RT @PatientStormDoc: Every leader knows I'm telling truth. Why no reform? Look at @CochraneLibrary using the AHI. No problem, opioids appe…
@ChristosArgyrop Or here @cochranecollab opioids are safe in OSA (based on the AHI) Both are NOT true, BUT after accepting & using guessed measurements for 40yrs we find ourselves denying the high grade evidence. We become RCT deniers when it doesn
Every leader knows I'm telling truth. Why no reform? Look at @CochraneLibrary using the AHI. No problem, opioids appear safe (of course opioids are not safe in OSA). Just like AHRQ...no problem OSA does not contribute to CV disease, of course OSA does
@NeomiShah @HarneetWalia1 @IcahnMountSinai This is what using the AHI did for the determination of the safety of opioids in even "severe" OSA patients. Fake AHI measurement renders CPAP impotent by AHRQ and a false sense of security relevant opioids by @
@neumanmd Hmm "Trust RCTs". Not so fast Dr. It's not that simple "Upon examining the current data, we conclude that opiates/opioids, sedatives and hypnotics examined in this review have no deleterious effect on the severity of OSA..." https://t.co/vE7sW
I missed this tweet, and I regret it. Thank you @CochraneLibrary I will proceed as you request.
@RWJE_BA @hemanth_kanak @elmir1omerovic @drjohnm @kaulcsmc @GreggWStone @f2harrell @yudapearl Here @cochranecollab 14 RCT effects of 10 sedatives or opioids in 293 people with OSA "None of the drugs in this review produced a significant increase in AHI o
@PatientStormDoc @EuroRespSoc @SchizaSophia @cochranecollab @CochraneUK We welcome comments on specific reviews, please see here https://t.co/INZRaZ0Hdu For this review, you can submit your comment/concerns at https://t.co/sJ17QKvttg so that it may go thr
@EuroRespSoc @SchizaSophia @cochranecollab Sry heres link to @CochraneLibrary or possible @CochraneUK review showing misleading conclusion that Opioids & sedatives do not increase severity of OSA (they used the AHI). Recall or at least a update comm
However, there are consequences Here in @cochranecollab review, AHI is the severity measure to show that Opioids & sedatives are safe in patents with obstructive sleep apnea We all agree AHI is not valid severity measure so this paper should be recal
@MichaelESmith @ConserveChange @consiliumsci @cochranecollab A dangerous result of #PathologicalConsensus. @cochranecollab falsely concludes that opiates do not increase severity of #ObstructiveSleepApnea. Many will conclude that it is safe to give them.
A sleep apnea review by @cochranecollab and performed within dogma of 1980s guessed measurements and #PathologicalConsensus. Results are meaningless because the AHI is a guessed measurement. Can't blame them. They didn't know. But now they do. https:/
コクランレビューから、睡眠時無呼吸症への睡眠薬、オピオイドなどの使用について。ゾルピデムやトリアゾラム、レミフェンタニルは夜間SpO2を下げるけど、エスゾピクロンはむしろ重症度を下げると。Zドラッグで差が…一体何が(@_@) http://t.co/druxYiR84t
Effects of opioid, hypnotic & sedating .. on sleep-disrderd breathing in adults ..obstr sleep apnoea #papworthauthors http://t.co/m4t4pgIixQ
Ni opioides, ni hipnóticos ni medicación sedante mejora la respiración durante el sueño en apnea obstructiva http://t.co/MDof6zPZci
New #Cochrane Review: Effects of opioid, hypnotic&sedating meds on sleep-disordered breathing in adults with OSA http://t.co/ENuu0YJLHx
Opioids, hypnotics & sedatives, effects on sleep-disordered breathing in adults w/ obstructive sleep apnoea #Cochrane http://t.co/1KR1UenWmQ
Opioids, hypnotics & sedatives, effects on sleep-disordered breathing in adults w/ obstructive sleep apnoea #Cochrane http://t.co/1KR1UenWmQ
New #Cochrane Review: Effects of opioid, hypnotic&sedating meds on sleep-disordered breathing in adults with OSA http://t.co/ENuu0YJLHx
New #Cochrane Review: Effects of opioid, hypnotic&sedating meds on sleep-disordered breathing in adults with OSA http://t.co/ENuu0YJLHx
Effects of opioid, hypnotic and sedating medications on sleep-disordered breathing in adults with obstructive slee… http://t.co/oeuK0jN7wW
New #Cochrane Review: Effects of opioid, hypnotic&sedating meds on sleep-disordered breathing in adults with OSA http://t.co/ENuu0YJLHx
New #Cochrane Review: Effects of opioid, hypnotic&sedating meds on sleep-disordered breathing in adults with OSA http://t.co/ENuu0YJLHx
No evidence suggests that drugs assessed have deleterious effect on severity of OSA as measured by change in AHI/ODI http://t.co/1nfiJ4O2Ac
14 small trials (N=293) on 10 different drugs. Most trials 1-3 night's duration. Most had mild-moderate OSA http://t.co/ik8qqA67G5
New #Cochrane Review: Effects of opioid, hypnotic&sedating meds on sleep-disordered breathing in adults with OSA http://t.co/ENuu0YJLHx