Respiratory Center

Respiratory and Sleep Medicine Unit

The unit

Assess breathing. Improve sleep.

The Respiratory and Sleep Medicine Unit at Publio Cordón Memorial Hospital treats obstructive sleep apnoea and other nocturnal respiratory disorders through accurate diagnosis and personalised treatment, aimed at improving sleep quality and reducing cardiovascular risk.

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Dr Lorena Aída Comeche Casanova
Head of the unit

Dr Lorena Aída Comeche Casanova

Specialist in
  • Lung nodule and lung cancer.
  • Sleep-related breathing disorders and sleep apnoea.
  • Bronchoscopy and echobronchoscopy.
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Medical team

Our specialists

Dr Ricardo García Luján

Dr Ricardo García Luján

Specialist in
  • Pulmonary nodule and lung cancer.
  • Chronic obstructive pulmonary disease and asthma.
  • Bronchoscopy and echobronchoscopy.
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Dr. José María Echave-Sustaeta María-Tomé

Dr. José María Echave-Sustaeta María-Tomé

Specialist in
  • Enfermedad pulmonar obstructiva crónica y asma.
  • Fibrosis pulmonar y enfermedades pulmonares intersticiales.
  • Tos crónica, bronquiectasias e infecciones respiratorias recurrentes.
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Patient information

Respiratory and Sleep Medicine Unit

Specialist assessment of respiratory sleep disorders

The Respiratory Sleep Medicine Unit treats patients with suspected obstructive sleep apnoea, severe snoring accompanied by breathing pauses, persistent daytime sleepiness or unexplained fatigue that affects daily functioning.

A specialist assessment is particularly recommended when there are cardiovascular risk factors, difficult-to-control high blood pressure or cognitive impairment associated with poor-quality sleep.

Obstructive sleep apnoea is a common and often underdiagnosed condition that can have significant consequences if not properly identified and treated. An expert assessment allows the diagnosis to be confirmed accurately and a treatment strategy tailored to each individual’s clinical profile to be established.

When to consider a possible sleep disorder The presence of snoring accompanied by breathing pauses, persistent sleepiness or resistant hypertension may warrant specialist assessment. Early diagnosis reduces associated cardiovascular and metabolic risks.

Do you need advice on sleep apnoea or another nocturnal breathing disorder?

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Accurate diagnosis with tests tailored to each individual case

The diagnostic process begins with a detailed clinical assessment and continues with specific tests such as home sleep polygraphy or overnight polysomnography in a laboratory, depending on the complexity of the condition.

In addition to obstructive sleep apnoea, the unit assesses other sleep-related breathing disorders such as hypoventilation syndrome, increased upper airway resistance or conditions involving excessive daytime sleepiness that require a differentiated assessment.

The choice of test and its interpretation are carried out using expert clinical judgement, thereby avoiding both under-diagnosis and unnecessary interventions.

Analysing sleep to restore restful sleep.
Analysing sleep to restore restful sleep.

Personalised treatment

Each diagnosis is accompanied by a personalised treatment plan. This may include lifestyle and postural measures, weight management, continuous positive airway pressure (CPAP) devices, or specific management of cardiovascular and metabolic comorbidities.

The choice of treatment is based on the severity of the disorder, its clinical impact and the individual’s risk profile. The aim is to restore a stable nocturnal breathing pattern and reduce associated complications.

Therapeutic adjustment according to risk profile The decision to prescribe CPAP or other measures is based on objective clinical criteria. Treatment is tailored to the severity of the condition and the individual’s cardiovascular and metabolic status.

Scheduled follow-up and monitoring of adherence

The treatment of sleep-related breathing disorders requires ongoing monitoring. The unit arranges regular check-ups to assess the effectiveness of treatment, check that patients are adapting to the devices and make adjustments where necessary.

This active monitoring helps to improve adherence to treatment and ensure sustained clinical benefits over time.

Clinical coordination and informed support

The link between sleep disorders and cardiovascular, metabolic and neurological health necessitates coordination with Cardiology, Endocrinology, Neurology and Internal Medicine when the situation requires it.

Alongside the technical assessment, the unit incorporates an essential element: sufficient time to clearly explain the diagnosis, outline the medium- and long-term implications, and address any queries regarding treatment.

Ongoing support facilitates shared decision-making and improves adaptation to therapies such as CPAP, thereby enhancing clinical safety and the stability of treatment over time.

Specialist assessment in Respiratory Sleep Medicine

A specialist assessment makes it possible to confirm a diagnosis of apnoea or other nocturnal respiratory disorders, determine their severity and establish a treatment strategy consistent with the individual’s clinical and cardiovascular profile.

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