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A Pickwickian Problem: How Is Breathing Controlled?
Ann Am Thorac Soc
January 2019
1 Division of Respiratory and Critical Care Physiology and Medicine, Harbor-University of California Los Angeles (UCLA) Medical Center, Torrance, California.
[Sleep-related breathing disorders - historical development, current status, future prospects].
Pneumologie
September 2010
Ruhrlandklinik, Abteilung Pneumologie, Westdeutsches Lungenzentrum, Universitätsklinikum Essen, Essen.
Sleep-related breathing disorders are common adult illnesses in Western countries and classified as either dominant obstructive sleep apnoea or dominant central sleep apnoea. Cheyne-Stokes Respiration is part of the spectrum of CSA. The earliest descriptions of patients who presumably suffered from sleep apnoea were made in the 19th century.
View Article and Find Full Text PDFWho was the first to use the term Pickwickian in connection with sleepy patients? History of sleep apnoea syndrome.
Sleep Med Rev
February 2008
Lloyd Rigler Sleep Apnoea Research Laboratory, Technion-Israel Institute of Technology, Ruth and Bruce Rappaport Faculty of Medicine, Israel.
The symptoms and characteristics of sleep apnoea syndrome--excessive daytime sleepiness, loud snoring, restless and non-restorative sleep--are so impressive that it is difficult to understand why its recognition was delayed until the 1970s. The Centennial book of the American Thoracic Society credited Sidney Burwell for the discovery of Obstructive Sleep Apnoea Syndrome. This is only one of the many mistakes and misattributions regarding the history of sleep apnoea syndrome.
View Article and Find Full Text PDFObstructive sleep apnea syndrome in children: a state-of-the-art review.
Treat Respir Med
July 2004
Department of Pediatrics, Carl-Thiem-Klinikum, Cottbus, Germany.
Snoring and obstructive sleep apnea are a frequent problem not only in adults, but also in children and adolescents, as can be seen from current epidemiological data. The epidemiology, etiology, diagnosis, and management of obstructive sleep apnea syndrome (OSAS) in adults have been adequately established on the basis of evidential data. As a result of this, both physicians and the public are increasingly aware of OSAS in adults.
View Article and Find Full Text PDFPickwickian syndrome: the challenge of severe sleep apnea.
Medsurg Nurs
August 2000
Department of Nursing Science, Lincoln University, Jefferson City, MO, USA.
Pickwickian syndrome is a severe form of sleep apnea in obese persons which involves mechanical impairment of ventilation resulting in greatly compromised gas exchange. Manifestations of the syndrome are associated with deposits of adipose tissue around the abdomen and diaphragm and are completely reversible with weight loss. Since sleep apnea is now recognized as a significant chronic health problem, nurses in intensive care, medical-surgical, and home care settings are increasingly challenged to provide competent assessment, care, and rehabilitation of affected individuals.
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