Sleep Disordered Breathing in ALS: S8-Ep4

Sleep specialists are often asked to initiate non-invasive ventilation for patients with amyotrophic lateral sclerosis. The guest on our podcast today, Dr. Peter Gay, a world expert in this area, provides very helpful practical information to guide this process. 00:00 Introduction & Podcast Overview 01:38 Office Evaluation of ALS Patients 05:28 Screening Tests Before Polysomnography 08:42 Early Nocturnal Ventilation & Disease Progression 12:37 Factors Affecting NIV Tolerance & Adherence 14:00 Medicare & CMS Criteria for Respiratory Support 16:40 How to Perform Polysomnography in ALS 20:29 Simplified NIV Approach for Community Sleep Specialists 22:03 Cough Assist Devices & Airway Clearance 25:30 Final Takeaways & Patient‑Centered Care