Fabrice Czarnecki, M.D., M.A., M.P.H., FACOEM I have no disclosures to make.
|
|
- Cathleen Stephens
- 6 years ago
- Views:
Transcription
1 Maryland College of Occupational and Environmental Medicine April 2014 Fabrice Czarnecki, M.D., M.A., M.P.H., FACOEM I have no disclosures to make.
2
3 Guidelines 2006: Joint Task Force BMI : MEP BMI : MRB BMI > 30 February 2012: Motor Carrier Safety Advisory Committee (MCSAC) and Medical Review Board (MRB) joint recommendations on OSA BMI 35
4 port_task% _feb_2012_meeting.docx
5 BMI & Commercial Drivers BMI < % BMI % BMI % BMI % BMI > % AJRCCM 2004
6 OSA and commercial drivers Hours of service Increased risk of crash
7 OSA screening in commercial drivers Ask for history of OSA Ask for history of CPAP use Document BMI Think difficult intubation
8 Symptoms of OSA (MRB/MCSAC) Loud snoring Witnessed apneas Sleepiness during wake period
9 Risk factors for OSA / high risk (MRB/MCSAC) Small or recessed jaw Small airway (Mallampati Scale score of Class 3 or 4) Neck size > 17 inches (male), 15.5 inches (female) Hypertension (treated or untreated) Type 2 diabetes (treated or untreated) Hypothyroidism (untreated)
10 Other risk factors for OSA (MRB/MCSAC) BMI greater than or equal to 28 kg/m 2 Age 42 and above Family history Male or post-menopausal female Experienced a single-vehicle crash
11 Certify drivers with OSA Untreated OSA with AHI 20 and no daytime sleepiness Effective treatment
12 CPAP treatment Annual recertification CPAP compliance 4 hours / 70% of nights
13 Disqualify Drivers who admit experiencing excessive sleepiness while driving Drivers who experienced excessive a crash associated with falling asleep Drivers who are not compliant with CPAP treatment
14 Conditional certification AHI > 20 until compliant with CPAP After surgery BMI 35 pending sleep study 60 days CPAP compliant (> 7 days): 90 days then 1 year
15 OSA diagnosis Methods of diagnosis include in-laboratory polysomnography, at-home polysomnography, or an FDA-approved limited channel ambulatory testing device which ensures chain of custody.
16 Comorbidities Does your patient have a history of: Hypertension Diabetes Coronary artery disease Narcolepsy Obstructive sleep apnea Restless leg syndrome Any other sleep disorder
17
18 ACOEM Guidance for the Medical Evaluation of Law Enforcement Officers
19 OSA and LEOs Drive in routine and emergency situations Vigilance Situational awareness Executive functioning
20 OSA Screen everybody Recommend sleep study if BMI > 32 Performance is the issue Fitness for duty evaluation No risk of sudden incapacitation Inability to do the job?
21 Fitness for Duty Criteria Observed or confessed excessive sleepiness Motor vehicle crash likely related to sleep disturbance
22 Fitness for Duty Criteria Observed performance impairment of LEO job functions suspected to be due to somnolence and associated decreased vigilance, executive functioning, and judgment Previously diagnosed OSA; noncompliant, no recent F/U, or surgical treatment without objective follow-up
23 OSA Treatment CPAP: 70% / 4 hours Annual review of data or for cause Oral appliance Mild OSA Unable to tolerate CPAP Confirm treatment response with sleep study
24 OSA Treatment Compliance Form for treating physician Comorbidities
25 Shift Work Disorder Insomnia and/or excessive sleepiness Diagnosis by sleep specialist Treatment Sleep hygiene Medications
26 Shift Work Disorder Restrictions if no adequate response to treatment Is shift work an essential job function of LEOs?
27 Other Sleep Disorders Narcolepsy Restless leg syndrome Idiopathic hypersomnia
28 Appendix on Sleep Hygiene Recommendations for officers Recommendations for agencies
29
30 Standard on Comprehensive Occupational Medical Program for Fire Departments 2013 Edition
31 Applicants Untreated OSA Obstructive apneas (e.g., sleep apnea) if unresponsive to treatment Category B Category B Medical Condition. A medical condition that, based on its severity or degree, could preclude a person from performing as a member in a training or emergency operational environment by presenting a significant risk to the safety and health of the person or others.
32 Members Untreated OSA Obstructive sleep apnea, if not properly treated, might compromise the member s ability to safely perform essential job tasks 2, 3, 5, 8, 12, and 13, and after further evaluation and a final medical determination of the member s condition, the physician shall report any applicable job limitations to the fire department.
