This Week in Sleep Medicine: November 19, 2019
While You Were Sleeping: What Sleep Technologists Need to Know This Week
Your media watchdog for headlines and trends
relevant to sleep technology and patient education.
Chronic Opioid Therapy and Sleep: An American Academy of Sleep Medicine Position Statement
JOURNAL OF CLINICAL SLEEP MEDICINE
November 15, 2019
From the position statement: “Patients and medical providers should be aware that chronic opioid therapy can alter sleep architecture and sleep quality as well as contribute to daytime sleepiness. It is also important for medical providers to be cognizant of other adverse effects of chronic opioid use including the impact on respiratory function during sleep. Opioids are associated with several types of sleep-disordered breathing, including sleep-related hypoventilation, central sleep apnea (CSA), and obstructive sleep apnea (OSA).”
Takeaway: Just a gentle reminder that many of our patients might be experiencing these sleep-breathing problems due to pharmacological side effects. Updating your patients' medication lists remains an important part of our interaction with them because it can reveal root causes that might have been overlooked.
Habitual Sleep, Social Jetlag, and Reaction Time in Youths With Delayed Sleep–Wake Phase Disorder. A Case–Control Study
FRONTIERS IN PSYCHOLOGY
November 12, 2019
From the research summary: “The aim of the present study was to explore habitual sleep as well as social jetlag and day-to-day variations in sleep in youths with DSWPD, compared to healthy controls, by means of sleep diaries and actigraphy monitoring. We also aimed to investigate evening and morning performance in participants with DSWPD compared to controls, by means of a simple, sustained reaction time task.”
Takeaway: There's a ton of really good supportive data here for Start School Later initiatives to draw from when arguing for later bell times for high school students, who are often phase-delayed in their sleep purely by biology.
HEALTH LITERACY WATCH
Federal Aviation Administration (FAA) Proposed Rule: Flight Attendant Duty Period Limitations and Rest Requirements
November 13, 2019
From the AASM formal comment: “The AASM supports the Federal Aviation Administration (FAA) proposal to increase the minimum rest period to at least 10 consecutive hours for flight attendants who are scheduled for 14 hours or less in domestic, flag, and supplemental operations under 14 CFR Part 121. Currently, section 121.467(b) stipulates that a flight attendant scheduled to a duty period of 14 hours or less must be given a rest period of at least nine consecutive hours, which may be reduced to eight consecutive hours in some circumstances. Available evidence suggests that flight attendants working such operations do not experience enough rest on duty days, and lack of sleep impairs their safety-related performance capacity.”
Takeaway: Safe transportation and good sleep go hand in hand. The AASM has actively addressed the issues of sleep related to trucking and railways, and aviation is another public safety target they're working on.