Clinical Adult Literature Updates from March 2019

Immediate Use of Continuous Positive Airway Pressure in Patients With Obstructive Sleep Apnea Following Transsphenoidal Pituitary Surgery: A Case Series.

Use of CPAP after oral surgery is always questionable. In this interesting retrospective study (n = 427, among them 64 had OSA), the authors aimed to determine the incidence of complications related to the use of early CPAP following pituitary resection. They conclude that patients who received CPAP immediately after surgery exhibit similar rates of surgical complications.

Longitudinal relationship between sleep deficiency and pain symptoms among community-dwelling older adults in Japan and Singapore.

This study investigated the association between sleep deficiency and pain among community-dwelling adults aged 65 years and older across a 2-3 year period. … In Singaporeans, sleep deficiency predicted the new onset of any pain, and any pain also predicted the new emergence of sleep deficiency.

Heart rate variability rebound following exposure to persistent and repetitive sleep restriction.

The authors examined heart rate variability and cardiovagal baroreflex sensitivity (BRS) during four blocks of repetitive sleep restriction and sequential nights of recovery sleep on 21 healthy participants. The results show that the restoration of autonomic homeostasis requires a time course that includes at least three nights, following an exposure to multiple nights of sleep curtailed to about half the normal nightly amount.

Objective sleep duration is associated with cognitive deficits in primary insomnia: BDNF may play a role.

Primary insomnia was associated with impaired neuropsychological performance, and the impairment might be related to decreased objective sleep duration. In addition, decreased peripheral BDNF might mediate the impaired cognitive functions of people with insomnia with SSD.