MI001 Sleep Apnea What is Sleep Apnea When a person falls asleep their tongue falls to the back of their throat blocking their airway As a result they are unable to breathe so they ID: 914708
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Slide1
SLEEP APNEA
AND PILOTS
Maj Kent Bankhead, MI Wing Director of Safety
MI-001
Slide2Sleep Apnea
Slide3What is Sleep Apnea
When a person falls asleep, their tongue falls tothe back of their throat blocking their airway. As a result, they are unable to breathe, so they begin to choke/struggle for air. This wakes them up, they reposition themselves, and regain an open airway.
Slide4Why is it important?
“Sleep apnea can affect anyone, even children. But certain factors increase your risk.” https://www.mayoclinic.org/diseases
“Untreated sleep apnea can cause high blood pressure..other cardiovascular diseases, memory problems, weight gain…and may be responsible for job impairment and motor vehicle crashes.” https://wwwsleepapnea.org
Slide5RISK FACTORS
Excess weightNeck circumferenceBeing maleBeing olderFamily history
SmokingUse of alcohol, sedatives, or tranquilizers mayoclinic.org/diseases/sleep apneas
Slide6COST OF SLEEP DEPRIVATION AND OSA
Frost and Sullivan calculated: The annual economic burden of Undiagnosed Sleep Apneaamong US adults is approximately $149.6billion.$86.9 billion in lost productivity$26.2 billion in motor vehicle accidents
$6.5 billion in workplace accidents$30 billion in increased healthcare utilization and medication costsImmeasurable cost to familiesaasm.org/economic-burden
Slide7IMPACT OF SLEEP APNEA
ON PILOTS
Slide8As pilots are aware, Federal Air Surgeon Fred Tilton
announced that the FAA was releasing a new policy that pilots with a BMI of 40 or greater needed to be tested for Sleep Apnea by a board-certified sleep physician before they were issued a medical certificate.
Tilton also stated that Sleep Apnea is almost universal in individuals with a BMI of 40 or greater and neck size of at least 17 inches.
Slide92008
2 Pilots in a Bombadier CL-600-2B19 flew past its destination airport in Hilo,
HI after both the captain and first officer fell asleep. NTSB ruled that their recent work schedules and the captain’s undiagnosed OSA contributed to the incident.https://aopa.org/news-and-media NTSB Calls for Sleep Apnea screening
Slide10RECOGNIZING SLEEP APNEA
The only way to detect Sleep Apnea is through a sleep study.
However, some clues that a person could have Sleep Apnea are: Snoring Difficulty in thinking, concentrating, or remembering Daytime sleepiness Irritability Fatigue Headaches Short attention span
Slide11TREATMENT OPTIONS FOR
SLEEP APNEABehavioral Changes
Dental appliancesContinuous Positive Airway Pressure (CPAP)BiLevel Positive Airway Pressure (BIPAP)MedicationsSurgical Procedures
Slide12Be aware of your and your family’s health and sleep
patterns.If you notice (or are told) clues that Sleep Apnea might be occurring, talk with your physician.
During CAP activities, be aware of your teammates’ conditions (are they fatigued, sleepy, etc?).Ask questions, but don’t diagnose. There may be other factors involved.
Summary
Slide13References
Slide14REFERENCES
https://www.sleepapnea.org
https://mayoclinic.org/diseaseshttps://aasm.org/economic-burden
https://aopa.org/news-and-media NTSB calls for Sleep Apnea screeningMedical Facts for Pilots, Publication #AM-400-10/1 by J.R.Brown, FAA Civil Aerospace Medical InstitutePhysiological Training Classes for PilotsWww.faa.gov/pilots/training/airman_Education/aerospace_physiology/index.cfm