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Cpap treatment

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https://www.readbyqxmd.com/read/29133034/cpap-treatment-for-children-with-pneumonia-in-low-resource-settings
#1
Eric D McCollum, Andrew G Smith, Michelle Eckerle, Tisungane Mvalo, Katherine L O'Brien, Abdullah H Baqui
No abstract text is available yet for this article.
November 10, 2017: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/29131398/response-to-cognitive-processing-therapy-in-veterans-with-and-without-obstructive-sleep-apnea
#2
Franklin Mesa, Benjamin D Dickstein, Virgil D Wooten, Kathleen M Chard
Recent studies have called attention to the need for enhancing treatment outcome in trauma-focused psychotherapies, such as cognitive processing therapy (CPT), with veterans. Given the prevalence of posttraumatic-related sleep disturbances, and the role of sleep in emotional learning and processing, sleep quality may be a target for improving CPT outcome. Elevated rates of obstructive sleep apnea (OSA) have been reported in samples of veterans with posttraumatic stress disorder (PTSD); however, the impact of OSA on response to CPT is unclear...
November 13, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/29129030/effects-of-cpap-and-mandibular-advancement-device-treatment-in-obstructive-sleep-apnea-patients-a-systematic-review-and-meta-analysis
#3
REVIEW
Martha Schwartz, Luis Acosta, Yuan-Lung Hung, Mariela Padilla, Reyes Enciso
The purpose of this review is to conduct a systematic review and meta-analysis comparing the effects of continuous positive airway pressure (CPAP) with a mandibular advancement device (MAD) in improving the quality of life (sleepiness, cognitive, and functional outcomes) in patients diagnosed with obstructive sleep apnea (OSA). Authors identified randomized, placebo-controlled studies from MEDLINE through PubMed, Web of Science, and the Cochrane Library. Studies were assessed for inclusion and exclusion criteria, as well as risk of bias...
November 11, 2017: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/29126537/a-47-year-old-man-with-recurrent-unilateral-pleural-effusion
#4
Alexandra Haw, Ronald Kotler, Kevin Steinberg
A 47-year-old man with a medical history of hypertension, diabetes, hyperlipidemia, and OSA presented with a 7- to 10-day history of progressively worsening dyspnea on exertion, with a walking distance of 60 feet. He had bilateral lower-extremity swelling and was prescribed furosemide without clinical improvement. At baseline, he used three pillows for sleeping. The patient was noncompliant with his CPAP treatment. He had no smoking history and was retired from working in technology sales. On review of systems, he denied cough, chest pain, hemoptysis, fevers, chills, or weight loss...
November 2017: Chest
https://www.readbyqxmd.com/read/29117795/high-sensitivity-cardiac-troponin-t-in-obstructive-sleep-apnea-patients-without-cardiovascular-diseases-efficacy-of-cpap-treatment
#5
Xiao-Bin Zhang, Hui-Qing Zeng, Yan-Ping Du, Zhi Lyu, Feng-Fu Zhan
The aims of this article were to determine the levels of serum high-sensitivity cardiac troponin T (hs-cTnT) in obstructive sleep apnea (OSA) patients without cardiovascular disease (CVD) and to assess the efficacy of continuous positive airway pressure (CPAP). Snorers referred for polysomnography (PSG) for the investigation of OSA were eligible and hs-cTnT levels measured in our pilot study. Hs-cTnT was measured again after 3 months of CPAP treatment in participants with severe OSA. A total of 93 participants recruited after PSG...
January 1, 2017: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29108608/treatment-of-obstructive-sleep-apnea-choosing-the-best-positive-airway-pressure-device
#6
REVIEW
Neil Freedman
Positive airway pressure (PAP) remains primary therapy for most patients with obstructive sleep apnea (OSA). CPAP, APAP, and BPAP are all reasonable therapies that can be used for patients with uncomplicated OSA across the spectrum of disease severity. BPAP should be considered for patients who are nonadherent to CPAP or APAP therapy because of pressure intolerance. Several additional factors should be considered when choosing the type of PAP device for a given patient, including associated symptoms and comorbid medical problems, cost, access to online data management and patient portals, and the portability for the device for patients who travel frequently...
