Noy yet a ruling (Summary Sleep apnea)
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Noy yet a ruling (Summary Sleep apnea)

CDL Physical Examination The following is a summary of a few of the recommendations:
An individual with a diagnosis of Obstructive Sleep Apnea may be certified to drive a CMV if that individual meets the following criteria:
  • has untreated OSA with an apnea-hypopnea index (AHI) ≤ 20, and
  • has no daytime sleepiness, or
  • has OSA that is being effectively treated
Drivers should be disqualified immediately or denied certification if they:
  • report that they have experienced excessive sleepiness while driving or have experienced a crash associated with falling asleep, or
  • have an AHI greater than 20, until adherent to Positive Airway Pressure (PAP).
    • They can be conditionally certified based on the criteria for Continuous Positive Airway Pressure (CPAP) compliance as outlined in Guideline 3; or
  • have been found to be non-compliant with their CPAP treatment at any point, or
  • have a BMI > than 33 kg/m2 (pending evaluation by a sleep study)
  • individuals recently diagnosed with OSA may be conditionally certified for one month during which time they will be started on CPAP therapy:
    • Compliance should be monitored and assessed during scheduled intervals
    • Certification should depend on proof of continued compliance with treatment
    • Compliance = minimum 4 hours per night, 70% of nights
  • preferred method of diagnosis is polysomnography (PSG)
  • PAP is the preferredmethod of therapy
  • individuals with OSA who are treated with PAP must demonstrate compliance with treatment and this must be documented objectively
  • individuals who meet the criteria for certification should be provided with education on: the importance of sleep, lifestyle changes, importance of treatment compliance and consequences of untreated Obstructive Sleep Apnea

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