GM1 MED.B.015 Respiratory system

• ED Decision 2025/002/R found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTOPart-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Nov 2025)

##### GM1 MED.B.015 Respiratory system *ED Decision 2025/002/R* **SCREENING OF THE OBSTRUCTIVE SLEEP APNOEA (OSA) SYNDROME** (a) AMEs may consider the following algorithm when screening their applicants regarding the OSA syndrome: Assessment of OSA risk may be considered at every medical examination of pilots through scores that combine history questions with physical findings such as the STOP-BANG score. (b) AME guidance: Indicators to initiate OSA evaluation — History interview including at least the following: — Daytime sleepiness (i.e. Epworth Sleepiness Scale)? — Snoring (what does spouse/partner say?) — Psychosocial issues due to sleepiness, heavy snoring — Observable apnoea episodes — Contributing factors: — BMI >30 — Previous bariatric history — Neck circumference: ≥ 40 cm — Diagnosed arterial hypertension — Heart troubles — Arrhythmia — Congestive heart failure — CHD — Previous TIA, stroke — Diabetes Type 2 — ENT — Nasal obstruction — Orthodontic/Retrognathia — Oropharyngeal examination –e.g. modified Mallampati Score or Friedman tongue position Methodology (if indicated): — Nocturnal oximetry — Respiratory polygraphy — Polysomnography in certified sleep laboratories — Eventually evaluation of vigilance: — Maintenance of Wakefulness Test (MWT) — Multiple Sleep Latency Test (MSLT)