This Week in Sleep Medicine: May 22, 2018
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.
These two FREE upcoming webinars, hosted and moderated by Sleep Review, can help you to better help your patients—
- When to Prescribe Advanced PAP Therapies for Patients Struggling with CPAP
Webinar takes place on May 29, 2018
- How to Improve Adherence in Patients Titrated at Home by Auto CPAP
FISHER & PAYKEL HEALTHCARE
Webinar takes place on May 30, 2018
Takeaway: The AAST designates these educational activities for a maximum of 1.0 AAST Continuing Education Credits each (per webinar). Individuals should claim only those credits that he/she actually earned in the educational activity.
REM Sleep Behavior Disorder Virtual Issue
May 16, 2018
From Carlos H. Schenck, M.D. and Associate Editor: “In this virtual issue from SLEEP®, we have extracted the most important articles on REM Sleep Behavior Disorder (RBD) published in SLEEP® over the past two years. These articles demonstrate the breadth and depth of the expanding clinical research on RBD, covering new findings in epidemiology, clinical presentations, electroencephalography, differential diagnosis, association with paraneoplastic disorders and response of RBD to immunotherapy, along with new findings from the urgent research front of RBD as prodromal Lewy body disease and the strong links among RBD, Parkinson's disease and Dementia with Lewy bodies. Two of the articles merited editorial commentary.”
Takeaway: If you followed last month's Journal Club on RBD, you'll appreciate this rich curation of previous recent research on this important topic.
Clinical chronobiology: a timely consideration in critical care medicine
May 11, 2018
7 Sleep Apnea Surgery Myths
DOCTOR STEVEN PARK
May 21, 2018
From the website: “In this post, I will describe 7 of the most common myths about sleep apnea surgery, in no particular order.”Takeaway: Sleep surgery itself isn't trending; what's trending is the search for alternatives to CPAP. Maybe it's the popularity of the idea of the Inspire implant that is shining a more recent light on procedures versus nightly PAP use.
Hat tip to reader G. Serafino for inquiring into this important and often overlooked topic.
Consumer Sleep Technology: An American Academy of Sleep Medicine Position Statement
JOURNAL OF CLINICAL SLEEP MEDICINE
May 15, 2018
From the position statement: “Consumer sleep technologies (CSTs) are widespread applications and devices that purport to measure and even improve sleep. Sleep clinicians may frequently encounter CST in practice and, despite lack of validation against gold standard polysomnography, familiarity with these devices has become a patient expectation. This American Academy of Sleep Medicine position statement details the disadvantages and potential benefits of CSTs and provides guidance when approaching patient-generated health data from CSTs in a clinical setting. Given the lack of validation and United States Food and Drug Administration (FDA) clearance, CSTs cannot be utilized for the diagnosis and/or treatment of sleep disorders at this time. However, CSTs may be utilized to enhance the patient-clinician interaction when presented in the context of an appropriate clinical evaluation. The ubiquitous nature of CSTs may further sleep research and practice. However, future validation, access to raw data and algorithms, and FDA oversight are needed.”
Takeaway: It's probably a good idea for labs to ensure all sleep health professionals are on board with this policy.
Drug used to treat daytime sleepiness does not appear to improve driving in those with sleep apnea
AMERICAN THORACIC SOCIETY
May 18, 2018
From the article: “The researchers found that armodafinil did not improve the driving performance of those with OSA after six months of use, the study's primary outcome. Nor did those taking the drug report less daytime sleepiness than those receiving a placebo, as measured by the Epworth Sleepiness Scale and the Functional Outcomes of Sleep Questionnaire.”
Takeaway: What's buried in this article is an important discussion we should all be having with patients regarding BMI and its influence over sleep breathing.
HEALTH LITERACY WATCH
From the article: “'If you forced early risers to have to work late into the night they'd also face health problems,' says Russell Foster, head of the Nuffield Laboratory of Ophthalmology and the Sleep and Circadian Neuroscience Institute.”Takeaway: The argument for forcing people to become early risers has been around for a long time; however, patients need to know that their "morningness" or "eveningness" is biologically set in early age and not something we can "hack" at will.
Reports, Forms, and Record Keeping Requirements: A Notice by the National Highway Traffic Safety Administration
May 16, 2018
From the notice: “The National Highway Traffic Safety Administration (NHTSA) is seeking approval to collect information from licensed young drivers for a one-time voluntary driving simulator study of the effectiveness of in-vehicle drowsiness detection and alerting systems that aim to reduce drowsy driving. ”
Takeaway: The invitation for public comment regarding specific rules about collecting information, especially sleep information, from clinical subjects expires on July 16, 2018.
BIO: Tamara Sellman RPSGT, CCSH curates the sleep health information clearinghouse, SleepyHeadCENTRAL, where she follows sleep health news headlines daily. She is also an independent sleep health journalist, writes MS-related columns for two medical publishers, and contributes as a freelance writer to AAST’s magazine, A2Zzz. She can be reached at firstname.lastname@example.org.