33 Explanatory Material Assess compliance with CPAP or BiPAP Consider echo: Pulmonary hypertension Right ventricular hypertrophy
34 Treated OSA Get CPAP compliance log Sleep study if oral appliance Form to treating physician Obtain original sleep study
35 Untreated OSA Obtain original sleep study Request new sleep study Compliance?
36 Comorbidities Hypertension Diabetes Hypoxia Metabolic syndrome
37 Metabolic Syndrome Three or more of the following components: Abdominal obesity, defined as a waist circumference >40 in. in men, >35 in. in women Triglycerides > 150 mg/dl HDL cholesterol < 40 mg/dl for men, < 50 mg/dl for women Blood pressure > 135/85 mmhg Fasting blood glucose > 110 mg/dl
38 Metabolic Syndrome Annual imaging stress test to 12 METS Lifestyle adjustments Exercise prescription Referral to treating physician
39 New Cycle for NFPA edition Draft in July 2015 for public input Submission of public comments
Respiratory Conditions and the Commercial Driver
Respiratory Conditions and the Commercial Driver Natalie P. Hartenbaum, MD, MPH President and Chief Medical Officer OccuMedix, Inc. 2015 v2 Respiratory Regulation - CFR 391.41(b) A person is physically
More informationObstructive Sleep Apnea in Truck Drivers
Rocky Mountain Academy of Occupational and Environmental Medicine Denver, Colorado February 6, 2010 Obstructive Sleep Apnea in Truck Drivers Philip D. Parks, MD, MPH, MOccH Medical Director, Lifespan Health
More informationUPDATE FOR MEDICAL EXAMINERS
NECOEM NRCME Update 1 UPDATE FOR MEDICAL EXAMINERS NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS (NRCME) FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION US DEPARTMENT OF TRANSPORTATION New England College
More informationJ. J. Keller & NPTC Webcast
Sleep Apnea and Fatigue Management May 11 th, 2017 Drug & Alcohol Clearinghouse This webcast will cover... A regulatory overview Best practices in compliance A case study in implementation Question & Answer
More informationSleep Studies: Attended Polysomnography and Portable Polysomnography Tests, Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing
Portable Polysomnography Tests, Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing MP9132 Covered Service: Yes when meets criteria below Prior Authorization Required: Yes as indicated
More informationCoding for Sleep Disorders Jennifer Rose V. Molano, MD
Practice Coding for Sleep Disorders Jennifer Rose V. Molano, MD Accurate coding is an important function of neurologic practice. This section of is part of an ongoing series that presents helpful coding
More informationROBERT C. PRITCHARD DIRECTOR MICHAEL O. FOSTER ASSISTANT DIR. SLEEP APNEA
ROBERT C. PRITCHARD DIRECTOR MICHAEL O. FOSTER ASSISTANT DIR. SLEEP APNEA A Person is physically qualified to drive a motor vehicle if that person; -(5) has no established medical history or clinical diagnosis
More informationPORTABLE OR HOME SLEEP STUDIES FOR ADULT PATIENTS:
Sleep Studies: Attended Polysomnography and Portable Polysomnography Tests, Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing MP9132 Covered Service: Prior Authorization Required: Additional
More informationPolysomnography (PSG) (Sleep Studies), Sleep Center
Policy Number: 1036 Policy History Approve Date: 07/09/2015 Effective Date: 07/09/2015 Preauthorization All Plans Benefit plans vary in coverage and some plans may not provide coverage for certain service(s)
More informationGet on the Road to Better Health Recognizing the Dangers of Sleep Apnea
Get on the Road to Better Health You Will Learn About The importance and benefits of sleep Sleep deprivation and its consequences The prevalence, symptoms, and treatments for major sleep problems/ disorders
More informationDiabetes & Obstructive Sleep Apnoea risk. Jaynie Pateraki MSc RGN
Diabetes & Obstructive Sleep Apnoea risk Jaynie Pateraki MSc RGN Non-REM - REM - Both - Unrelated - Common disorders of Sleep Sleep Walking Night terrors Periodic leg movements Sleep automatism Nightmares
More informationSleep Apnea and Fatigue: Impact on Commercial Motor Vehicle Safety
Sleep Apnea and Fatigue: Impact on Commercial Motor Vehicle Safety Sleep Apnea-Multimodal Transportation Conference American Sleep Apnea Association November 9, 2011 Benisse Lester, MD, Chief Medical Officer
