CHEST 2023 On Demand Pass-Hot Topics in Treatment of Central Sleep Apnea

Video Transcription

Video Summary

This video transcript discusses controversies in the management of central sleep apnea. The panelists discuss real-world dilemmas faced when treating patients with central sleep apnea and present case scenarios to highlight these challenges. One case involves a patient with severe central sleep apnea who responds well to adaptive cerebral ventilation (ASV) therapy. However, the patient is later diagnosed with reduced ejection fraction (EF) and the panel discusses the dilemma of whether to continue ASV therapy or consider other treatment options. The second case involves a patient who experiences worsening sleep symptoms at high altitude due to central sleep apnea. The panel discusses potential treatment options such as supplemental oxygen, acetazolamide, and the use of ASV therapy. The discussion also touches on the use of other medications, such as theophylline and boostbar, and the challenges of managing patients with obstructive sleep apnea at altitude. The panel concludes that treatment decisions should be individualized based on each patient's specific circumstances and preferences.

Meta Tag

Category Sleep Disorders

Session ID 1054

Speaker Kara Dupuy-McCauley

Speaker Shahrokh Javaheri

Speaker Timothy Morgenthaler

Track Sleep Disorders

Keywords

central sleep apnea

ASV therapy

reduced ejection fraction

treatment options

supplemental oxygen

acetazolamide

theophylline

boostbar

obstructive sleep apnea