#123 Sleep Apnea Pearls and Pitfalls

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 5 November 2018

⏱️ 52 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

The sleep apnea episode that won’t put you to sleep. Become a sleep apnea guru with incredible insights from Barbara Phillips MD, MSPH, FCCP an expert in pulmonary medicine, critical care and sleep medicine who is also a past president of CHEST! We discuss high-yield topics in the world of obstructive sleep apnea including: home sleep studies vs in-lab polysomnography, the importance of oxygen saturation (the T90 and ODI) when interpreting sleep study results, tricks to improve CPAP adherence, and alternatives therapies for obstructive sleep apnea. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes.

Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at [email protected].

Credits

Written and produced by: Cyrus Askin MD

CME questions by: Cyrus Askin MD

Editor: Chris Chiu MD & Matthew Watto MD

Hosts: Cyrus Askin MD & Matthew Watto MD

Guest: Barbara Phillips, MD

Cover-Art & Infographic - Beth Garbitelli, MS1

Time Stamps

00:00 Disclaimer, intro, guest bio
03:00 Guest one liner, book recommendation, advice for trainees
08:10 Clinical case of sleep apnea, some basic stats, and key predictors of sleep apnea
12:38 Barriers to diagnosis and treatment of OSA
15:23 Discussion of T90, hypoxemia and sleep fragmentation
17:05 How to read a sleep study report
21:55 Home sleep apnea testing
24:15 What are the consequences of sleep apnea
28:30 What is the efficacy of cpap for lowering blood pressure and mortality
31:45 Counseling a patient who is new to cpap
33:45 Choice of mask
40:10 Do alternatives to cpap work? e.g. surgery, mandibular advancement devices
44:17 Modafinil and z-drugs
47:15 Driver’s license issues in sleep apnea
48:35 Future of sleep medicine and take home points

Transcript

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0:00.0	The first cyber-block has been for entertainment education and information process only.
0:09.2	And the topics discussed should not be used only by industry,
0:10.7	you're ordinary and in these ordinary conditions.
0:12.0	But more than you would say it's expressed on the cyber-block has been so low to those,
0:13.7	should not be interpreted perfectly for official policy,
0:14.8	or for the should of any entity, the cyber-phosphate,
0:16.0	cash-like morons will end up in the outreach programs,
0:17.4	and indeed there are any in fact there are none.
0:18.9	Pretty much we are responsible for this throughout,
0:19.9	but we should always do our homework and let's know when we're ready.
0:21.3	Welcome back to the Curbsiders. This is Dr. Matthew Frank Wato.
0:39.3	And without my normal co-host tonight,
0:41.9	Stuart and Paul couldn't be here,
0:43.5	so I will quickly tell you about the show before I introduce my esteemed mystery guest for tonight,
0:49.1	a returning mystery guest.
0:50.8	So this is an internal medicine podcast where we do expert interviews
0:55.7	to bring you clinical pearls and practice changing knowledge.
0:58.6	And we have quite a wonderful guest tonight.
1:01.2	But with me is returning co-host Dr. Cyrus Askin Young Cyrus,
1:07.6	I believe as we were calling you last time.
1:10.0	Cyrus, how's the chief residency going at Cashlack South?
1:13.9	Man, well, Cashlack South, what can I say?
	...

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