AASM outlines CPAP therapy recommendations
By HME News Staff
Updated Fri February 22, 2019
YARMOUTH, Maine - Strong recommendations from the American Academy of Sleep Medicine's new clinical practice guideline for CPAP therapy include that educational interventions be given with initiation of PAP therapy in adults with OSA. Other strong recommendations: that PAP therapy be initiated using either APAP at home or in-laboratory PAP titration in adults with OSA and no significant comorbidities; that clinicians use either CPAP or APAP for ongoing treatment of OSA in adults; and that clinicians use PAP, compared to no therapy to treat OSA in adults with excessive sleepiness. The guideline also has conditional recommendations, including that clinicians use CPAP or APAP over BPAP in the routine treatment of OSA in adults; that behavioral and/or troubleshooting interventions be given during the initial period of PAP therapy in adults with OSA; and that clinicians use telemonitoring-guided interventions during the initial period of PAP therapy in adults with OSA. To develop the guideline, the AASM commissioned a task force of experts in sleep medicine. They conducted a systematic review to identify studies and used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) process to assess the evidence.
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