Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately. (See "Society guideline links: Sleep-related breathing disorders including obstructive sleep apnea in children" and "Society guideline links: Parasomnias, hypersomnias, and circadian rhythm disorders".)
International
●International consensus document on obstructive sleep apnea (2021)
●Perioperative care of patients with obstructive sleep apnea undergoing upper airway surgery – A review and consensus recommendations (2019)
●Society of Anesthesia and Sleep Medicine (SASM): Guideline on intraoperative management of adult patients with obstructive sleep apnea (2018)
●Perioperative management of obstructive sleep apnea in bariatric surgery – A consensus guideline (2017)
Canada
●Canadian Thoracic Society (CTS) and Canadian Sleep Society (CSS): Position paper on obstructive sleep apnea and driving (2014)
●CTS: Guideline for diagnosis and treatment of sleep disordered breathing, update (2011)
●CSS/CTS: Position paper on the use of portable monitoring for the diagnosis of obstructive sleep apnea/hypopnea in adults (2010)
United States
●American Academy of Sleep Medicine (AASM): Obstructive sleep apnea screening, diagnosis, and treatment in the transportation industry (2022)
●AASM: Position statement for enhancing public health and safety by diagnosing and treating obstructive sleep apnea in the transportation industry (2022)
●AASM: Clinical practice guideline for referral of adults with obstructive sleep apnea for surgical consultation (2021)
●American Heart Association (AHA)/American Stroke Association (ASA): Guideline for the prevention of stroke in patients with stroke and transient ischemic attack (2021)
●AASM: Clinical practice guideline for the treatment of adult obstructive sleep apnea with positive airway pressure (2019)
•AASM: Clinical guidelines for the manual titration of positive airway pressure in patients with obstructive sleep apnea (2008)
●AASM: Position statement on chronic opioid therapy and sleep (2019)
●American College of Cardiology (ACC)/AHA/Heart Rhythm Society (HRS): Guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay (2019)
●American Medical Association (AMA): Review and consensus recommendations for perioperative care of patients with obstructive sleep apnea undergoing upper airway surgery (2019)
●American Thoracic Society (ATS): An official clinical practice guideline for the evaluation and management of obesity hypoventilation syndrome (2019)
●ATS: Noninvasive ventilation versus CPAP as initial treatment of obesity hypoventilation syndrome (2019)
●US Department of Veterans Affairs/Department of Defense (VA/DoD): Clinical practice guideline for the management of chronic insomnia disorder and obstructive sleep apnea (2019)
●AHA: Scientific statement on resistant hypertension – Detection, evaluation, and management (2018)
●ATS: An official clinical practice guideline on the role of weight management in the treatment of adult obstructive sleep apnea (2018)
●AASM: Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea (2017)
●AASM: Position statement on the clinical use of a home sleep apnea test (2017)
●AASM: Recommendations for management of obstructive sleep apnea in commercial motor vehicle operators (2017)
●US Preventive Services Task Force (USPSTF): Final recommendation statement on obstructive sleep apnea in adults – Screening (2017)
●AASM: Adaptive servo-ventilation recommendations for the 2012 AASM guideline, update (2016)
•AASM: The treatment of central sleep apnea syndromes in adults – Practice parameters with an evidence-based literature review and meta-analyses (2012)
●American Society of Anesthesiologists (ASA): Practice guidelines for the prevention, detection, and management of respiratory depression associated with neuraxial opioid administration (2016)
●AASM: Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy, update (2015)
●American Society of Anesthesiologists (ASA): Practice guidelines for the perioperative management of patients with obstructive sleep apnea, update (2014)
●Choosing Wisely: Don't perform positive airway pressure re-titration studies in asymptomatic, adherent sleep apnea patients with stable weight (2014)
●ATS: Clinical practice guideline on sleep apnea, sleepiness, and driving risk in noncommercial drivers, update (2013)
●AASM: Best clinical practices for the sleep center adjustment of noninvasive positive pressure ventilation (NPPV) in stable chronic alveolar hypoventilation syndromes (2010)
●AASM: Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults (2010)
●AASM: Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults (2009)
●AHA/American College of Cardiology Foundation (ACCF): Scientific statement on sleep apnea and cardiovascular disease (2008)
Europe
●European Respiratory Society (ERS): Statement for definition, discrimination, diagnosis and treatment of central breathing disturbances during sleep (2017)
●ERS/European Society of Hypertension (ESH): Recommendations for the management of patients with obstructive sleep apnoea and hypertension (2013)
●ERS: Non-CPAP therapies in obstructive sleep apnoea (2011)
United Kingdom
●National Institute for Health and Care Excellence (NICE): Guideline on obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s (2021)
●British Thoracic Society (BTS): Position statement on driving and obstructive sleep apnoea (OSA) (2018)
●NICE: Interventional procedures guidance on hypoglossal nerve stimulation for moderate to severe obstructive sleep apnoea (2017)
●NICE: Interventional procedures guidance on soft-palate implants for obstructive sleep apnoea (2007)
India
●Indian Council of Medical Research (ICMR): Consensus and evidence-based INdian initiative on Obstructive Sleep Apnea (INOSA) guidelines, 1st edition (2014)
Australia-New Zealand
●Australasian Sleep Association (ASA): Position paper on the use of oral appliances in the treatment of snoring and obstructive sleep apnoea
●Austroads and National Transport Commission (NTC): Assessing fitness to drive for commercial and private vehicle drivers – Medical standards for licensing and clinical management guidelines, 6th edition (2022)
●ASA: A position statement for the surgical management of obstructive sleep apnoea (2020)
●ASA and Sleep Health Foundation (SHF): A consensus opinion amongst stakeholders as to benefits of obstructive sleep apnoea treatment for cardiovascular health (2019)
●Australian Dental Association (ADA): Clinical guidelines for oral appliance therapy in the treatment of snoring and obstructive sleep apnoea (2013)
Japan
●[In Japanese] Japanese Academy of Dental Sleep Medicine (JADSM): Clinical practice guidelines for oral devices for obstructive sleep apnea (Technical appraisal for device fabrication) (2020)
●[In Japanese] Japanese Respiratory Society (JRS): Sleep apnea syndrome (SAS) practice guidelines (2020)
●[In Japanese] JADSM: Clinical practice guidelines for oral devices for obstructive sleep apnea, revised edition (2017)
●[In English] JRS: Noninvasive positive pressure ventilation (NPPV) guidelines, 2nd revised edition (2017)
●[In Japanese] JRS: Noninvasive positive pressure ventilation (NPPV) guidelines, 2nd revised edition (2015)
