Description:

The correlation between OSA and motor vehicle accidents or work injuries is confirmed in several studies. Motor vehicle crashes are more frequent in untreated patients, and they’re usually associated with more severe injuries. Regular CPAP treatment relieves excessive daytime sleepiness and reduces the crash risk. However, it is a matter of discussion (15) if the driving risk in OSA is more closely related to the degree of daytime sleepiness, objective severity of sleep-disordered breathing, or to the presence of concomitant behavioral factors, like sleep restriction and work schedules.

Learning Objectives:

• Prevalence of sleepiness at wheel or sleepiness at work in patients with OSA and comparison with general population

• Determinants of sleepiness at wheel, sleepiness at work, and determinant of accidents in patients with OSA

• How to assess individual risk of accidents

Description:

This will be a case-based interactive panel discussion that will cover several common, but controversial, diagnostic and treatment decisions related to the management of sleep-disordered breathing. Topics that will be covered include:

• Should we be treating patients with mild obstructive sleep apnea?

• Managing nonsleepy patients with obstructive sleep apnea: Does it make a difference?

• Cardiovascular outcomes and OSA treatment: What are realistic expectations?

• Should we be treating central sleep apnea?

• What is the role of nocturnal ventilation in patients with COPD?

Learning Objectives:

• Determine which obstructive sleep apnea phenotypes are most likely to benefit from therapy.

• Understand outcomes associated with the diagnosis and treatment of central sleep apnea.

• Define which patients with COPD may benefit from nocturnal noninvasive ventilation.