2021 JSM Forum Video Library

Inpatient Sleep Medicine: Are We There Yet?

Dennis Auckley, MD, Director at the Center for Sleep Medicine at MetroHealth Medical Center, & Professor of Medicine at Case Western Reserve University

Dr. Auckley discusses the role that a Sleep Consultation service can have in the inpatient setting, with a focus on evaluation and management of sleep disordered breathing.

• Discuss the prevalence of sleep disordered breathing (SDB) in inpatients
• Review the potential consequences of unrecognized / undiagnosed / untreated SDB in inpatients
• Discuss approaches to management of SDB in inpatients

Comprehensive Approach to Sleep Apnea Therapy

Asim Roy, MD, Medical Director and Research Assistant at the Ohio Sleep Medicine Institute, & Assistant Clinical Professor of Sleep Medicine at the Northeast Ohio Medical University

Dr. Roy looks at all treatment modalities currently available to OSA management.

• Understand the basics of Sleep Apnea
• Current therapies for Sleep Apnea
• Future therapies for Sleep Apnea

Sleep and the Pandemic

Meir Kryger, MD, FRCPC, Sleep Physician & Professor at Yale Center for Sleep Medicine

Dr. Kryger covers how the COVID-19 pandemic has affected sleep of the uninfected and infected population.

• COVID-19 has impacted the sleep of the general population
• COVID-19 infection can result dysfunction of several organ systems
• Several phenotypes of long COVID have emerged

The Change and Acceleration of Healthcare Delivery due to COVID-19

Carlos Nunez, MD, Chief Medical Officer at ResMed

Kathryn Teng, MD, United States Chief Primary Care Officer at Babylon Health

Chuck Zonfa, MD, Chief Medical Officer at SummaCare

The panelists discuss changes seen throughout the healthcare delivery ecosystem as a result of COVID-19. From rapid adoption of telemedicine to more connected technology to aid in the ongoing care management of patients, the panelists offer differing perspectives through the lens of their seat in healthcare.

• Understand how COVID-19 has impacted the strategy and perspectives of a medical device company
• Highlight the rapid adoption of telemedicine and other non-traditional mediums for primary care
• Overview of the insurer’s perspective on healthcare reimbursement, in light of new forms of care delivery

Sleep Health, Can it be Measured?

Kingman P. Strohl, MD, Professor of Medicine, Physiology & Biophysics, and Oncology at Case Western Reserve University, & Director at the Center for Sleep Disorders Research at the Louis Stokes VA Medical Center

Dr. Strohl reviews how if we can define and measure the dimensions of Sleep Health, we can begin to develop predictions and preventions for early dysfunctional behavior that are risks for common sleep disorders i.e. insomnia or sleep apnea. If there is a metric, it can be used to define outcomes beyond that of the physiologic value, such as AHI, and guide educational efforts to build a sleep healthy society.

• Describe the need for a pivot from sleep disorders to sleep health
• Understand how a metric for behavior could be developed and utilized
• List examples where a deployment of a Sleep Health metric could track general health

Patience & Perseverance: Sleep is Right Around the Corner

Eric Yeh, MD, Sleep Physician at University Hospitals Sleep Disorders Center, & Assistant Professor at Case Western Reserve University School of Medicine

Dr. Yeh speaks about CPAP intolerance and shares a brief intro to different modalities of PAP therapy.

• Keys and tips to help patients with CPAP non-compliance
• How to help OSA patients who also have other complex sleep issues
• The importance of mask fitting

Things that Go Bump in the Night: Introduction to Parasomnias

John Carter, MD, Sleep Physician & Neurologist at MetroHealth Medical Center, & Associate Professor at Case Western Reserve University School of Medicine

Dr. Carter reviews NREM and REM parasomnias with a focus on their clinical presentation, including in the sleep lab, as well as treatment options.

• Identify key features of NREM and REM parasomnia and their differentiating factors
• Understand the role of polysomnography in evaluating parasomnias
• Understand the spectrum of treatment options for parasomnias

NTM and Bronchiectasis: What I Wish I Learned in Training

Joseph Khabbaza, MD, Pulmonary & Critical Care Physician at the Cleveland Clinic Respiratory Institute

Dr. Khabbaza covers the basic foundation of diagnosis and treatment of bronchiectasis and nontuberculous mycobacteria pulmonary disease, and the inadequate teaching in medical training with resultant under-recognition and appreciation of clinical significance of these related conditions.

• Review the basic physiology and epidemiology of NTM and bronchiectasis
• Review the diagnosis and treatment of NTM and bronchiectasis
• Review common gaps in medical training of NTM and bronchiectasis, and how a respiratory therapist can play an important role in filling the gaps

High Flow: An Alternative to CPAP in the Pediatric Population

Michael McLeland, PhD, RPSGT, Manager & Technical Director of Sleep Medicine at St. Louis Children's Hospital

Michael McLeland discusses experience with high humidity high flow (HHHF) as a treatment for sleep disordered breathing in two challenging groups of children.

• Identify the equipment needed for successful HHHF titrations
• Implement procedures on how to titrate HHHF
• Understand how HHHF may be a useful alternative to PAP in the sleep center

Pandemic Lessons: The Cost of Poor Preparation & Missed Opportunities

Keith Robinson, MD, MS, FCCP, Senior Medical Director at Syneos Health

In the middle of the second calendar year of the COVID Pandemic, the reinvention of the wheel continues to cost time, effort, hospital costs, and most importantly patient lives.  The first waves were instructions on avoiding further societal losses by mitigating the suffering the healthcare sector and patients will continue to lose without acceptance of known flaws in care delivery. Dr. Robinson discusses what we have learned from the past two years.

• Identify the recognized gaps that continue to drive costs to care and poor outcomes
• What's new in the role of Oxygen therapy: Pandemic Hypoxemia Management 2.0
• Long COVID: the role of objective measurements, by CPET, in diagnosing this syndrome