TY - JOUR
AU - Thomas, Robert Joseph
AB - LETTER TO THE EDITOR http://dx.doi.org/10.5665/sleep.2066 Robert Joseph Thomas, MD, MMSc Beth Israel Deaconess Medical Center, Boston, MA The recent recommendation, (SLEEP 2012; 35:17-40) Prac- There is a concern that following the parameters to the let- tice Parameters for management of central sleep apnea (CSA), ter could result in suboptimal, or uncertainties, in patient care. is problematic for a number of reasons: (1) Pure CSA is rare, I believe that the sleep community should view parts of the and the vast majority of patients with congestive heart failure recommendations of the task force “as written” with caution (CHF) and sleep apnea do not even make it to a sleep evalua- given the paucity of supportive data, especially CPAP for CSA tion—what we deal with in sleep labs and sleep centers is large- in CHF, and utilize the best available science, common clini- ly mixed forms of sleep apnea or residual periodic breathing on cal sense, and experience, while awaiting better evidence. An CPAP. Not addressing the issue of residual strong chemoreflex alternate interpretation is that the evidence does not support modulation of sleep-breathing during positive pressure therapy, use of CPAP alone for CSA and periodic breathing in CHF pa- even 
TI - Single vs. Multi-Modality Treatment of Central Apnea Syndromes
JO - SLEEP
DO - 10.5665/sleep.2066
DA - 2012-09-01
UR - https://www.deepdyve.com/lp/oxford-university-press/single-vs-multi-modality-treatment-of-central-apnea-syndromes-YPI1hgwVO7
SP - 1197
EP - 1198
VL - 35
IS - 9
DP - DeepDyve
ER -