How Much Sleep Does A 1 Year Old Need Total Inspire Sleep Apnea Implant Review

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Inspire Sleep Apnea Implant Review

The Inspire Sleep Apnea Implant is a medical device that is implanted in the body for the treatment of snoring syndrome and obstructive sleep apnea (OSA).

Obstructive sleep apnea syndrome

Obstructive sleep apnea syndrome is a disease caused by recurrent episodes of sleep apnea. This is a condition where breathing stops for more than 10 seconds, during which the oxygen saturation in the blood is reduced by more than 4%.

OSA syndrome occurs during sleep, when the upper airway muscles relax, causing airway obstruction. This leads to the deterioration of blood oxygenation and causes brief episodes of unconscious awakening during the night. An unhealthy sleep pattern puts stress on the body, causing high blood pressure and the development of severe diseases. Diseases caused by OSA can be physical, such as hypertension, myocardial infarction, and stroke. They can also be mental, including depression, chronic fatigue syndrome, loss of memory and concentration.

Before any treatment, a sleep study or polysomnography is necessary. Polysomnography calculates the apnea index, which is the frequency of apnea episodes during one hour of sleep and determines the severity of the disease. The apnea index is considered significant if there are more than 20 episodes of apnea per hour, regardless of the presence or absence of clinical symptoms.

The gold standard of treatment for OSA syndrome is CPAP therapy. However, CPAP therapy is not for everyone, as many people find it uncomfortable to sleep with the mask on their face and the machine itself can be loud, especially as it is close to the head. Only 25% of patients can use CPAP therapy for a long period of time.

Therefore, recently Inspire Medical Systems Inc. has come up with a very effective solution with the Inspire Sleep Apnea Implant.

How the Inspire Sleep Apnea Implant Works

The Inspire Sleep Apnea Implant is a battery-operated device that promotes electrostimulation of the sublingual nerve. Battery life is about 10 years.

The main unit of this device is placed under the skin, in the right front part of the chest and monitors the breathing phase. The other electrode is implanted to stimulate the sublingual nerve, which creates muscle tension. This opens the upper airways and allows the tongue to stick out, and helps keep the airways open during sleep.

In addition to the two electrodes, this device also includes a small handy remote switch, which actually turns the device on before you sleep and turns off once you wake up. This disables the electrodes from disturbing the processes of communication and eating during the active phase of the day, when a person needs a physiological narrowing of the larynx and tongue movements for these processes.

The patient may feel slight involuntary contraction of the larynx, or tongue movements during the initial use of the device. These movements do not cause pain, instead only a minor discomfort. These unpleasant effects disappear after the first uses of the device.

In general, the implant should be checked 1 or 2 times a year. However, depending on the situation, a doctor trained in Inspire therapy may consult patients more or less often.

The Inspire Sleep Apnea Device is only suitable for:

  • Patients who are over 22 years old.

  • Patients who have been diagnosed with moderate or severe obstructive sleep apnea syndrome.

  • Patients with an apnea index of 20 to 65.

  • Patients who do not comply with CPAP therapy or did not have the desired effect.

  • Patients with a body mass index of less than 32.

Body mass index (BMI) = weight (kg) / height^2 (m2).

A person with a weight of 80 kg and a height of 170 cm has

BMI = 80 kg / (1.7 m ^ 2) = 80 / 2.89 = 27.68 kg / m2

The Inspire Sleep Apnea Implant could replace CPAP therapy as “the gold standard” of treatment for obstructive sleep apnea syndrome. A study by Dr. Ryan J. et al. showed that after the implantation of the Inspire Sleep Apnea Implant, the snoring is greatly reduced. A percentage of “no” or “soft” snoring changed from 22% at the beginning of treatment to 88% at 12 months and 91% at 24 months after treatment. In addition, the apnea index was reduced from 31 to 14. 82% of patients in the study reported a nightly use of this therapy for five years. So, it is obvious that this method is very effective and easy to use!

There was also another interesting study by Dr. Patrick J. from the Pittsburgh University Medical Center. The study found that sublingual nerve stimulation at the base of the tongue reduced the severity of obstructive sleep apnea by 68% and reduced the number of sleep apnea episodes from 29 to 9. The oxygen saturation of the blood has also improved; daytime sleepiness decreased, and the patients’ quality of life improved in general.

Inspire the cost of sleep apnea

The Inspire Sleep Apnea Implant costs approx. $15,000-25,000, not including operating costs. Also, the battery cannot be replaced after it is exhausted and a new unit must be implanted. The implant can also move out of place over time. In comparison, the CPAP device costs approx. $1,500 to $3,000, which is much cheaper.

Inspire the side effects of sleep apnea

Implantation of the Inspire Sleep Apnea Implant is a surgical procedure with possible complications, as with any medical procedure. There are risks of infections after surgery, a temporary weakening of the tongue, post-operative bleeding, pain or discomfort in the area of ​​the implant.

People with the following concerns are not suitable candidates for this device:

  • Patients suffering from central apnea or mixed apnea with more than 25% of the total apnea index.

  • Patients who have any anatomical problems that compromise the performance of the stimulation of the upper airway, such as the presence of a complete concentric collapse of the soft palate.

  • Patients with any existing condition or procedure that has compromised neurological control of the upper airway.

  • Patients who are unable or do not have the ability to operate remote sleep.

  • Patients who are pregnant or planning to become pregnant.

  • Patients with an implantable device that may be susceptible to inadvertent interaction with the Inspire system – allergic or rejection response to implanted materials.

The Inspire Sleep Apnea Implant therapy is FDA approved and has been shown to be an effective solution for obstructive sleep apnea syndrome. Currently, the therapy is reviewed and approved by insurance companies on a patient-by-patient basis.

Talk to your doctor if this is a treatment you want to explore further.

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