Current evidence suggest that sleep apnea-associated oxygen desaturations may induce cardiovascular morbidities in the long term, whereas arousals associated with sleep apneas seem to induce mainly transient nocturnal hypertension. Reducing the occurrence and the magnitude of sleep apnea-associated oxygen desaturations could therefore have a beneficial effect on sleep apnea-associated comobidities. Since sleep apneas usually end with an arousal allowing pharyngeal muscles reactivation, a treatment option could consist of generating an early short awakening to anticipate apnea termination and decrease the risk of oxygen desaturation. The aim of this study is thus to determine if an early sleep apnea termination through the emission of a sound can achieve lower oxygen desaturations compared with "untreated" sleep apneas.
The aim of the study is to determine the effect of short sound stimulations on sleep apnea associated desaturations 20 OSA subjects will be recruited and studied with polysomnography and a head band allowing to emit short sound stimulations during sleep. the study will take nplace at the Center for investigation and research in sleep (CIRS) The magnitude of oxygen desaturations following apnea with and without sound stimulations will be compared. The effects of different types of sound stimulations on the magnitude of cortical and autonomic reactions will also be studied as well as the patients' subjective perception of the sounds.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
8
Short sound stimulations will be emitted through a head band during sleep apneas
Adrien Waeber
Jouxtens-Mézery, Canton of Vaud, Switzerland
Differences in sleep apnea associted oxygen desaturations
Differences in the magnitude of blood oxygen desaturation between treated and untreated sleep apnea events (in % of SaO2)
Time frame: During the polysomnography night
Duration of the apnea (seconds)
Duration of breathing cessation assessed by nasal cannula (in seconds)
Time frame: During the polysomnography night
Percentage of sound stimulations associated with cortical and subcortical arousals (%)
Each arousal will be assessed using the polysomnography EEG
Time frame: During the polysomnography night
Percentage of sound stimulations associated with autonomic arousals (%)
Autonomic arousals will be assessed by pulse wave amplitude variations
Time frame: During the polysomnography night
Magnitude of autonomic reactions (% of pulse wave amplitude drop)
Magnitude (% of baseline) of pulse wave amplitude drop following different types of sound stimulations
Time frame: During the polysomnography night
Duration of EEG arousals (in seconds)
Duration (in seconds) of EEG arousals following different types of sound stimulations
Time frame: During the polysomnography night
Magnitude of autonomic reactions (duration of pulse wave amplitude drop)
Duration of pulse wave amplitude drop following different types of sound stimulations (in seconds)
Time frame: During the polysomnography night
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