Pulmonology

Sleep Medicine

Questions discussed in this category

What is your preferred first-line treatment for chronic fatigue in patients with long COVID-19?

5 Answers 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

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

Do you grade severity of OSA by AHI or RDI?

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

How do you define severe hypoxic burden on home sleep testing?

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

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

How do you sequence pharmacologic treatments for primary insomnia?

4 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

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 start PAP in patients who have an overall AHI of less than 5 but demonstrate significant apneas/hypopneas in REM sleep?

1 Answer 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 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.

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