December 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29106789/depression-and-obstructive-sleep-apnea
#7
(no author information available yet)
OBJECTIVE: Obstructive sleep apnea (OSA), is described as intermittent interruptions or reductions in airflow which are initiated by an incomplete or complete collapse of the upper airways despite respiratory effort. When left untreated, OSA is connected with comorbid conditions, such as cardiovascular and metabolic illnesses. METHOD: The PubMed database was used to examine papers published until April 2017 using the subsequent terms: "obstructive sleep apnea" or "obstructive sleep apnoea" and "depression" in successive combination with "CPAP (continuous positive airway pressure)", "therapy", "pharmacotherapy", "psychotherapy", "cognitive behavioral therapy" or "quality of life"...
October 6, 2017: Neuro Endocrinology Letters
https://www.readbyqxmd.com/read/29104014/continuous-positive-airway-pressure-an-early-intervention-to-prevent-phosgene-induced-acute-lung-injury
#8
Stuart Graham, Sarah Fairhall, Steve Rutter, Philippa Auton, Rachel Rendell, Adam Smith, Rosi Perrott, Tim Nicholson Roberts, Bronwen Jugg
Exposure to toxic industrial chemicals such as phosgene may occur through accidental or deliberate release. Inhalation may result in an acute lung injury which manifests as hypoxaemia with insufficient oxygen being delivered to the tissues resulting in hypoxia, respiratory failure and death. No effective pharmacological therapy currently exists and treatment remains supportive, often requiring intensive care facilities. In a mass casualty scenario the logistical burden of managing exposed individuals would rapidly overwhelm healthcare systems...
November 2, 2017: Toxicology Letters
https://www.readbyqxmd.com/read/29095428/how-does-high-flow-nasal-cannulae-compare-to-nasal-cpap-for-treatment-of-early-respiratory-distress
#9
S Parmekar, J Hagan
No abstract text is available yet for this article.
November 2, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29079603/combination-of-obstructive-sleep-apnoea-and-insomnia-treated-by-continuous-positive-airway-pressure-with-the-sensawake-pressure-relief-technology-to-assist-sleep-a-randomised-cross-over-trial-protocol
#10
Jean Louis Pepin, Frédéric Gagnadoux, Alison Foote, Rachel Vicars, Bhavi Ogra, Véronique Viot-Blanc, Meriem Benmerad, Marie-Pia D'Ortho, Renaud Tamisier
INTRODUCTION: Obstructive sleep apnoea (OSA) is a common sleep breathing disorder affecting up to 17% of the middle-aged population. Continuous positive airway pressure (CPAP) is the primary treatment for patients with OSA, but acceptance and adherence to therapy is suboptimal in specific subgroups particularly those with insomnia or poor sleep quality (40%-80% of patients with OSA). Pressure intolerance, particularly during periods of wakefulness, inhibiting sleep onset or return to sleep, is one reason for poor CPAP adherence...
October 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/29073254/combining-mad-and-cpap-as-an-effective-strategy-for-treating-patients-with-severe-sleep-apnea-intolerant-to-high-pressure-pap-and-unresponsive-to-mad
#11
Hsiang-Wen Liu, Yunn-Jy Chen, Yi-Chun Lai, Ching-Yi Huang, Ya-Ling Huang, Ming-Tzer Lin, Sung-Ying Han, Chi-Ling Chen, Chong-Jen Yu, Pei-Lin Lee
INTRODUCTION: This study aimed to determine the effect of combining positive airway pressure (PAP) therapy and mandibular advancement device (MAD) in patients with severe obstructive sleep apnea (OSA) who were pressure intolerant for PAP and were unresponsive to MAD. METHODS: This retrospective study reviewed the medical records of severe OSA patients with apnea-hypopnea index (AHI) ≥ 30/hr who were diagnosed between October 1, 2008 and June 30, 2014. Patients were initially treated with 2 weeks of PAP, and those who were intolerant to high-pressure PAP (≥15 cm H2O) were switched to 12 weeks of MAD, which is a monobloc designed at 75% of maximum protrusion...
