Sleep Medicine Network
-
Practical applications of the new CMS national coverage determination guidelines for noninvasive ventilation in COPD
Many durable medical equipment companies have already started applying the new NIPPV criteria, so it is important for clinicians to become familiar with the changes.
-
Oral medications for sleep in nonintubated ICU patients and their impact on delirium
Clinicians rank pharmacologic sleep aids for ICU patients who are not intubated, beginning with those that have the strongest evidence for safety and efficacy.
-
Improving compliance in NIV for COPD
High-intensity NIV is vital for patients with COPD with hypercapnic respiratory failure, and success often depends on overcoming patient intolerance.
-
Home high-flow nasal cannula therapy
Home high-flow nasal cannula therapy is a promising alternative form of respiratory support to NIV and CPAP. The treatment has been associated with a reduced number of acute exacerbations.
-
Ending Daylight Saving Time
Daylight Saving Time faces opposition due to its impact on sleep, health, and safety. Experts point to sleep-wake cycle disruptions, fatal car accidents, and a higher prevalence of stroke and heart attack as an argument for Permanent Standard Time.
-
Sleep and athletic performance
Considering the recent Olympics, it is timely to review the importance of sleep for optimal athletic performance. When surveyed, 20% to 50% of athletes report poor or insufficient sleep, with […]
-
Hospital to home tracheostomy care
Patients with tracheostomies require comprehensive planning to avoid adverse events. Technological improvement has enhanced our ability to support these patients with complex conditions in their home settings. However, clinical practice […]
-
Post-intensive care syndrome and insomnia
There has been a recent interest in post-intensive care syndrome (PICS), as an increasing number of patients are surviving critical illness. PICS is defined as “new onset or worsening of […]
-
Is it time to embrace a multinight sleep study?
Since the 1960s, sleep researchers have been intrigued by the first-night effect (FNE) in polysomnography (PSG) studies. A meta-analysis by Ding and colleagues revealed FNE’s impact on sleep metrics, like […]
-
The not-so-silent night: Challenges in improving sleep in inpatients with Dr. Vineet Arora
Q: Are there interventions that can be readily implemented to improve sleep quality for hospitalized patients? Dr. Arora: A patient’s first night in the hospital is probably not the night […]
