Obstructive sleep apnea: treatment based on the best scientific evidence

As a doctor, you need...

Majority of other sleep centers

Reliable diagnostic test, analyzed in the clinical context of your patient

Yes, based on:

Apnea symptoms

The search for problems interfering with sleep

Medication and history

Standardized and detailed questionnaire (17 pages)

Yes, but based on:

Test data only

Sometimes a summary overview of the state of health (1-2 pages)

Apnea demonstrated or not?

Use of two technologies that are more sensitive than standard polygraphy AND possibility of polysomnography in the laboratory when the home test does not confirm apnea

Without access to polysomnography-EEG in the laboratory, too many women, non-obese men, and children continue to suffer from sleep apnea or receive inadequate treatment

To treat or not to treat?

Yes, based on NICE-UK 2022 recommendations integrating data from MERGE 2021

Partially, as treatment decisions are often based solely on IAH or IER

Treatment based on scientific evidence

Yes:

CPAP titration test for one month prior to purchase

Custom manual adjustments of pressures and other parameters remotely

Meetings with sleep professionals

Selection of the device and the treatment algorithm according to a medical protocol

Partially:

One-night CPAP test only

Buying CPAP without a trial period and without knowing if this treatment is appropriate

No adjustment or very little: automatic 5-20 mode or fixed pressure

Selecting the device according to patient preferences

Confirmation of treatment effectiveness

Yes, based on oxygen saturation

No oxygen saturation measurement

We apply the latest insights from medical research. Why?

Unlike most other sleep centers, we only sell CPAP After have confirmed that the treatment is working

So we have an interest in making this treatment really work!

That's why we designed the Tandem© protocol.

For the treatment of obstructive sleep apnea, an exclusivity of Côté Santé!

Designed by Dr. Katéri Champagne, specialist in internal medicine, pneumology, FRCPC, MSc Epidemiology, Diplomate of the American Board of Sleep Medicine.

Notably, Dr. Champagne is the author of College of Physicians recommendations on obstructive sleep apnea.

Main features

Verification of the absence of contraindications to this approach

Therapeutic education

Motivational interview

Full medical questionnaire

State-of-the-art equipment

Selecting the CPAP according to the appropriate software for each patient

Essai de différents masques pour trouver votre confort optimal

Personalized CPAP adjustments over 2 to 4 weeks.

Supervision and proactive support of staff

Measurement of oxygen saturation and residual rapid desaturations

Personalized recommendations delivered to the attending physician/IPS

Our two goals are...

Patients finally rested.

Doctors/IPs who can sleep in peace since this problem is resolved effectively with satisfied patients!

Supported by four categories of recommendations to the attending physician:

Clinically improved

Optimal objective results

Conclusion:

SUCCESS! Personalized recommendations

Clinically not improved

Optimal objective results

Conclusion:

Apnea may not be the main problem explaining the symptoms. Personalized recommendations on next steps

Clinically improved

Sub-optimal objective results

Conclusion:

Personalized recommendations on possible etiologies of abnormal gas exchanges

Clinically not improved

Sub-optimal objective results

Conclusion:

Personalized recommendations on next investigative and therapeutic steps

Any questions?

Refer your next patient

If you have any questions, Isabelle Côté, President and CEO of the Côté Santé Group, will answer you personally.

Isabelle Côté

President

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