ABSTRACT
In a patient with sleep disordered breathing, one of the most difficult issues is deciding who needs to be treated, when they should be treated, and what treatments are most appropriate.
My treatment strategy is to first determine the patient’s concerns and complaints, exclude underlying medical conditions that may be causing or contributing to the current symptoms, assess severity of the disorder and underlying comorbidities, perform a thorough physical examination to determine sites of airway narrowing and collapse, clarify treatment objectives, and finally, select an appropriate course of therapy.