More informationUPDATES IN SLEEP APNEA:
UPDATES IN SLEEP APNEA: CPAP,CPAP COMPLIANCE, & ALTERNATIVES MICHELLE ZETOONY, DO, FCCP, FACOI BOARD CERTIFIED PULMONARY, CRITICAL CARE, SLEEP & INTERNAL MEDICINE CLEARWATER, FL DISCLOSURE I have no conflicts
More informationSleep Disorders The Effect on our Lives Every Day
Sleep Disorders The Effect on our Lives Every Day Julie Hatleli, RN Sheri Krenz, RN Regional Sleep Disorders Center-Mankato, MN 2016 MFMER slide-1 Agenda Sleep Stages Sleep Apnea Sleep Disorders DOT requirements
More informationSweet Dreams: The Relationship between Sleep Health and Your Weight
Sweet Dreams: The Relationship between Sleep Health and Your Weight Jason C. Ong, PhD Associate Professor Department of Neurology Center for Circadian and Sleep Medicine Northwestern University Feinberg
More informationMedical Affairs Policy
Medical Affairs Policy Service: Sleep Disorder Testing (Polysomnogram, Split Night Polysomnogram, Sleep Study, Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Testing (MWT), Home Sleep Apnea
More informationScreening for OSA among DOT Examinees: Challenges and Advancement
Screening for OSA among DOT Examinees: Challenges and Advancement Chunbai Zhang, MD, MPH Medical Director Employee Occupational Health Service (EOHS) Silverman Institute of Healthcare Quality and Safety
More informationAlcoholism. Psychiatry. Alcoholism. Alcoholism. Certification. Certification
Alcoholism Psychiatry Liz Clark, D.O., MPH & TM FAOCOPM MY-2012 Except where absolute criteria exist (i.e., a current clinical diagnosis of alcoholism), as a medical examiner, you make the final determination
More informationLiz Clark, D.O., MPH & TM FAOCOPM
Liz Clark, D.O., MPH & TM FAOCOPM Except where absolute criteria exist (i.e., a current clinical diagnosis of alcoholism), as a medical examiner, you make the final determination as to whether the driver
More informationUpdate on Sleep Apnea Diagnosis and Treatment
Update on Sleep Apnea Diagnosis and Treatment Damien Stevens MD Pulmonary/Critical Care/Sleep Medicine Medical Director KU Medical Center Sleep Laboratory Objectives Discuss physiology of sleep and obstructive
More informationSleep 101. Kathleen Feeney RPSGT, RST, CSE Business Development Specialist
Sleep 101 Kathleen Feeney RPSGT, RST, CSE Business Development Specialist 2016 Why is Sleep Important More than one-third of the population has trouble sleeping (Gallup) Obstructive Sleep Apnea Untreated
More informationSleep Complaints and Disorders in Epileptic Patients 순천향의대천안병원순천향의대천안병원신경과양광익
Sleep Complaints and Disorders in Epileptic Patients 순천향의대천안병원순천향의대천안병원신경과양광익 Introduction The global physical, social and economic consequence of epilepsy are high. WHO 2000 study Improving QoL is increasingly
More informationAsleep at the Wheel Understanding and Preventing Drowsy Driving
LIFESAVERS April 23, 2018 San Antonio, TX 2:15 3:45 PM Room 214 D Sleepiness and Accidents: A Crash Course EVOLVING SAFETY PRIORITIES AND SOLUTIONS Asleep at the Wheel Understanding and Preventing Drowsy
More informationHEALTHY LIFESTYLE, HEALTHY SLEEP. There are many different sleep disorders, and almost all of them can be improved with lifestyle changes.
HEALTHY LIFESTYLE, HEALTHY SLEEP There are many different sleep disorders, and almost all of them can be improved with lifestyle changes. HEALTHY LIFESTYLE, HEALTHY SLEEP There are many different sleep
More informationOutline. Major variables contributing to airway patency/collapse. OSA- Definition
Outline Alicia Gruber Kalamas, MD Associate Clinical Professor of Anesthesia & Perioperative Care University of California, San Francisco September 2011 Definition Pathophysiology Patient Risk Factors
More informationStefanos N. Kales MD, MPH, FACP, FACOEM HARVARD UNIVERSITY
Sleep & Transportation Accidents Stefanos N. Kales MD, MPH, FACP, FACOEM HARVARD UNIVERSITY NECOEM / MaAOHN 2017 Newton, MA Stefanos N. Kales MD, MPH, FACP, FACOEM DIVISION CHIEF, OCCUPATIONAL MEDICINE
More informationHigh Risk OSA n = 5,359
Table S1 Prevalence of atrial fibrillation (AF) identified using different methods in participants with high and low risk obstructive sleep apnea (). High Risk n = 5,359 Low Risk n = 14,992 SR-AF (%) 467
More informationSleep Medicine. Paul Fredrickson, MD Director. Mayo Sleep Center Jacksonville, Florida.
