Pulmonology

Sleep Medicine

Questions discussed in this category

How do you manage daytime somnolence without a clear cause?

E.g., negative sleep study, good sleep hygiene, no offending medications, no psychiatric disorder.

How have you incorporated prescription digital therapeutic treatments for chronic insomnia, such as SleepioRx or Somryst, into your practice?

How do you monitor patient progress while using these treatments? When would you consider these as opposed to non-prescription mobile apps such as CBT...

2 Answers available

What would prompt you to consider a sleep study for narcolepsy in a child or adolescent with new-onset hallucinations?

1 Answer available

How do you treat idiopathic hypersomnia inadequately responding to modafinil?

In light of the recent RCT by Dauvilliers et al., PMID 40359459 published June 2025 in Neurology.

4 Answers available

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

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?