Sleep apnoea - a general practice approach.

BACKGROUND

Snoring and sleepiness are common presentations in general practice.

OBJECTIVE

To describe the frequency, clinical findings, investigations and management options for obstructive sleep apnoea.

DISCUSSION: Obstructive sleep apnoea should be considered in a range of presentations. Diagnosis is based on history, examination, investigation and, occasionally, a trial of therapy. Management options should start with lifestyle management. Further options include surgery, dental splints and continuous positive airway pressure. Continuous positive airway pressure requires long term input by both the patient and the general practitioner. Common issues with the use of machines for the management of sleep apnoea are also discussed.