Sleep Medicine Paul Fredrickson, MD Director Mayo Sleep Center Jacksonville, Florida Fredrickson.Paul@mayo.edu DISCLOSURES No relevant conflicts to report. Obstructive Sleep Apnea The most common sleep
More informationOBSTRUCTIVE SLEEP APNEA and WORK Treatment Update
OBSTRUCTIVE SLEEP APNEA and WORK Treatment Update David Claman, MD Professor of Medicine Director, UCSF Sleep Disorders Center 415-885-7886 Disclosures: None Chronic Sleep Deprivation (0 v 4 v 6 v 8 hrs)
More informationDepartment of Transportation update
Department of Transportation update October, 2014 Michael Berneking, M.D. Medical Director, Concentra, Grand Rapids, Michigan [Go to View, Master, Slide Master to enter presentation title here or remove
More informationTOPIC: Continuing Coverage of CPAP Machines and Supplies for the Treatment of Obstructive Sleep Apnea
These documents are not used to determine benefits or reimbursement. Please reference the appropriate certificate or contract for benefit information. BLUE CROSS BLUE SHIELD of MI MEDICAL POLICY Enterprise:
More informationRediscover the power of sleep
Rediscover the power of sleep Patient Copy Apnea solutions for all ages Mobile Sleep Services Who We Are An experienced and well trained team of sleep care professionals consisting of Registered Sleep
More informationSurgical Options for the Successful Treatment of Obstructive Sleep Apnea
Surgical Options for the Successful Treatment of Obstructive Sleep Apnea Benjamin J. Teitelbaum, MD, FACS Otolaryngology Head and Neck Surgery Saint Agnes Medical Center Fresno, California Terms Apnea
More informationIndex. sleep.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Accidents. See Motor vehicle accidents. Acetazolamide, in OSA therapy, 531 Acetylcholinesterase inhibitors, in OSA therapy, 532 533 Acromegaly,
More informationThe Importance of Sleep to a Healthy Workplace
The Importance of Sleep to a Healthy Workplace Peter Cistulli MBBS, PhD, MBA, FRACP Head, Discipline of Sleep Medicine University of Sydney Medical School Royal North Shore Hospital Royal North Shore Hospital
More informationObstructive Sleep Apnoea
Obstructive Sleep Apnoea Adam Whittle Respiratory Medicine Bristol Royal Infirmary Sleep Service 1990: Bristol respiratory sleep service Drs Catterall & Kendrick, Bristol General ATW since 2001 2008: NICE
More informationSleep Disorders and the Metabolic Syndrome
Sleep Disorders and the Metabolic Syndrome Tom V. Cloward, M.D. Intermountain Sleep Disorders Center LDS Hospital Objectives Describe how sleep disorders impact your daily medical practice Don Don t do
More informationSleep and the Heart Reversing the Effects of Sleep Apnea to Better Manage Heart Disease
1 Sleep and the Heart Reversing the Effects of Sleep Apnea to Better Manage Heart Disease Rami Khayat, MD Professor of Internal Medicine Director, OSU Sleep Heart Program Medical Director, Department of
More informationRESEARCH PACKET DENTAL SLEEP MEDICINE
RESEARCH PACKET DENTAL SLEEP MEDICINE American Academy of Dental Sleep Medicine Dental Sleep Medicine Research Packet Page 1 Table of Contents Research: Oral Appliance Therapy vs. Continuous Positive Airway
More informationNational Sleep Disorders Research Plan
Research Plan Home Foreword Preface Introduction Executive Summary Contents Contact Us National Sleep Disorders Research Plan Return to Table of Contents SECTION 5 - SLEEP DISORDERS SLEEP-DISORDERED BREATHING
More informationSleep Apnoea. Introduction Symptoms Causes Obtaining a Diagnosis Treatment Complications
The most common forms of sleep apnoea are normally referred to as obstructive sleep apnoea (OSA) and relate to a condition which causes interruptions in breathing during sleep. People with obstructive
More informationWhat is SDB? Obstructive sleep apnea-hypopnea syndrome (OSAHS)
Have a Good Sleep? Estimated 70 million Americans have clinically significant sleep problems Chronic insomnias report decreased quality of life, memory and attention problems, decreased physical health
More informationSleep Disorders and Excessive Sleepiness: Impact on Quality of Life
CME/CE POSTTEST Sleep Disorders and Excessive Sleepiness: Impact on Quality of Life CME Information Program Overview Excessive sleepiness is a complaint found in patients who experience sleepiness at unwanted
More informationThe Agony or the Ecstasy. Familiar?
