A sleep apnea management program requires a number of clinical services and a diverse care team to effectively reduce the risk for an adverse outcome:
Anesthesia — risk for respiratory depression due to anesthetics and medications
Radiology — monitoring for oversedation during invasive procedures
Endoscopy — monitoring sedation used during procedure
Emergency Department — management of pain control
Heart Institute — monitoring for increased sedation
Neurology — risk for stroke
Cardiology — management of ischemic heart disease
Pulmonology — treatment of pulmonary hypertension
Gastroenterology — treatment of acid reflux or GERD
Endocrinology — management of co-morbid diabetes
Internal Medicine — management of co-morbid hypertension
Psychiatry — depression from loss of sleep and reduced quality of life
Risk Management — impact of adverse events
Administration — Support for equipment and staffing resources