0520 Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline

The American Academy of Sleep Medicine commissioned a task force of experts in sleep medicine to develop updated clinical practice recommendations based on a systematic review of the literature. Methods: NA 1. We recommend that clinicians use PAP, compared to no therapy, to treat OSA in adults with excessive sleepiness. (STRONG)2. We suggest that clinicians use PAP, compared to no therapy, to treat OSA in adults with impaired sleep-related quality of life. (CONDITIONAL)3. We suggest that clinicians use PAP, compared to no therapy, to treat OSA in adults with co-morbid hypertension. (CONDITIONAL)4. We recommend that PAP therapy be initiated using either APAP at home or in-lab CPAP titration in adults with OSA and no significant comorbidities. (STRONG)5. We recommend that clinicians use either CPAP or APAP for ongoing treatment of OSA in adults. (STRONG)6. We suggest that clinicians use CPAP or APAP over BPAP in the routine treatment of adults with OSA. (CONDITIONAL)7. We recommend that educational interventions be given with initiation of PAP therapy in adults with OSA. (STRONG)8. We suggest that behavioral and/or troubleshooting interventions be given during the initial period of PAP therapy in adults with OSA. (CONDITIONAL)9. We suggest that clinicians use telemonitoring-guided interventions during the initial period of PAP therapy in adults with OSA. (CONDITIONAL) Conclusion: NA NA