approach for Inspire therapy?

A safer and quicker approach that eliminates the need for a third incision, reducing operative time and post-operative pain Signup and view all the answers

What is the average pre-op AHI for patients with obstructive sleep apnea?

Over 34 Signup and view all the answers

What percentage of patients report being satisfied with Inspire therapy?

94% Signup and view all the answers

What exam must patients pass to evaluate how their airway is obstructing during sleep?

Sleep endoscopy Signup and view all the answers

What is obstructive sleep apnea?

A condition where tissues in the throat collapse during sleep, leading to breathing interruptions and decreased oxygen levels Signup and view all the answers

What percentage of the adult population over 30 is estimated to have obstructive sleep apnea?

8-10% Signup and view all the answers

What is the frontline treatment for obstructive sleep apnea?

Continuous positive airway pressure (CPAP) Signup and view all the answers

What is Inspire therapy?

A completely implanted system that stimulates the tongue to move forward with each breath during sleep, preventing the throat from obstructing Signup and view all the answers

What is the two-incision approach for Inspire therapy?

A safer and quicker method for implanting the system, with no need for narcotics to manage pain Signup and view all the answers

What is the average pre-op AHI for patients with obstructive sleep apnea?

Over 34 Signup and view all the answers

What is the success rate of Inspire therapy according to national data?

80% reduction in overall apnea Signup and view all the answers

What is the age requirement for patients to be eligible for Inspire therapy?

18 or older Signup and view all the answers

Study Notes

Inspire Therapy: Two-Incision Approach

Obstructive sleep apnea is caused by the collapse of tissues in the throat during sleep, resulting in breathing interruptions and a decrease in oxygen levels.
Approximately 20 million people in the US have moderate to severe obstructive sleep apnea, with estimates of 8-10% of the adult population over 30 having this condition.
The consequences of untreated sleep apnea include fatigue, difficulty concentrating, loud snoring, and a higher risk of motor vehicle accidents, as well as internal damage to the cardiovascular system and reduced life expectancy.
Continuous positive airway pressure (CPAP) is the frontline treatment for obstructive sleep apnea, with a 99% effectiveness rate if worn correctly.
Oral appliances can also be used to treat sleep apnea, but they are more effective for mild cases and may cause discomfort.
Surgery to alter the anatomy of the throat is another option, but it is painful and permanent, and most people are not good candidates.
Inspire therapy is a completely implanted system that stimulates the tongue to move forward with each breath during sleep, preventing the throat from obstructing.
Inspire therapy was approved by the FDA in 2014 and consists of an impulse generator, a stimulating electrode, and a pressure sensor.
Traditional inspire therapy is done through three small incisions, but a two-incision approach has been developed by a group of academic physicians around the country.
The two-incision approach is safer and has a quicker recovery time of one to two weeks, with no need for narcotics to manage pain.
The battery for the inspire system lasts about 10-12 years before requiring replacement, and there are restrictions on MRIs.
The FDA has recently approved training other surgeons to perform the two-incision approach, and data is being collected to improve the process.Overview of Inspire Therapy for Sleep Apnea
Inspire therapy eliminates the need for a third incision, reducing operative time and post-operative pain.
The pressure sensor is placed between two ribs through the same incision used to place the impulse generator, which is tunneled through the pectoralis major muscle.
Patients can sleep on their right side without difficulty and have no post-operative restrictions.
The system is turned on for the first time about a month after the initial procedure at Valley Sleep, where the team establishes initial settings and programs the remote.
National data shows an 80% reduction in overall apnea with Inspire therapy, with an average of 6.2 obstructions per hour, almost normal.
The average pre-op AHI is over 34, and the post-op AHI is 6.7, with about 50% of patients achieving an AHI under 5, considered normal.
Most patients report a dramatic improvement in snoring, but it is not the primary measure of success.
94% of patients report being satisfied with therapy, and the average person uses Inspire therapy almost six hours per night.
The therapy is covered by most insurers, including Medicare, and is for moderate to severe obstructive sleep apnea.
Patients must pass an airway anatomy exam called sleep endoscopy to evaluate how the airway is obstructing during sleep.
About 15% of patients may not be candidates for Inspire therapy due to the pattern of obstruction.
Patients must be 18 or older to be eligible for Inspire therapy.

Inspire Therapy: Two-Incision Approach

Obstructive sleep apnea is caused by the collapse of tissues in the throat during sleep, resulting in breathing interruptions and a decrease in oxygen levels.
Approximately 20 million people in the US have moderate to severe obstructive sleep apnea, with estimates of 8-10% of the adult population over 30 having this condition.
The consequences of untreated sleep apnea include fatigue, difficulty concentrating, loud snoring, and a higher risk of motor vehicle accidents, as well as internal damage to the cardiovascular system and reduced life expectancy.
Continuous positive airway pressure (CPAP) is the frontline treatment for obstructive sleep apnea, with a 99% effectiveness rate if worn correctly.
Oral appliances can also be used to treat sleep apnea, but they are more effective for mild cases and may cause discomfort.
Surgery to alter the anatomy of the throat is another option, but it is painful and permanent, and most people are not good candidates.
Inspire therapy is a completely implanted system that stimulates the tongue to move forward with each breath during sleep, preventing the throat from obstructing.
Inspire therapy was approved by the FDA in 2014 and consists of an impulse generator, a stimulating electrode, and a pressure sensor.
Traditional inspire therapy is done through three small incisions, but a two-incision approach has been developed by a group of academic physicians around the country.
The two-incision approach is safer and has a quicker recovery time of one to two weeks, with no need for narcotics to manage pain.
The battery for the inspire system lasts about 10-12 years before requiring replacement, and there are restrictions on MRIs.
The FDA has recently approved training other surgeons to perform the two-incision approach, and data is being collected to improve the process.Overview of Inspire Therapy for Sleep Apnea
Inspire therapy eliminates the need for a third incision, reducing operative time and post-operative pain.
The pressure sensor is placed between two ribs through the same incision used to place the impulse generator, which is tunneled through the pectoralis major muscle.
Patients can sleep on their right side without difficulty and have no post-operative restrictions.
The system is turned on for the first time about a month after the initial procedure at Valley Sleep, where the team establishes initial settings and programs the remote.
National data shows an 80% reduction in overall apnea with Inspire therapy, with an average of 6.2 obstructions per hour, almost normal.
The average pre-op AHI is over 34, and the post-op AHI is 6.7, with about 50% of patients achieving an AHI under 5, considered normal.
Most patients report a dramatic improvement in snoring, but it is not the primary measure of success.
94% of patients report being satisfied with therapy, and the average person uses Inspire therapy almost six hours per night.
The therapy is covered by most insurers, including Medicare, and is for moderate to severe obstructive sleep apnea.
Patients must pass an airway anatomy exam called sleep endoscopy to evaluate how the airway is obstructing during sleep.
About 15% of patients may not be candidates for Inspire therapy due to the pattern of obstruction.
Patients must be 18 or older to be eligible for Inspire therapy.

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Description

Take this quiz to test your knowledge on Inspire therapy, a new treatment option for obstructive sleep apnea. Learn about the two-incision approach and how it differs from traditional surgery, as well as the benefits and potential risks of this implanted system. Discover the success rates and patient satisfaction with Inspire therapy, and find out if you or a loved one may be eligible for this innovative treatment.