2017: PloS One
https://www.readbyqxmd.com/read/29070581/personalised-medicine-in-sleep-respiratory-disorders-focus-on-obstructive-sleep-apnoea-diagnosis-and-treatment
#12
Maria R Bonsignore, Monique C Suarez Giron, Oreste Marrone, Alessandra Castrogiovanni, Josep M Montserrat
In all fields of medicine, major efforts are currently dedicated to improve the clinical, physiological and therapeutic understanding of disease, and obstructive sleep apnoea (OSA) is no exception. The personalised medicine approach is relevant for OSA, given its complex pathophysiology and variable clinical presentation, the interactions with comorbid conditions and its possible contribution to poor outcomes. Treatment with continuous positive airway pressure (CPAP) is effective, but CPAP is poorly tolerated or not accepted in a considerable proportion of OSA patients...
December 31, 2017: European Respiratory Review: An Official Journal of the European Respiratory Society
https://www.readbyqxmd.com/read/29067558/oral-appliance-treatment-outcome-can-be-predicted-by-continuous-positive-airway-pressure-in-moderate-to-severe-obstructive-sleep-apnea
#13
Anders Storesund, Anders Johansson, Bjørn Bjorvatn, Sverre Lehmann
BACKGROUND: Studies show that the therapeutic CPAP pressure is associated with oral appliance (OA) treatment outcome in obstructive sleep apnea (OSA) patients. However, these studies included either CPAP adherent patients using fixed pressure devices, or partly CPAP non-adherent patients using fixed pressure or auto-adjusting (auto-CPAP) devices. In many countries, auto-CPAP is predominately used, and only those non-adherent to therapy need a change to OA. Therefore, studies examining the relationship between CPAP pressures and OA treatment outcome should focus on patients non-adherent to auto-CPAP...
October 24, 2017: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/29066388/sleep-disordered-breathing-in-pregnancy
#14
REVIEW
Sushmita Pamidi, R John Kimoff
Emerging literature suggests that sleep-disordered breathing (SDB) worsens over the course of pregnancy and is associated with adverse maternal and fetal outcomes. Earlier studies, using mainly snoring as a surrogate marker for SDB, have shown an increase in the prevalence of SDB during pregnancy compared to the pregravid state. More recently, prospective observational studies using ascertainment of SDB with complete polysomnography have shown a prevalence ranging from ∼17-45% in the third trimester. Pregnancy itself can be associated with daytime hypersomnolence and as such, complaints of increasing fatigue and sleepiness during pregnancy are not specific for the presence of SDB...
October 21, 2017: Chest
https://www.readbyqxmd.com/read/29065960/a-randomized-crossover-trial-evaluating-continuous-positive-airway-pressure-versus-mandibular-advancement-device-on-health-outcomes-in-veterans-with-posttraumatic-stress-disorder
#15
Ali A El-Solh, Gregory G Homish, Guy Ditursi, John Lazarus, Nithin Rao, David Adamo, Thomas Kufel
STUDY OBJECTIVES: Despite the overall improvement in posttraumatic stress disorder (PTSD) symptomatology with continuous positive airway pressure (CPAP) therapy, adherence to CPAP is far worse in veterans with PTSD compared to the general population with obstructive sleep apnea (OSA). The aim of this study was to compare the efficacy, adherence, and preference of CPAP versus mandibular advancement device (MAD) and the effect of these treatments on health outcomes in veterans with PTSD...