The Agony or the Ecstasy Familiar? Snoring Related Complaints Drives wife from bedroom Girlfriend won t marry me Shakes entire house Ask me to leave movies and church Has had to leave boat so friends could
More informationSleep and Executive Performance
Sleep and Executive Performance 2017 United Fresh Produce Executive Development Program Ana C. Krieger, MD, MPH, FAASM, FCCP Medical Director, Center for Sleep Medicine Associate Professor, Weill Cornell
More informationSleep: A Forgotten Component of Overall Health Demarcus Sneed Health and Human Sciences Educator Madison County October 5, 2016
Sleep: A Forgotten Component of Overall Health Demarcus Sneed Health and Human Sciences Educator Madison County October 5, 2016 Lesson Objectives Understand the importance of having consistent, quality
More informationMLA HASS LUNG. SLEEP CENTER, Leominster Campus 100 Erdman Way, Leomjnster, MA Phone: Fax:
MLA HASS LUNG SLEEP CENTER, Leominster Campus 100 Erdman Way, Leomjnster, MA 01453 Phone: 978-728-4641 Fax: 978-978-1382 MEICAL IRECTOR: Payam Aghassi, M, FCCP Thank you for your sleep study order! Attached
More informationInternational Journal of Scientific & Engineering Research Volume 9, Issue 1, January ISSN
International Journal of Scientific & Engineering Research Volume 9, Issue 1, January-2018 342 The difference of sleep quality between 2-channel ambulatory monitor and diagnostic polysomnography Tengchin
More informationTreatment of Obstructive Sleep Apnea (OSA)
MP9239 Covered Service: Prior Authorization Required: Additional Information: Yes when meets criteria below Yes as shown below None Prevea360 Health Plan Medical Policy: 1.0 A continuous positive airway
More informationOSA - Obstructive sleep apnoea What you need to know if you think you might have OSA
OSA - Obstructive sleep apnoea What you need to know if you think you might have OSA Obstructive sleep apnoea, or OSA, is a breathing problem that happens when you sleep. It can affect anyone men, women
More informationPolycystic Ovarian Syndrome and Obstructive Sleep Apnea: Poor Bedpartners. M. Begay, MD UNM Sleep Medicine Fellow 01/31/2017
Polycystic Ovarian Syndrome and Obstructive Sleep Apnea: Poor Bedpartners M. Begay, MD UNM Sleep Medicine Fellow 01/31/2017 Case of S.R. S.R. is a 39 year old female referred for suspected obstructive
More informationWhat is Oral Appliance Therapy?
You may have been diagnosed by your physician as required treatment for sleep-disordered breathing (snoring and/or obstructive sleep apnea). This condition may pose serious health risks since it disrupts
More informationPre-Operative Services Teaching Rounds 11 March 2011
Pre-Operative Services Teaching Rounds 11 March 2011 Deborah Richman MBChB FFA(SA) Director Pre-Operative Services Department of Anesthesia Stony Brook University Medical Center, NY drichman@notes.cc.sunysb.edu
More informationKim Olszewski DNP, CRNP, COHN-S/CM, FAAOHN. Mid State Occupational Health Services Inc Lewisburg, Pennsylvania
Kim Olszewski DNP, CRNP, COHN-S/CM, FAAOHN Mid State Occupational Health Services Inc Lewisburg, Pennsylvania Bloomsburg University Bloomsburg, Pennsylvania Operate vehicles for interstate commerce or
More informationA New, Clinically Proven Sleep Apnea Therapy for people unable to use CPAP.
