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Pulmonology

Sleep Medicine   

Questions discussed in this category

At what lab values (ferritin, TSAT%) would you offer IV iron therapy to patients with restless leg syndrome?
Does the absence of anemia change your management? Is there a preferred formulation for restless leg syndrome?
2 Answers available
What are your preferred treatments for disrupted nighttime sleep in elderly patients with narcolepsy already taking sodium oxybate?
1 Answer available
How do you manage daytime somnolence without a clear cause?
E.g., negative sleep study, good sleep hygiene, no offending medications, no psychiatric disorder.
6 Answers available
Is there any role for using mandibular advancement splints on select nights in place of CPAP in the management of patients with OSA who have difficulty tolerating CPAP?
1 Answer available
What's the threshold to consider a PSG abnormal enough to preclude a MSLT the following night?
Are there specific cut offs for AHI or minimal total sleep time that you use?
2 Answers available
What is your approach to helping parents manage sleep disturbances in patients with autism spectrum disorder?
1 Answer available
How do you monitor safety, effectiveness, and adherence to therapy when using sedative hypnotics in patients with insomnia?
Do you require patients to complete a controlled substance agreement or obtain routine interval urine drug screens?
1 Answer available
How do you sequence pharmacologic treatments for primary insomnia?
6 Answers available
Will you incorporate the use of tirzepatide in the management of patients with OSA?
The recently published SURMOUNT-OSA trial showed positive results
1 Answer available
When do you consider Cheyne-Stokes respirations noted in download data from positive pressure machines to be normal vs abnormal requiring intervention?
2 Answers available
Do you obtain an MSLT or start empiric therapy with modafinil in patients with residual excessive daytime sleepiness despite optimal adherence to PAP therapy?
In patients with an average of less than 5 respiratory events per hour, adequate sleep duration and hygiene were confirmed on the sleep log, absent ca...
5 Answers available
How do you manage persistent insomnia despite ASV titration in patients with complex sleep apnea?
1 Answer available
Do you grade severity of OSA by AHI or RDI?
5 Answers available
What is your diagnostic approach to patients referred for central sleep apnea on PSG but normal overnight EEG and MRI?
1 Answer available
Do you consider tracheostomy for the management of continued hypercapnea despite compliance with PAP in patients with OHS and OSA?
2 Answers available
What is your approach to evaluation and diagnosis following a non-diagnostic MSLT in a patient with suspected narcolepsy type 2?
1 Answer available
How do you manage patients with central sleep apnea due to heart failure with reduced ejection fraction?
Are there specific scenarios in which you employ BPAP with a back up rate?
1 Answer available
How do you counsel and manage patients who meet criteria for sleep apnea based on 3% but not 4% desaturation?
2 Answers available
Is there a role for nocturnal supplemental oxygen as opposed to no therapy in patients with OSA who are unable to tolerate PAP therapy?
1 Answer available
Do you start PAP in patients who have an overall AHI of less than 5 but demonstrate significant apneas/hypopneas in REM sleep?
3 Answers available
What is your approach to counseling and management of patients with severe symptomatic OSA whose PAP devices have been recalled?
1 Answer available
Do you use acetazolamide to aid diuresis in patients with acute on chronic respiratory acidosis with significantly elevated serum bicarbonate levels?
3 Answers available
How are you navigating approval of CPAP for patients with a high suspicion for OSA on chronic oxygen who are unable to complete an in-lab PSG?
2 Answers available
How do you navigate PAP approval for patients with tracheobronchomalacia or excessive dynamic airway collapse who do not have OSA?
1 Answer available
What is your approach to the use of acetazolamide in patients with OSA?
1 Answer available
How do you define severe hypoxic burden on home sleep testing?
1 Answer available
Do you perform spontaneous breathing trials on higher levels of PEEP with extubation to positive pressure ventilation in patients intubated for obesity hypoventilation syndrome?
2 Answers available
Do you employ the use of noctournal oximetry to assess for a need for supplemental O2 in addition to auto PAP in patients with OSA who have not had an in lab CPAP titration study?
2 Answers available
Do you routinely recommend a sleep study in patients with clinical history of REM-sleep behavior disorder?
Does this add any value?
1 Answer available


Papers discussed in this category

Sleep Med Rev, 2021 Jun 10
REM sleep behavior disorder: Mimics and variants.
The Journal of physiology, 1998-08-01
The effect of rapid eye movement (REM) sleep on upper airway mechanics in normal human subjects.
The European respiratory journal, 2023 Feb 09
Effect of adaptive servo-ventilation for central sleep apnoea in systolic heart failure on muscle sympathetic nerve activity: a SERVE-HF randomised ancillary study.
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2017 Nov 15
Distinct Patterns of Hyperpnea During Cheyne-Stokes Respiration: Implication for Cardiac Function in Patients With Heart Failure.
Sleep, 2007-06
Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning.
The New England journal of medicine, 2024 Jun 21
Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity.
Sleep medicine, 2018-01
Evidence-based and consensus clinical practice guidelines for the iron treatment of restless legs syndrome/Willis-Ekbom disease in adults and children: an IRLSSG task force report.
American journal of hematology, 2024 Mar 13
A randomized double-blind pilot study to evaluate the efficacy, safety, and tolerability of intravenous iron versus oral iron for the treatment of restless legs syndrome in patients with iron deficiency anemia.
JAMA, 2025 May 27
Iron Deficiency in Adults: A Review.
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025 Jan 01
Treatment of restless legs syndrome and periodic limb movement disorder: an American Academy of Sleep Medicine clinical practice guideline.

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