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Internal Medicine

Sleep Medicine   

Questions discussed in this category

What is your approach to helping parents manage sleep disturbances in patients with autism spectrum disorder?
1 Answer available
Do you grade severity of OSA by AHI or RDI?
4 Answers available
What is your preferred first-line treatment for chronic fatigue in patients with long COVID-19?
7 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
What is the best treatment for treatment resistant restless leg syndrome?
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
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 ...
4 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
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
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
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
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.
Medical sciences (Basel, Switzerland), 2018-09-21
Low-Dose Naltrexone (LDN)-Review of Therapeutic Utilization.
The Journal of clinical investigation, 2021 Dec 15
The intersection of COVID-19 and autoimmunity.
Molecular systems biology, 2023 Mar 15
A methylation clock model of mild SARS-CoV-2 infection provides insight into immune dysregulation.
BMJ open, 2024 May 13
Low-dose naltrexone for post-COVID fatigue syndrome: a study protocol for a double-blind, randomised trial in British Columbia.
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.
The New England journal of medicine, 2024 Jun 21
Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity.

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