Sleepcare Clinic of Sleep and Respiratory Medicine
- Pauses in breathing, gasping or choking during sleep
- Feeling tired all the time, sleepy, drowsy or fatigued during the day
- Waking with: shortness of breath, headache, nausea, nasal congestion, or dry throat
- Waking up frequently during the night
- Sleeping and low energy throughout the day
- The need to take medication or supplements to fall asleep or to keep awake
- Light, fragmented sleep
- Uncomfortable sensation in the legs while sleeping
- Feeling paralysed or unable to move upon waking
- Seeing or hearing things while drowsy and not fully asleep
- Sleep apnoea
- Restless Legs Syndrome
- Shift work sleeping problems
- Jet lag sleeping problems
OBSTRUCTIVE SLEEP APNOEA
Sleep disorders chronically affect more than 10% of the population and cause a significant impact on quality of life and multiple and severe complications. Sleep apnoea is one of the leading causes of morbidity and mortality and a fundamental cause of absenteeism (and presenteeism) and poor academic, work, family, social, sexual performance, etc. The treatment of choice (after evaluating the patient and ruling out the need for surgery or adjustment of dental or maxillofacial abnormalities) consists neither of medication nor surgery but of an innovative device that unblocks the airway by generating pressure which opens the airway that was previously obstructed by the muscles of the pharynx and tongue. The treatment results are immediate and have such a high impact that they significantly improve the quality of life of the patient and their families and reduce mortality by 40% over ten years.
During the initial consultation assessment of your symptoms, signs, past medical history, family history, allergies, diet and lifestyle habits, blood test/images results, medication review (assessment of potentially contraindicated or harmful drugs, interactions between drugs, first-line medications that you should be receiving according to your diagnosed medical conditions that have not been prescribed) and your ideas, concerns, worries, expectations, wishes and preferences is conducted.
Leading on form this a clinical diagnosis of your sleep disorder and comorbidities (including causes and complications of your sleep issues) is discussed. A set of diagnostic tests, risk assessment, medical treatment (pharmacological, non-pharmacological, surgery, CPAP/Bilevel/non-invasive mechanical ventilation, dental prosthesis, mandibular advancement devices) and a follow-up plan is planned.
This consists of a review of the outcome of your condition and the therapy you have been receiving and objectively assessing your improvement or worsening, mainly focusing on the development of new complications or side effects of the treatment.
A home visit can be arranged (for bedridden patients only) to accurately and safely diagnose your sleep issues from the comfort of your own bed and give you the results the next day.
In-home sleep test/home respiratory polygraphy for the diagnosis of sleep-disordered breathing, restless legs syndrome and insomnia.
Set up CPAP/Bilevel devices
CPAP therapy can significantly improve an indidividuals quality of life and reduce the risk of potentially life threatening conditions, however, compliance has been an issue. The critical aspect of this issue is related to not selecting a suitable device and ignoring the patient's wishes and preferences. Nevertheless, the team have proven close to 100% satisfaction in doing it. Together with you they will choose the best treatment option that meets your expectations.
Like any other "medication", the dose should be modified depending on the outcome. For example, the "dose" of your CPAP should be increased if it is not effective enough and may be reduced if it is too high and causes side effects without any additional benefits.
Assessment of compliance (follow up)
Data is downloaded from the CPAP device software and checked to ensure that the pressure and flow matches that which is shown on the screen. Leaks and mask fitting issues are also checked for and the improvements on the severity of apnoeas and hypopneas with the therapy and, most importantly, your comfort, symptoms and quality of life are reviewed.
Advancement of mandibular devices and oral appliances (depending on needs)
Oral appliances are designed to keep the upper airway open by either advancing the lower jaw forward or maintaining the mouth open during sleep. Oral appliances are the second-line therapy when CPAP is not tolerated or if there is any contraindication, AND when an altered craniofacial morphology indicates this orthodontic treatment. They can reduce the severity of sleep apnoea and sleepiness. However, the most updated Cochrane review found that Oral appliances should not be considered the first-choice therapy for OSA, where symptoms and sleep disruption are severe.
24-48-72 hour ECG
Thes monitors can detect arrhythmias. They are very typical and frequent in patients with sleep disorders.
24-hour blood pressure monitor
Hypertension is a fundamental risk factor for cardiovascular disease and stroke. This risk mainly occurs with very high blood pressure readings or in those patients where readings may not be high but they have non-dipping patterns (those in whom the blood pressure does not decrease during sleep). The only way to know if a person is in this group is to monitor over a 24 hour time period.
Meet the team
Booking and pricing
30 minutes £220
Follow up consultation
30 minutes £150
24 Hour ECG 150
48 Hour ECG
72 Hour ECG 150
24 Hour Blood Pressure Monitor
Home visit for sleep studies (for bedridden patients only)
Sweet Dreams Bonus Package: @ Consultations + 2 Sleep Test (diagnostic/ CPAP Trial and Titration), with daily follow-up and personalised therapy Promotional £600
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