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 are preferred sleep aids in elderly patients with dementia?

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

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...

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

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...

1 Answer available

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?

4 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 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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