Stage | Visits | Sleep test | Evaluation for COVID-19 |
Stage 0: maximum transmission rate | Telemedicine Phone | No sleep studies, postpone initiation of treatment Home Respiratory Polygraphy in high-risk cases | Clinical |
Stage 1: improvement of the pandemic situation | Telemedicine Phone | Home Respiratory Polygraphy (protection 1). CPAP in high-risk patients: automatic or telematic titration | Clinical |
Stage 2: trend towards normalisation of the pandemic | Telemedicine Phone In few cases: face to face | Home Respiratory Polygraphy (protection 1). PSG (protection 2). CPAP: automatic or telematic titration (protection 1); demonstration in the lab (protection 2) | PCR if PSG Protection 3 if titration in the lab |
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.