TAILIEUCHUNG - Obstructive Sleep Apnea Diagnosis and Treatment

I often thought of this mantra during my on-call nights when, as a Stanford sleep medicine fellow, I was awakened from sleep by a technologist informing me that one of the clinic patients had repetitive obstructive apneas with significant oxygen desaturations. The technologist would typically ask, “can I start the patient on CPAP?” Invariably, I would mutter a drowsy “yes,” often chiding myself that on the previous day I should have clearly written the respiratory thresholds for starting continuous positive airway pressure on the patient’s sleep-study order sheet | SLEEP DISORDERS VOLUME 4 Obstructive Sleep Apnea Diagnosis and Treatment Obstructive Sleep Apnea Diagnosis and Treatment SLEEP DISORDERS Advisory Board Antonio Culebras . Professor of Neurology Upstate Medical University Consultant The Sleep Center Community General Hospital Syracuse New York . Anna Ivanenko . . Loyola University Medical Center Department of Psychiatry and Behavioral Neuroscience Maywood Illinois . Clete A. Kushida . . RPSGT Director Stanford Center for Human Sleep Research Associate Professor Stanford University Medical Center Stanford University Center of Excellence for Sleep Disorders Stanford California . Nathaniel F. Watson . University of Washington Sleep Disorders Center Harborview Medical Center Seattle Washington .

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