Our Sleep Laboratory at the Topiwala National Medical College and BYL Nair Hospital, Mumbai was established in 1997 and was the first in western India. We currently have a one bedded laboratory with 1 limited polysomnography and 2 full polysomnography machines. We have facility for titration with CPAP and bi-level PAP. We perform a lot of ambulatory sleep testing in the wards as well as home based studies.
Our lab has published on various aspects of Sleep Disordered Breathing, summary of which is given below- Obstructive Sleep Apnea
The risk for OSA using Clinical score (included snoring, witnessed apneas, EDS, Hypertension and Obesity) was 4.58% in the study population. Waist circumference and metabolic syndrome were independent risk factors for OSA.
Obstructive sleep apnoea (OSA) in octroi employees of Mumbai: Evaluation of waist circumference, diabetes mellitus, metabolic syndrome as risk factors. VS. Karkhanis, J M Joshi. Indian J Sleep Med 2009; 4.3, 100-105
SDB and Chest Disease
In this editorial review article authors discuss about occurrence of different sleep disorders in ILD patients.
Sleep Related Breathing Disorders in Interstitial Lung Diseases J. M. Joshi. Indian J Sleep Med 2007; 2.1, 1-4
Out of 11 cases with kyphoscoliosis who underwent level 3 sleep study, 10 had SDB in the form of hypoventilation/hypoxemia which improved with BiPAP but not CPAP.
Sleep disordered breathing in kyphoscoliosis. JM Joshi , KD Modi. Indian J Sleep Med 2010; 5.1, 13-17
Nocturnal oxygen therapy has a beneficial effect on the obstructive sleep apnea syndrome in selected patients of ILD and OSAS.
Role of nocturnal oxygen therapy in interstitial lung disease with obstructive sleep apnoea syndrome D. V. Shah, J. M. Joshi. Indian J Sleep Med 2006;1.1, 41-44
SDB and Epidemiology
6.4% of adult Indian population suffers from snoring and prevalence of OSA on the maximum side in the study population was 3.42% based on questionnaire study.
Prevalence of symptoms and risk of sleep disordered breathing in Mumbai (India). S Saxena, D Gothi, J M Joshi. Indian J Sleep Med 2006;1.1, 27-31
In this retrospective study of 56 children 41% had OSA and craniofacial abnormality was the leading cause of OSA. Surgery improved OSA in children with craniofacial abnormalities.
Sleep Apnea. SKV. Nanaware, D. Gothi and J.M. Joshi. Indian J Pediatr 2006; 73 (7) : 597-601
Case Reports
In this case report authors describe the occurrence of OSA in Miller’s syndrome in Indian patient which got corrected after surgery.
Sleep Apnoea in Postaxial Acrofacial Dysostosis (Miller) Syndrome. A Gangurde, D Gothi, J M Joshi. Indian J Sleep Med 2006; 1.4, 211-213
In this case report authors describe the occurrence of OSA in OAVS in 3yr old Indian patient, which got corrected after surgery.
Obstructive Sleep Apnoea (OSA) in a Case of Oculo-Auriculo-Vertebral Spectrum (OAVS) D Gothi, J. M. Joshi. Indian J Sleep Med 2006; 1.2, 106-108
In this case report authors report a late onset central hypoventilation syndrome (LO-CHS) with hypothalamic dysfunction (HD) and ganglioneuroma presenting at the age of ten years.
Late Onset Hypoventilation Syndrome: Is There a Spectrum of Idiopathic Hypoventilation Syndromes? D. Gothi and J.M. Joshi. Indian J Chest Dis Allied Sci 2005; 47: 293-298
Review articles
In this review article authors discuss the ambulatory approach for management of OSA.
Ambulatory Diagnostic-therapeutic Approach for Obstructive Sleep Apnoea Syndrome (OSAS). J. M. Joshi. Indian J Sleep Med 2008; 3.4, 107-111
In this review article authors discuss the peri-operative management of Adult and Pediatric OSA
Perioperative management of adult and pediatric sleep apnoea. Dipti Gothi, JM Joshi. Indian J Sleep Med 2011; 6.2, 35-43
In this review article authors discuss about the SDB in pediatric agegroup along with its management
Sleep disordered breathing in children. Dipti Gothi, J M Joshi. Indian J Sleep Med 2009; 4.3, 82-90
In this review article authors compare AASM guidelines for sleep staging published in 2007 with R&K guidelines and conclude that may be R&K guidelines were good enough for sleep staging.
Sleep staging: Good old R & K! Do we need a revised AASM criteria? J. M. Joshi. Indian J Sleep Med 2009; 4.1, 4-5
In this editorial review article authors discuss about clinical features, diagnostic criteria and treatment options for Obesity Hypoventilation Syndrome.
Obesity Hypoventilation Syndrome. J. M. Joshi. Indian J Sleep Med 2007; 2.3, 73-79
In this editorial review article authors discuss about clinical features, diagnostic criteria and treatment options for UARS.
Upper airway resistance syndrome: The changing Scenario. D. Gothi, J. M. Joshi. Indian J Sleep Med 2008; 3.2,31-35
We have co-authored the first Indian OSA (INOSA) guidelines that have been published in the Indian Journal of Medical Research. We have co-authored a hand book on Sleep Medicine For the Practicing Physician published and distributed by Lupin Pharma through an educational grant.
The team consists of Professor – Dr Jyotsna M Joshi, Additional Professor- Dr Vinaya S Karkhanis, Assistant Professors- Dr Unnati Desai and Dr Ketaki Utpat, Medical Officer_ 1, Resident Doctors_ 9.