Figures
- FIGURE 1
Flow chart summarising the screening procedures commonly adopted before access to the sleep laboratory or clinic. In phases of high coronavirus 2019 (COVID-19) transmission in the community, access to the sleep laboratory is limited to very urgent cases, and may require PCR testing.
- FIGURE 2
Flow chart summarising diagnostic procedures and precautions. In phases of high coronavirus 2019 (COVID-19) transmission in the community, PCR is usually required if in-laboratory polysomnography (PSG) is considered essential for diagnosis.
- FIGURE 3
Flow chart summarising positive airway pressure (PAP) titration procedures and precautions. In phases of high coronavirus 2019 (COVID-19) transmission in the community, in-laboratory titration is avoided, and may require PCR testing. PSG: polysomnography; NIV: noninvasive ventilation.
Tables
- TABLE 1
Summary of recommendations for management of patients with sleep disordered breathing according to epidemiological situation
Visits Sleep test Evaluation for COVID-19 Stage 0: maximum transmission rate Telemedicine
PhoneNo sleep studies, postpone initiation of treatment
Home respiratory polygraphy in high-risk casesClinical Stage 1: improvement of the pandemic situation Telemedicine
PhoneHome respiratory polygraphy (protection 1)
CPAP in high-risk patients: automatic or telematic titrationClinical Stage 2: trend towards normalisation of the pandemic Telemedicine
Phone
In few cases: face to faceHome respiratory polygraphy (protection 1)
PSG (protection 2)
CPAP: automatic or telematic titration (protection 1); demonstration in the laboratory (protection 2)PCR if PSG
Protection 3 if titration in the laboratoryCOVID-19: coronavirus disease 2019; CPAP: continuous positive airway pressure; PSG: polysomnography. Protection 1: FFP2 mask, nitrile gloves, surgical gown (optional glasses or plastic shield); protection 2: PSG: the technician has to be comfortable while spending all the night with the patient; PCR is needed; FFP2 mask, surgical gown, hat, gloves and glasses (optional plastic face shield). Street clothes will not be used and the hospital uniform must be changed and cleaned daily; protection 3: FFP2/3 mask, nitrile gloves, surgical gown, hat, glasses/plastic face shields. Street clothes will never be used and the work uniform must be changed daily. It is recommended not to use open masks or circuits, but to use a closed circuit with an antiviral filter, turning on the equipment only when it is connected to the patient. Reproduced and modified from [5] with permission.
Supplementary Material
Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.
Supplementary table E1 ERJ-02722-2020.Table_E1
Supplementary table E2 ERJ-02722-2020.Table_E2
Supplementary table E3 ERJ-02722-2020.Table_E3
Supplementary Material
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Shareable PDF ERJ-02722-2020.Shareable
