Universität zu Köln

Buechner, N., Woehrle, H., Dellweg, D., Wiater, A., Young, P., Hein, H. and Randerath, W. (2020). Management of diagnostic procedures and treatment of sleep related breathing disorders in the context of the coronavirus pandemic German Respiratory Society (DGP), German Sleep Society (DGSM). Somnologie, 24 (4). S. 274 - 285. CHAM: SPRINGER INTERNATIONAL PUBLISHING AG. ISSN 1439-054X

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Abstract

When providing sleep medical services special aspects must be taken into account in the context of the coronavirus pandemic. Despite all prevention, due to the high number of unrecognized cases, SARS-CoV2 contacts in the sleep laboratory must be expected and appropriate precautions are necessary. Nevertheless, the continuation or resumption of sleep medical services under the appropriate hygiene measures is strongly recommended to avoid medical and psychosocial complications. There is no evidence for a deterioration of COVID-19 through CPAP therapy. In principle, the application of positive pressure therapy via various mask systems can be accompanied by the formation of infectious aerosols. In the case of confirmed infection with SARS-CoV2, a pre-existing PAP therapy should be continued in an outpatient setting in accordance with the local guidelines for home isolation, since discontinuation of PAP therapy is associated with additional cardiopulmonary complications due to the untreated sleep-related breathing disorder. According to the current state of knowledge inhalation therapy, nasal high-flow (NHF), and PAP therapy can be carried out without increased risk of infection for health care workers (HCW) as long as appropriate personal protective equipment (eye protection, FFP2 or FFP-3 mask, gown) is being used. This position paper of the German Society for Pneumology and Respiratory Medicine (DGP) and the German Society for Sleep Medicine (DGSM) offers detailed recommendations for the implementation of sleep medicine diagnostics and therapy in the context of the coronavirus pandemic.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Buechner, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Woehrle, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dellweg, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wiater, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Young, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hein, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Randerath, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-329390
DOI:	10.1007/s11818-020-00253-w
Journal or Publication Title:	Somnologie
Volume:	24
Number:	4
Page Range:	S. 274 - 285
Date:	2020
Publisher:	SPRINGER INTERNATIONAL PUBLISHING AG
Place of Publication:	CHAM
ISSN:	1439-054X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NONINVASIVE VENTILATION; VIRAL LOAD; TRANSMISSION; DISPERSION; INFLUENZA Multiple languages Clinical Neurology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32939