Sleep Medicine&nbsp;&nbsp;&nbsp;

Do you obtain a MSLT or start empiric therapy with modafinil in patients with residual excessive daytime sleepiness despite optimal adherence to PAP therapy?

In patients with average of less than 5 respiratory events per hour, adequate sleep duration and hygiene confirmed on sleep log, absent cataplexy and ...

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?

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

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?

How do you navigate PAP approval for patients with tracheobronchomalacia or excessive dynamic airway collapse who do not have OSA?

What is your approach to the use of acetazolamide in patients with OSA?

Do you grade severity of OSA by AHI or RDI?

Is there a role for nocturnal supplemental oxygen as opposed to no therapy in patients with OSA who are unable to tolerate PAP therapy?

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

Do you consider tracheostomy for the management of continued hypercapnea despite compliance with PAP in patients with OHS and OSA?

Do you perform spontaneous breathing trials on higher levels of PEEP with extubation to positive pressure ventilation in patients intubated for obesity hypoventilation syndrome?

How do you sequence pharmacologic treatments for primary insomnia?

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?

What are preferred sleep aids in elderly patients with dementia?

How do you treat medically refractory sleep related movement disorders?

How do you treat medically refractory sleep related movement disorder in patients who has failed medical management with dopamine agonists, gabapentin...

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

What are your recommendations for screening for sleep disorders in patients with IDD?

Since these patients or their caregivers may not know the symptoms related to sleep disorders and the negative effects on their already compromised ne...

How do you manage insomnia in cancer patients that is refractory to traditional sleep aides?

In patients who continue to have insomnia despite diphenhydramine, benzos, and trazodone, are there other evidence based treatments that are helpful?

Do you routinely recommend a sleep study in patients with clinical history of REM-sleep behavior disorder?

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