Sleep Disorders

Jun 15, 2017 Issue
SIDS and Safe Sleeping Environments for Infants: AAP Updates Recommendations [Practice Guidelines]

The American Academy of Pediatrics (AAP) updated its recommendations to reduce the risk of SIDS and suffocation, asphyxia, and entrapment associated with sleep, focusing on SUIDs that transpire during sleep in infants one year or younger.

Jun 15, 2017 Issue
Paradoxical Insomnia: Misperception of Sleep Can Be a Tormenting Experience [Close-ups]

Patients with this relatively uncommon form of insomnia have a marked propensity to underestimate sleep duration and overestimate wakefulness relative to polysomnographic measures.

May 15, 2017 Issue
Treatment of Chronic Insomnia in Adults: ACP Guideline [Practice Guidelines]

The American College of Physicians (ACP) has provided recommendations for treatment of chronic insomnia in adults. Treatment, which can include psychological or pharmacologic therapy, alone or combined, as well as complementary and alternative methods, is aimed at improving sleep, distress, and dysfunction.

Jan 15, 2017 Issue
In Patients with Vascular Disease, Treating Sleep Apnea Does Not Reduce the Risk of Cardiovascular Events [POEMs]

Compared with usual care, the use of CPAP provides a modest improvement in daytime sleepiness, but does not reduce the likelihood of cardiovascular events, even in a high-risk population.

Sep 1, 2016 Issue
Diagnosis and Treatment of Obstructive Sleep Apnea in Adults [Article]

Loud snoring, gasping during sleep, morning headache, and daytime sleepiness can predict sleep apnea. Learn which sleep study is the diagnostic standard, and which positive airway pressure therapy is first-line treatment.

Jun 15, 2016 Issue
Suvorexant (Belsomra) for Insomnia [STEPS]

Suvorexant effectively increases total sleep time and decreases time to sleep onset. Because of its risk of abuse, significant incidence of next-day impairment, and high cost, it should be reserved for use in patients for whom other insomnia therapies, such as cognitive behavior therapy and lifestyle changes, have failed.

Jan 1, 2016 Issue
CBT Effective for Chronic Insomnia [POEMs]

A five-component approach to changing patients' beliefs and behaviors surrounding sleep is effective, at least in the short term, in getting persons to fall asleep and stay asleep, although total sleep time is not increased.

Dec 15, 2015 Issue
Nonpharmacologic Management of Chronic Insomnia [Article]

Nonpharmacologic behavioral interventions are effective and recommended as an initial approach to the treatment of chronic insomnia. Learn more about the varying approaches.

Dec 1, 2015 Issue
An Oral Appliance Does Not Improve Sleep in Patients with Less Severe Sleep Apnea [POEMs]

An oral appliance does not improve daytime sleepiness or other measures of a good night's sleep. It does, however, decrease apnea scores, snoring, and restless legs. Although not studied, these improvements may be valuable for bed partners who sleep each night enduring patients' lower limb restlessn...

Jul 1, 2014 Issue
ACP Releases Guideline on the Management of OSA [Practice Guidelines]

The American College of Physicians (ACP) has developed a guideline to assist physicians in choosing the best initial treatment for adults with Obstructive Sleep Apnea (OSA). Management is based on type and severity of symptoms and on patient education about the benefits vs. adverse effects associated with the treatment options.

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