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IMPLICATII MEDICO-LEGALE ALE TULBURARILOR RESPIRATORII DIN TIMPUL SOMNULUI

Domenii publicaţii > Ştiinţe medicale + Tipuri publicaţii > Articol în revistã ştiinţificã

Autori: D. Boisteanu, Angela Mita-Baciu

Editorial: Romanian Society of Legal Medicine, drept, stiinte medicale, Revista Romana de Medicina Legala, Vol 18, Issue 1, , 2010.

Rezumat:

Sleep-related breathing disorders are the most frequent medical cause of daytime sleepiness. Obstructive sleep apnea syndrome (OSAS) has been demonstrated to significantly increase safety and health risks and has been associated with a high risk for motor vehicle accidents, probably the highest of all risks due to medical conditions.
Treatment of patients with obstructive sleep apnoea with continuous positive airway pressure (CPAP) is effective as it reduces both apnoeas during the night and sleepiness during the day and improve quality of life.
The primary task of the physician is proper diagnosis, therapy and counseling. All professional drivers with excessive daytime sleepiness as well as uncooperative or therapy resistant drivers should be referred to a sleep disorder centre for objective measurements of excessive daytime sleepiness and assessment of driving capability.
Given the high prevalence of breathing disorders during sleep in the general population, and the evidence that treatment decreases the risk of accidents, it seems legitimate to try and reduce the occurrence of sleepiness-related accidents in affected patients by regulating the access to a driving license in those patients.

Cuvinte cheie: medicina legala, drept // legal medicine, law

URL: http://www.rjlm.ro/

IMPLICATII MEDICO-LEGALE ALE TULBURARILOR RESPIRATORII DIN TIMPUL SOMNULUI

Domenii publicaţii > Ştiinţe medicale + Tipuri publicaţii > Articol în revistã ştiinţificã

Autori: D. Boisteanu, Angela Mita-Baciu

Editorial: Romanian Society of Legal Medicine, drept, stiinte medicale, Revista Romana de Medicina Legala, Vol 18, Issue 1, March 2010 , Vol 18, Issue 1, March 20102/2010, 2010.

Rezumat:

Sleep-related breathing disorders are the most frequent medical cause of daytime sleepiness. Obstructive sleep apnea syndrome (OSAS) has been demonstrated to significantly increase safety and health risks and has been associated with a high risk for motor vehicle accidents, probably the highest of all risks due to medical conditions.
Treatment of patients with obstructive sleep apnoea with continuous positive airway pressure (CPAP) is effective as it reduces both apnoeas during the night and sleepiness during the day and improve quality of life.
The primary task of the physician is proper diagnosis, therapy and counseling. All professional drivers with excessive daytime sleepiness as well as uncooperative or therapy resistant drivers should be referred to a sleep disorder centre for objective measurements of excessive daytime sleepiness and assessment of driving capability.
Given the high prevalence of breathing disorders during sleep in the general population, and the evidence that treatment decreases the risk of accidents, it seems legitimate to try and reduce the occurrence of sleepiness-related accidents in affected patients by regulating the access to a driving license in those patients.

Cuvinte cheie: medicina legala, drept // legal medicine, law