Case of the Month


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A young adult patient with Down’s syndrome (Trisomy 21) comes to the sleep center for re-evaluation. Risk factors for OSA in patients with this syndrome are discussed

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A patient with atrial fibrillation and witnessed pauses in breathing is discussed.

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A discussion of the identification, scoring, pathophysiology and treatment of mixed apneas.

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There is a review of pediatric respiratory scoring rules using examples from several patients.

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The AASM Scoring Manual’s inclusion of rules for scoring sleep stages in infants is discussed.

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There is discussion of an obese patient with obstructive hypopnea and persistent low oxygen saturation without monitoring of carbon dioxide.

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There is discussion of a split night study in a 67-year-old woman.

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There is discussion of ASV titration of a man with central sleep apnea.

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