A New, Clinically Proven Sleep Apnea Therapy for people unable to use CPAP. Take Heart. If You Have OSA, You re Not Alone. Like you, more than 18 million Americans are estimated to have Obstructive Sleep
More informationWHAT YOU NEED TO KNOW ABOUT SLEEP APNEA
WHAT YOU NEED TO KNOW ABOUT SLEEP APNEA Wayne Driscoll Clinical Education Specialist 2 SLEEP APNEA IN THE NEWS Carrie Fisher died from sleep apnea, other factors, coroner says USA Today NJ Transit engineer
More informationSleep Quiz & Referral Form Inside
Sleep Quiz & Referral Form Inside Rediscover the power of sleep Apnea solutions for all ages Mobile Sleep Services Who We Are An experienced and well trained team of sleep care professionals consisting
More informationSleep Apnoea : its impact outside the chest. Dr Tom Mackay Consultant Respiratory Physician Royal Infirmary Edinburgh
Sleep Apnoea : its impact outside the chest Dr Tom Mackay Consultant Respiratory Physician Royal Infirmary Edinburgh Body Mass Index < 20 kg/m 2 20-25 kg/m 2 25-30 kg/m 2 > 30 kg/m 2 underweight normal
More informationPolysomnography and Sleep Studies
Polysomnography and Sleep Studies Policy Number: Original Effective Date: MM.02.016 09/14/2004 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 05/01/2014 Section: Medicine Place(s)
More informationIndex. sleep.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Actigraphy, 475, 485, 496 Adolescents, sleep disorders in, 576 578 Adults, sleep disorders in, 578 580 Advanced sleep phase disorder, 482 Age,
More informationHome states and Job Families Top 10 States of employees State # of employees California 6,810 Florida 3,835 Pennsylvania 3,162 Texas 3,082 New Jersey 2,571 Virginia 2,080 Missouri 1,654 North Carolina
More information3/10/2014. Pearls to Remember. 1) Consequences of OSA related to both arousals and hypoxia. 2) Arousals provoke increased
Cardiovascular disease and Sleep Disorders Timothy L. Grant, M.D.,F.A.A.S.M. Medical Director Baptist Sleep Center at Sunset Medical Director Baptist Sleep Education Series Medical Director Sleep Division
More informationSleep and the Heart. Physiologic Changes in Cardiovascular Parameters during Sleep
Sleep and the Heart Rami N. Khayat, MD Professor of Internal Medicine Medical Director, Department of Respiratory Therapy Division of Pulmonary, Critical Care and Sleep Medicine The Ohio State University
More informationSleep and the Heart. Rami N. Khayat, MD
Sleep and the Heart Rami N. Khayat, MD Professor of Internal Medicine Medical Director, Department of Respiratory Therapy Division of Pulmonary, Critical Care and Sleep Medicine The Ohio State University
More informationSleep Apnea: Diagnosis & Treatment
Disclosure Sleep Apnea: Diagnosis & Treatment Lawrence J. Epstein, MD Sleep HealthCenters Harvard Medical School Chief Medical Officer for Sleep HealthCenters Sleep medicine specialty practice group Consultant
More informationManaging Sleep Disorders in Primary Care. Objectives. Disclosures. Nancy Nadolski, FNP, MSN, M.Ed Insomnia Medicine of Idaho Boise Counseling Center
Managing Sleep Disorders in Primary Care Nancy Nadolski, FNP, MSN, M.Ed Insomnia Medicine of Idaho Boise Counseling Center www.sleeplessinidaho.com 1 Objectives 1) Identify stages and behaviors for normal
More informationTESTIMONY OF JOHN RISCH NATIONAL LEGISLATIVE DIRECTOR SMART TRANSPORTATION DIVISION BEFORE THE FEDERAL MOTOR CARRIER SAFETY ADMINSTRATION
TESTIMONY OF JOHN RISCH NATIONAL LEGISLATIVE DIRECTOR SMART TRANSPORTATION DIVISION BEFORE THE FEDERAL MOTOR CARRIER SAFETY ADMINSTRATION AND FEDERAL RAILROAD ADMINISTRATION Public Listening Sessions on
More informationChecklist for Completion of Training Requirements in Sleep Medicine Pathway 2
Checklist for Completion of Training Requirements in Sleep Medicine Pathway 2 This checklist follows the mandatory components of training in sleep medicine for physicians who have followed Pathway 2. Please
More informationMario Kinsella MD FAASM 10/5/2016
Mario Kinsella MD FAASM 10/5/2016 Repetitive episodes of apnea or reduced airflow Due to upper airway obstruction during sleep Patients often obese Often have hypertension or DM 1 Obstructive apneas, hypopneas,
More informationEmergency Contact Information Name: Phone: Address: Employer Information Employer Name: Address/Street: City: Zip: Phone: Fax:
SUNSET SLEEP LABS PATIENT INFORMATION FORM Patient Information Name: Sex: M F Date of Birth: Address/Street: City: Zip: Phone: Alt Phone: Parent/Guardian: Phone: Social Security Number: Drivers License:
More informationDr Alireza Yarahmadi and Dr Arvind Perathur Mercy Medical Center - Winter Retreat Des Moines February 2012
Dr Alireza Yarahmadi and Dr Arvind Perathur Mercy Medical Center - Winter Retreat Des Moines February 2012 Why screen of OSA prior to surgery? What factors increase the risk? When due to anticipate problems?
