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Diagnostik und Therapie schlafbezogener Atmungsstörungen im Zusammenhang mit der
Corona?Pandemie: Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin e ?V
(DGP), Deutsche Gesellschaft für Schlafforschung und Schlafmedizin (DGSM)
#MMPMID32837296
Büchner N
; Woehrle H
; Dellweg D
; Wiater A
; Young P
; Hein H
; Randerath W
Somnologie (Berl)
2020[]; 24
(4
): 274-284
PMID32837296
show ga
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.