October 18, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29065955/cpap-adherence-is-associated-with-attentional-improvements-in-a-group-of-primarily-male-patients-with-moderate-to-severe-osa
#16
Sean Deering, Lin Liu, Tania Zamora, Joanne Hamilton, Carl Stepnowsky
STUDY OBJECTIVES: Obstructive sleep apnea (OSA) is a widespread condition that adversely affects physical health and cognitive functioning. The prevailing treatment for OSA is continuous positive airway pressure (CPAP), but therapeutic benefits are dependent on consistent use. Our goal was to investigate the relationship between CPAP adherence and measures of sustained attention in patients with OSA. Our hypothesis was that the Psychomotor Vigilance Task (PVT) would be sensitive to attention-related improvements resulting from CPAP use...
October 18, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29060229/development-of-methods-for-sleep-disordered-breathing-to-identify-phenotypes
#17
Thomas Penzel, Christoph Schobel, Martin Glos, Lisa Schwarz, Lisa Prochnow, Ingo Fietze
Sleep disordered breathing a very common disorder with prevalence rates of up to 49% in large epidemiological studies on subjects older than 40 years. A recent study showed that applying CPAP treatment to patients with sleep disordered breathing recruited by their number of apnea and hypopnea events alone, does improve sleepiness but does not improve overall cardiovascular mortality. Based on older large studies however it is knownthat sleep disordered breathing is a cardiovascular risk and that treatment lowers mortality and morbidity...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29059008/narrative-review-of-contemporary-treatment-options-in-the-care-of-patients-with-obstructive-sleep-apnoea
#18
Mark S Ferguson, Jennifer Claire Magill, Bhik T Kotecha
Snoring and obstructive sleep apnoea (OSA) are increasingly common conditions, and confer a significant health and socioeconomic burden. Furthermore, untreated OSA represents a significant mortality risk. Patients require careful assessment, including detailed clinical history and examination, sleep study and drug-induced sleep endoscopy (DISE). Although nasal continuous positive airway pressure (nCPAP) is the gold standard treatment for moderate and severe OSA, multidisciplinary team assessment is often required to develop the best treatment plan for an individual, especially when nasal CPAP is poorly tolerated...
October 1, 2017: Therapeutic Advances in Respiratory Disease
https://www.readbyqxmd.com/read/29038203/effect-of-continuous-positive-airway-pressure-weight-loss-or-continuous-positive-airway-pressure-plus-weight-loss-on-central-hemodynamics-and-arterial-stiffness
#19
Snigdha Jain, Indira Gurubhagavatula, Raymond Townsend, Samuel T Kuna, Karen Teff, Thomas A Wadden, Jesse Chittams, Alexandra L Hanlon, Greg Maislin, Hassam Saif, Preston Broderick, Zeshan Ahmad, Allan I Pack, Julio A Chirinos
Obesity and obstructive sleep apnea tend to coexist. Little is known about the effects of obstructive sleep apnea, obesity, or their treatment on central aortic pressures and large artery stiffness. We randomized 139 adults with obesity (body mass index >30 kg/m(2)) and moderate-to-severe obstructive sleep apnea to (1) continuous positive airway pressure (CPAP) therapy (n=45), (2) weight loss (WL) therapy (n=48), or (3) combined CPAP and WL (n=46) for 24 weeks. We assessed the effect of these interventions on central pressures and carotid-femoral pulse wave velocity (a measure of large artery stiffness), measured with arterial tonometry...
October 16, 2017: Hypertension
https://www.readbyqxmd.com/read/29036393/angiotensin-receptor-expression-and-vascular-endothelial-dysfunction-in-obstructive-sleep-apnea
#20
Rami N Khayat, Saradhadevi Varadharaj, Kyle Porter, Angela Sow, David Jarjoura, Mikhail A Gavrilin, Jay L Zweier
Background: Obstructive sleep apnea (OSA) is associated with vascular endothelial dysfunction (VED) in otherwise healthy patients. The role of renin-angiotensin system (RAS) in the OSA induced VED is not well understood. Methods: Recently diagnosed OSA patients with very low cardiovascular disease (CVD) risk (Framingham score <5%) were studied at diagnosis and after 12 weeks of verified continuous positive airway pressure (CPAP) therapy. Participants underwent biopsy of gluteal subcutaneous tissue at baseline and after CPAP...
September 27, 2017: American Journal of Hypertension
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