More informationINTRINSIC SLEEP DISORDERS. Excessive daytime sleepiness (EDS) is a common complaint. Causes of EDS are numerous and include:
INTRINSIC SLEEP DISORDERS Introduction Excessive daytime sleepiness (EDS) is a common complaint. Causes of EDS are numerous and include: Intrinsic sleep disorders (e.g. narcolepsy, obstructive sleep apnoea/hypopnea
More informationQUESTIONS FOR DELIBERATION
New England Comparative Effectiveness Public Advisory Council Public Meeting Hartford, Connecticut Diagnosis and Treatment of Obstructive Sleep Apnea in Adults December 6, 2012 UPDATED: November 28, 2012
More informationPEDIATRIC SLEEP GUIDELINES Version 1.0; Effective
MedSolutions, Inc. Clinical Decision Support Tool Diagnostic Strategies This tool addresses common symptoms and symptom complexes. Requests for patients with atypical symptoms or clinical presentations
More informationEXPLORE NEW POSSIBILITIES
EXPLORE NEW POSSIBILITIES TREATING SNORING AND SLEEP APNOEA HAS CHANGED FOREVER Introducing the Oventus O 2 Vent, a custom made, comfortable oral appliance with a unique airway design for the treatment
More informationCircadian Variations Influential in Circulatory & Vascular Phenomena
SLEEP & STROKE 1 Circadian Variations Influential in Circulatory & Vascular Phenomena Endocrine secretions Thermo regulations Renal Functions Respiratory control Heart Rhythm Hematologic parameters Immune
More informationSLEEP DISORDERS CENTER QUESTIONNAIRE
Carteret Health Care Patient's name DOB Gender: M F Date of Visit _ Referring physicians: Primary care providers: Please complete the following questionnaire by filling in the blanks and placing a check
More information2016 Physician Quality Reporting System Data Collection Form: Sleep Apnea (for patients aged 18 and older)
2016 Physician Quality Reporting System Data Collection Form: Sleep Apnea (for patients aged 18 and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse measures) is not considered
More informationManagement of OSA in the Acute Care Environment. Robert S. Campbell, RRT FAARC HRC, Philips Healthcare May, 2018
Management of OSA in the Acute Care Environment Robert S. Campbell, RRT FAARC HRC, Philips Healthcare May, 2018 1 Learning Objectives Upon completion, the participant should be able to: Understand pathology
More informationManaged Care and Sleep Medicine
Managed Care and Sleep Medicine Denice Logan, DO, FACOI Regional Medical Director Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue
More informationASK US. A Study for Obstructive Sleep Apnea Patients Using a New At-Home Sleep Test ARE YOU ABOUT THE STUDY #
#15420040.0 A Study for Obstructive Sleep Apnea Patients Using a New At-Home Sleep Test STUDY DENTIST Dr. Michael Simmons DMD, MSc ARE YOU Struggling with or given up on CPAP and don t know what to do?
