S01E15 Central Sleep Apnea: AASM 2025 Guideline—What to Use (and Avoid) in Real Patients

from PRISM Rounds: Pulmonary, Critical Care & Sleep Medicine

In this episode of PRISM Rounds, two hosts break down the American Academy of Sleep Medicine (AASM) 2025 Clinical Practice Guideline on treating central sleep apnea (CSA) in adults—practical bedside takeaways plus a methods-focused look at evidence certainty.We cover CSA phenotypes (heart failure/Cheyne–Stokes, opioid-associated CSA, treatment-emergent CSA, high altitude), what “conditional” recommendations mean, and how to apply options like CPAP, BPAP with backup rate, ASV (with appropriate caution in select heart failure populations), supplemental oxygen, acetazolamide, and transvenous phrenic nerve stimulation.Educational use only; not medical advice.Source (J Clin Sleep Med, 2025): https://doi.org/10.5664/jcsm.11858 Tags#CentralSleepApnea #CSA #SleepMedicine #AASM #ClinicalPracticeGuideline #JournalClub #EvidenceBasedMedicine #CPAP #BPAP #BPAPST #ASV #AdaptiveServoVentilation #CheyneStokes #HeartFailure #Opioids #TreatmentEmergentCSA #HighAltitude #Acetazolamide #PhrenicNerveStimulation #Pulmonology #CriticalCare

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This episode is 41 minutes long.

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This episode was published on February 21, 2026.

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