grand rounds - Sleep Disordered Breathing in Neuromuscular Disease: Pathophysiology, Diagnosis, and Treatment

Sleep Disordered Breathing in Neuromuscular Disease: Pathophysiology, Diagnosis, and Treatment

Justin Brockbank, MD-Assistant Professor, Dept. of Pediatrics, Division of Pediatric Pulmonary Medicine; Director, Pediatric Sleep Medicine, Virginia Commonwealth University, Children’s Hospital of Richmond at VCU, Richmond, Virginia

Objectives:

1. Describe the pathophysiology of neuromuscular disease with respect to pulmonary function and respiratory mechanics.
2. Cite how neuromuscular pathophysiology influences breathing during sleep.
3. Identify the most common polysomnographic features found in patients with neuromuscular disease and sleep disordered breathing.    
4. Demonstrate how a positive airway pressure titration polysomnogram is successfully performed for patients with neuromuscular disease.  

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