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Clinical Problems in Cardiopulmonary Disease |

Clinical Conference On Management Dilemmas*: Obstructive Sleep Apnea And Respiratory Failure

Jeff Schnader, MD, CM, FCCP; M. Niranjan Reddy, MD; John E. Heffner, MD, FCCP; Steven M. Scharf, MD
Author and Funding Information

*From the Department of Medicine (Drs. Schnader and Reddy), Wright State University School of Medicine, Dayton VA Medical Center, Dayton, OH; Department of Medicine (Dr. Heffner), Medical University of South Carolina, Charleston, SC; and the Pulmonary and Critical Care Division (Scharf), Long Island Jewish Medical Center, the Long Island Campus for the Albert Einstein College of Medicine, Long Island, NY.

Correspondence to: Dr. Jeff Schnader, MD, CM, FCCP, Chief, Division of Pulmonary & Critical Care Medicine, Wright State University School of Medicine, Dayton VA Medical Center (111), 4100 West Third Street, Dayton, OH 45428; e-mail: jeff.schnader@med.va.gov



Chest. 1999;116(6):1786-1793. doi:10.1378/chest.116.6.1786
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Pulmonary clinicians are often faced with management problems for which there are no answers at hand, either because there is no literature that definitely gives answers, because there are conflicting data in the literature, or because the circumstances surrounding the clinical cases are unusual enough to prevent the application of existing scientific knowledge. When faced with these problems, clinicians are forced to make decisions based on logical extensions of their scientific knowledge into uncharted clinical waters. They are forced to make judgments based on the conviction of their speculations and on prior experiences.

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