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. 2020 Dec 30;1(4):476-494.
doi: 10.34197/ats-scholar.2020-0017RE.

ATS Core Curriculum 2020. Adult Sleep Medicine

Shazia M Jamil  1   2 , Robert L Owens  2 , Melissa C Lipford  3 , Shirin Shafazand  4 , Robert M Marron  5 , Maria Elena Vega Sanchez  5 , Michael T Lam  2 , Bernie Y Sunwoo  2 , Christopher Schmickl  2 , Jeremy E Orr  2 , Snigdha Sharma  6 , Abdulghani Sankari  6   7 , Sogol Javaheri  8 , Suzanne Bertisch  8 , Kara Dupuy-McCauley  3 , Bhanu Kolla  3 , Ikuyo Imayama  9 , Bharati Prasad  9 , Elizabeth Guzman  10 , Margaret M Hayes  11 , Tisha Wang  12
Affiliations

ATS Core Curriculum 2020. Adult Sleep Medicine

Shazia M Jamil et al. ATS Sch. .

Abstract

The American Thoracic Society Core Curriculum updates clinicians annually in adult and pediatric pulmonary disease, medical critical care, and sleep medicine, in a 3-4-year recurring cycle of topics. These topics will be presented at the 2020 Virtual Conference. Below is the adult sleep medicine core that includes topics pertinent to sleep-disordered breathing and insomnia.

Keywords: cognitive behavioral therapy; hypnotics; insomnia; positive airway pressure adherence; sleep apnea.

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Figures

Figure 1.
Figure 1.
Example of a standard positive airway pressure compliance report depicting 30 nights’ objective downloaded data from automatic positive airway pressure device. AHI = apnea–hypopnea index; AI = apnea index; EPR = expiratory pressure relief; HI = hypopnea index; RERA = respiratory effort–related arousal.
Figure 2.
Figure 2.
A polygraph illustrating a case of consecutive central sleep apnea (CSA) events with Cheyne-Stokes respiration. Red arrows’ abbreviations: (a) crescendo phase; (b) decrescendo phase; (c) electroencephalographic arousal at peak ventilation phase. The dotted vertical line indicates the end of a CSA event. Different CSA-related timing definitions are highlighted. Apnea length = duration of apnea; Circulation time = the time between the end of CSA event and the nadir corresponding O2 saturation (SaO2); Ventilation length = duration of respiration following apnea. Adapted by permission from Reference .
Figure 3.
Figure 3.
How cannabinoids may improve sleep (potential pathways). *Studies suggesting effects. Conditions approved for medical marijuana use. PTSD = post-traumatic stress disorder.
See this image and copyright information in PMC

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