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Sleep Apnea, Obstructive clinical trials

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NCT ID: NCT06258837 Not yet recruiting - Clinical trials for Obstructive Sleep Apnea

Treatment of Obstructive Sleep Apnea With Personalized Surgery in Children With Small Tonsils

TOPS-ST
Start date: July 1, 2024
Phase: N/A
Study type: Interventional

The purpose of this study is to compare the effectiveness of a novel personalized surgical approach to the standard AT in children with small tonsils (ST). This will be accomplished by randomizing children with ST and OSA to one of these two treatments and comparing outcomes after 6 months. It is the investigators' central hypothesis that a personalized drug-induced sleep endoscopy (DISE)-directed surgical approach that uses existing procedures to address the specific fixed and dynamic anatomic features causing obstruction (ie, anatomic endotypes) in each child with ST will perform better than the currently recommended standard first line approach of AT. This novel approach may improve OSA outcomes and reduce the burden of unnecessary AT or secondary surgery for persistent OSA after an ineffective AT. To test this hypothesis, the investigators propose to study children aged 2-17 years with small tonsils and OSA.

NCT ID: NCT06256640 Recruiting - Pregnancy Related Clinical Trials

Mandibular Advancement Device (MAD) in Pregnant Women With Obstructive Sleep Apnea (OSA)

OBMAD
Start date: February 1, 2024
Phase: N/A
Study type: Interventional

We propose a single-arm trial to test the patient uptake and preliminary efficacy of MAD in a sample of 10 pregnant women with mild-to-moderate OSA. Study outcomes include patient-reported symptoms and objectively assessed sleep parameters assessed before treatment, during and after 10 weeks of MAD intervention (during pregnancy) and postpartum.

NCT ID: NCT06249490 Recruiting - Clinical trials for Obstructive Sleep Apnea

Stellate Ganglion Block in Obstructive Sleep Apnea

Start date: February 29, 2024
Phase: N/A
Study type: Interventional

The goal of this clinical trial is to test the efficacy of stellate ganglion block in Obstructive Sleep Apnea. The main question it aims to answer are: • Can stellate ganglion block improve Obstructive Sleep Apnea? Patients were randomly divided into two groups, all provided with routine therapy. Based on this, the experimental group was given stellate ganglion block. The video fluoroscopic swallowing study was done to test the swallowing function before and after the study.

NCT ID: NCT06249295 Enrolling by invitation - Clinical trials for Sleep Apnea, Obstructive

Postoperative Oral Cryotherapy in Sore Throat and Daily Life

Start date: January 31, 2024
Phase: N/A
Study type: Interventional

The purpose of this study will to evaluate the degree of postoperative sore throat and Life Impairment changes in patients with sleep apnea who underwent da Vinci robotic arm surgery as an intervention of oral cryotherapy.

NCT ID: NCT06247878 Recruiting - Clinical trials for Obstructive Sleep Apnea

Skiin-PSG Sleep Apnea

Start date: February 1, 2024
Phase:
Study type: Observational

The goal of this observational study is to develop new algorithms to detect apnea and/or hypopnea to provide additional insights to Skiin users and to their circle of care to validate and/or improve the current algorithms of the Skiin system for extraction of biological metrics during sleep based on the Skiin ECG and accelerometry data.

NCT ID: NCT06247631 Recruiting - Clinical trials for Difficult Intubation

STOP-Bang Questionnaire: A Predictor of Obstructive Sleep Apnea and Difficult Mask/Intubation?

Start date: January 10, 2024
Phase:
Study type: Observational

Difficult airway management remains the leading cause of anaesthesia-related morbidity and mortality. Obstructive sleep apnea syndrome (OSAS) is a warning sign of difficult airway management. Polysomnography is the gold standard for diagnosis of this syndrome, but the STOP-BANG questionnaire is the preferred screening test. In this study, we wanted to find an answer to the question How successful is the STOP-BANG questionnaire in screening for obstructive sleep apnea syndrome (OSAS) in predicting OSAS, difficult mask and difficult intubation in patients undergoing thoracic surgery?

NCT ID: NCT06246825 Enrolling by invitation - Atrial Fibrillation Clinical Trials

the Pathophysiology of the Onset of Atrial Fibrillation in Obstructive Sleep Apnea

PARABOLA
Start date: December 1, 2020
Phase:
Study type: Observational [Patient Registry]

Rationale: Obstructive sleep apnea (OSA) is a highly prevalent, often undiagnosed, modifiable risk factor for atrial fibrillation (AF), as well as AF-related complications and treatment effectiveness. It is unclear which OSA-related pathophysiological mechanism, i.e. intrathoracic pressure shifts, hypoxemia or sympathovagal imbalance, plays the most dominant role, and a better understanding of these mechanisms could provide valuable information in future diagnostic and therapeutic strategies in this population. Objective: The primary objective is to assess the role of OSA-related pathophysiological mechanisms in the initiation of AF by a multi-parametric strategy that combines the estimated parameters. The main hypothesis is that intrathoracic pressure fluctuations are the predominant mechanism. The secondary objective is to validate a nonobtrusive sensing technology based on photoplethysmography (PPG) and diaphragm electromyography (dEMG) measurements as surrogates for gold standard technology based on invasive intraoesophageal pressure (PES) measurement. Study population: Adult patients with paroxysmal AF with nocturnal onset and high risk of OSA based on the STOP-BANG questionnaire. Study design: An observational study in a selected cohort. Subjects are recruited from the AF outpatient clinic of the Catharina Hospital, and referred to Kempenhaeghe Centre for Sleep Medicine for a one-night full PSG, with the addition of dEMG and PPG. The acquired data will be analysed at the Eindhoven Technical University. Main study parameters/endpoints: Primary endpoint: Identification of prognostic factors for the initiation of AF in relation to OSA-related pathophysiological mechanisms..nl

NCT ID: NCT06239883 Recruiting - Clinical trials for Obstructive Sleep Apnea

This Research Project Studies the Relationship Between OSA and Nocturia.

Start date: June 1, 2019
Phase:
Study type: Observational

The main goal of the study is to explore the relationship between obstructive sleep apnoea and nocturia.

NCT ID: NCT06238362 Recruiting - Clinical trials for Obstructive Sleep Apnea

TheraPAP Equivalence Crossover Study

Start date: March 7, 2024
Phase: N/A
Study type: Interventional

The present study, TheraEquivalence, is a Phase 2 crossover study designed to examine the efficacy and safety of TheraPAP (TPAP) vs. CPAP alone in the treatment of OSA.

NCT ID: NCT06227572 Not yet recruiting - Clinical trials for Obstructive Sleep Apnea

Cognition After OSA Treatment Among Native American People (CATNAP)

CATNAP
Start date: May 2024
Phase: N/A
Study type: Interventional

This research project will develop and implement a motivational interviewing and electronic messaging intervention to address obstructive sleep apnea (OSA), positive airway pressure (PAP) adherence, and risk of Alzheimer's disease and related dementias in American Indians. The project will work with American Indian Elders, aged 50 years and older, from three Northern Plains Reservations and surrounding communities. A total of 300 American Indian elders with a confirmed OSA diagnosis and prescribed PAP therapy will be randomized to receive usual care consisting of PAP therapy alone (control condition) or usual care plus the culturally informed CATNAP MI component (intervention condition).