More informationWRHA Surgery Program. Obstructive Sleep Apnea (OSA)
WRHA Surgery Program Obstructive Sleep Apnea (OSA) March 2010 Prepared by WRHA Surgery & Anesthesiology Programs Objectives 1. Define obstructive sleep apnea (OSA). 2. Purpose of the guidelines. 3. Identify
More information(HST) (95806, G0398, G0399)
95800 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory analysis (e.g. by airflow or peripheral arterial tone), and sleep time 95801 Sleep study, unattended,
More informationOverview of FTW Talk. Safety Sensitive? 10/09/2012. Fitness to Work & Safety Sensitive Occupations
Fitness to Work & Safety Sensitive Occupations Chris Stewart-Patterson, MD, CCBOM, FACOEM Occupational Physician Program Director Harvard Medical School No Disclosures Overview of FTW Talk Why? Top 3 US
More informationProvigil Nuvigil. Provigil (modafinil) / Nuvigil (armodafinil) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.60.14 Subject: Provigil Nuvigil Page: 1 of 6 Last Review Date: December 8. 2017 Provigil Nuvigil Description
More informationFMCSA & FRA
June 7, 2016 Docket Services (m-30) U.S. Department of Transportation West Building, Ground Floor, Room W12-140 1200 New Jersey Avenue SE Washington D.C. 20590-0001 Attention: Docket No. FMCSA-2015-0419
More informationObstructive Sleep Apnea Concerning and Costly
Illinois Association of Defense Trial Counsel Springfield, Illinois www.iadtc.org 800-232-0169 IDC Quarterly Volume 23, Number 2 (23.2.17) Feature Article By: Mitchell A. Garber, MD, MPH, MSME Engineering
More informationThe Effect of Sleep Deprivation on Health & Productivity
The Effect of Sleep Deprivation on Health & Productivity Andy Rosa, AmeriGas Jean Tyrell, RN, AmeriGas Scott Mattes, AmeriGas Allan Pack, MBChB, PhD, UPenn Learning Objectives The Science Basic sleep/circadian
More informationThe most accurate predictors of arterial hypertension in patients with Obstructive Sleep Apnea Syndrome
The most accurate predictors of arterial hypertension in patients with Obstructive Sleep Apnea Syndrome Natsios Georgios University Hospital of Larissa, Greece Definitions Obstructive Sleep Apnea (OSA)
More informationBTS sleep Course. Module 10 Therapies I: Mechanical Intervention Devices (Prepared by Debby Nicoll and Debbie Smith)
BTS sleep Course Module 10 Therapies I: Mechanical Intervention Devices (Prepared by Debby Nicoll and Debbie Smith) S1: Overview of OSA Definition History Prevalence Pathophysiology Causes Consequences
More informationWriting Committee. Amir Qaseem, MD, PhD, MHA; Laurel Borowski, MPH; Robert A. Gluckman, MD; Nasseer A. Masoodi, MD; and David W.
PERFORMANCE MEASURE REVIEW Diagnosis and Management of Obstructive Sleep Apnea: Review of the Performance Measures by the Performance Measurement Committee of the American College of Physicians Writing
More informationInspire Therapy for Sleep Apnea
Inspire Therapy for Sleep Apnea Take Heart. If you have OSA, you re not alone. More than 18 million Americans are estimated to have Obstructive Sleep Apnea (OSA). OSA occurs when the tongue and other soft
More informationIndex SLEEP MEDICINE CLINICS. Note: Page numbers of article titles are in boldface type.
549 SLEEP MEDICINE CLINICS Sleep Med Clin 1 (2007) 549 553 Note: Page numbers of article titles are in boldface type. A Abdominal motion, in assessment of sleep-related breathing disorders, 452 454 Adherence,
More informationCase. Case. Case. Sleep Disorders: A Case-based Approach. LeRoy Essig, MD Rami Khayat, MD ROS:
Sleep Disorders: A Case-based Approach LeRoy Essig, MD Rami Khayat, MD Case ROS: 30 Lbs wt gain/1year Fatigue Heart burn Nasal congestion, dry mouth Reduced concentration/memory Case 47 y/o male presents
More informationSleep, Sleep Apnea, and Driving Risk. Kingman P. Strohl MD Case Western Reserve University Cleveland OH Chair, Task Force American Thoracic Society
Sleep, Sleep Apnea, and Driving Risk Kingman P. Strohl MD Case Western Reserve University Cleveland OH Chair, Task Force American Thoracic Society Disclosures: None relevant. Research: VA, NIH, Inspire
More informationATHLETES & PRESCRIBING PHYSICIANS PLEASE READ
ATHLETES & PRESCRIBING PHYSICIANS PLEASE READ USADA can grant a Therapeutic Use Exemption (TUE) in compliance with the World Anti- Doping Agency International Standard for TUEs. The TUE application process
More informationCan we do it? Yes we can! Managing Obstructive Sleep Apnea in Primary Care. Dr Andrea Loewen MD, FRCPC, DABIM (Sleep)
Can we do it? Yes we can! Managing Obstructive Sleep Apnea in Primary Care Dr Andrea Loewen MD, FRCPC, DABIM (Sleep) Financial disclosures No conflict of interest Objectives When and how to order home
More informationManaging the Driving Risks of OSA
Managing the Driving Risks of OSA Kingman P Strohl M.D. Professor of Medicine, Physiology & Biophysicis, and Oncology Center for sleep Disorders Reseach Case Western Reserve University, Cleveland OH, USA
More informationRestless Leg Syndrome in Patients Referred for Obstructive Sleep Apnea
ORIGINAL ARTICLE Restless Leg Syndrome in Patients Referred for Obstructive Sleep Apnea Department of Pulmonary Medicine ESI-PGIMSR Basaidarapur, New Delhi-110015 DOI No:10.5958/0974-0155.2016.00016.4
More information