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Sleep laboratories reopening and COVID-19: a European perspective.
Schiza, Sophia; Simonds, Anita; Randerath, Winfried; Fanfulla, Francesco; Testelmans, Dries; Grote, Ludger; Montserrat, Joseph M; Pepin, Jean-Louis; Verbraecken, Johan; Ersu, Refika; Bonsignore, Maria R.
  • Schiza S; Sleep Disorders Center, Dept of Respiratory Medicine, Medical School, University of Crete, Heraklion, Greece.
  • Simonds A; Sleep and Ventilation Unit, Royal Brompton and Harefield NHS Foundation Trust and National Heart and Lung Institute, London, UK.
  • Randerath W; Institute of Pneumology at the University of Cologne, Bethanien Hospital, Solingen, Germany.
  • Fanfulla F; Respiratory Function and Sleep Medicine Unit, IstitutiCliniciScientifici Maugeri IRCCS, Pavia, Italy.
  • Testelmans D; Clinical Dept of Respiratory Diseases, UZ Leuven - BREATHE, Department CHROMETA, KU Leuven, Leuven, Belgium.
  • Grote L; Sleep Disorders Centre, Respiratory Medicine, Sahlgrenska University Hospital and Centre for Sleep and Wake Disorders, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
  • Montserrat JM; Sleep Laboratory, Hospital Clinic, Universitat de Barcelona, Barcelona, and CIBER de Enfermedades Respiratorias, Madrid, Spain.
  • Pepin JL; HP2 laboratory, INSERM U1042, University Grenoble Alpes and Grenoble Alpes University Hospital, Grenoble, France.
  • Verbraecken J; Dept of Pulmonary Medicine and Multidisciplinary Sleep Disorders Centre, Antwerp University Hospital and University of Antwerp, Edegem (Antwerp), Belgium.
  • Ersu R; Division of Pediatric Respirology, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada.
  • Bonsignore MR; Sleep Disordered Breathing and Chronic Respiratory Failure Clinic, PROMISE Dept, University of Palermo, and IRIB, National Research Council (CNR), Palermo, Italy marisa.bonsignore@irib.cnr.it.
Eur Respir J ; 57(3)2021 03.
Article in English | MEDLINE | ID: covidwho-937059
ABSTRACT
Clinical activities regarding sleep disordered breathing (SDB) have been sharply interrupted during the initial phase of the coronavirus disease 2019 (COVID-19) epidemic throughout Europe. In the past months, activities have gradually restarted, according to epidemiological phase of COVID-19 and national recommendations. The recent increase in cases throughout Europe demands a reconsideration of management strategies of SDB accordingly. Diagnosis of SDB and initiation of treatment pose some specific problems to be addressed to preserve the safety of patients and health personnel. This perspective document by a group of European sleep experts aims to summarise some different approaches followed in Europe and United States, which reflect national recommendations according to the epidemiological phase of the COVID-19 infection. Respiratory sleep medicine is likely to change in the near future, and use of telemedicine will grow to avoid unnecessary risks and continue to provide optimal care to patients. In addition, the document covers paediatric sleep studies and indications for titration of noninvasive ventilation, as well as precautions to be followed by patients who are already on positive airway pressure treatment. A single consensus document developed by the European Respiratory Society and national societies would be desirable to harmonise SDB management throughout Europe.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sleep Apnea Syndromes / Pulmonary Medicine / COVID-19 / Laboratories Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Year: 2021 Document Type: Article Affiliation country: 13993003.02722-2020

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sleep Apnea Syndromes / Pulmonary Medicine / COVID-19 / Laboratories Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Year: 2021 Document Type: Article Affiliation country: 13993003.02722-2020