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Michele Vitacca, Luca Barbano, Daniele Colombo, Olivia Leoni, Enrico Guffanti
Few studies have analyzed the prevalence and accessibility of home mechanical ventilation (HMV) in Italy. We aimed to investigate the prevalence and prescription variability of HMV as well as of long-term oxygen therapy (LTOT) and continuous positive airway pressure (CPAP), in the Lombardy Region. Prescribing rates of HMV (both noninvasive and tracheostomies), CPAP (auto-CPAP, CPAP/other sleep machines) and LTOT (liquid-O2, O2-gas, concentrators) in the 15 Local Healthcare districts of Lombardy were gathered from billing data for 2012 and compared...
January 29, 2018: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
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
Antonio Sanna
The Obstructive Sleep Apnea Syndrome (OSAS) consists of recurring episodes of complete or partial obstruction of the pharynx. The application of a continuous positive pressure in the airways (CPAP) is the first therapeutic option that is found to ensure complete patency of the pharynx during sleep, avoiding apneas and hypopneas with resolution of the symptoms. More recently, other devices have been proposed as OSAS treatment. The auto-CPAP has a role in finding the therapeutic value of the CPAP pressure rather than in OSAS therapy...
August 28, 2017: La Medicina del Lavoro
Pedro Rodrigues Genta, Gustavo Freitas Grad, Sara Herculano
No abstract text is available yet for this article.
July 15, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Adriana Salvaggio, Anna Lo Bue, Serena Iacono Isidoro, Salvatore Romano, Oreste Marrone, Giuseppe Insalaco
Objective: To determine whether the use of a gel pillow with side cutouts designed to accommodate a continuous positive airway pressure (CPAP) mask and reduce head temperature improves the efficacy of and adherence to auto-CPAP therapy. Methods: Twenty-three consecutive CPAP-naïve patients with obstructive sleep apnea were enrolled in the study. Patients were given an auto-CPAP machine with an appropriate CPAP mask and were instructed to use CPAP for 15 nights...
September 2016: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Wei Zhou, Xiaosong Dong, Jing Li, Long Zhao, Pei An, Fang Han
OBJECTIVE: To validate the use of the event detection capabilities in an auto-CPAP system used by patients with sleep apnea hypopnea syndrome (SAHS). METHODS: A total of 28 subjects with SAHS were recruited in the study. All the underwent tests of polysomnography (PSG) before and during treatment by an-auto-CPAP system with advanced event detection (AED) in the sleep lab. Apnea-hypopnea index (AHI), apnea index (AI) and hypopnea index (HI) by PSG and PAP machine were compared...
November 2015: Chinese Journal of Tuberculosis and Respiratory Diseases
Kaixian Zhu, Sami Aouf, Gabriel Roisman, Pierre Escourrou
STUDY OBJECTIVES: Pressure-relief features are aimed at improving the patient's comfort during continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea. The objective of this study was to determine the effect of these therapy features on fixed CPAP and autotitrating CPAP (APAP) treatment efficacy. METHODS: Seven pressure-relief features applied by three CPAP devices were included in our study (Remstar Auto: C-Flex 3, C-Flex+ 3, A-Flex 3, P-Flex; AirSense 10: EPR 3; Prisma 20A: SoftPAP 2 and 3)...
March 2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Alberto Braghiroli, Giuseppe Insalaco, Antonio M Esquinas
No abstract text is available yet for this article.
March 2016: Sleep & Breathing, Schlaf & Atmung
Carlos A Nigro, Maria R Aragone
No abstract text is available yet for this article.
March 2016: Sleep & Breathing, Schlaf & Atmung
Carlos Alberto Nigro, Sergio González, Anabella Arce, María Rosario Aragone, Luciana Nigro
BACKGROUND: Patients under treatment with continuous positive airway pressure (CPAP) may have residual sleep apnea (RSA). OBJECTIVE: The main objective of our study was to evaluate a novel auto-CPAP for the diagnosis of RSA. METHODS: All patients referred to the sleep laboratory to undergo CPAP polysomnography were evaluated. Patients treated with oxygen or noninvasive ventilation and split-night polysomnography (PSG), PSG with artifacts, or total sleep time less than 180 min were excluded...
May 2015: Sleep & Breathing, Schlaf & Atmung
Nicolás González Mangado, María Fernanda Troncoso Acevedo, Teresa Gómez García
Obstructive sleep apnea-hypopnea is a highly prevalent disease that is often underdiagnosed at present. It has a significant economic and social welfare impact, accounting for a large part of the resources assigned to home respiratory therapies. As part of the 2014 SEPAR Year of the Chronic Patient and Domiciliary Respiratory Care sponsored by the Spanish Society of Pulmonology and Thoracic Surgery, this article reviews the most recent publications on the indications and controversial issues in the treatment of sleep apnea, the latest evidence for indication of various positive pressure devices, and adjustment modes, ranging from the use of empirical formulae or mathematical estimations to modern auto-CPAP equipment, while not forgetting the gold standard of manual titration...
December 2014: Archivos de Bronconeumología
Ines Sanches, Catarina Ferreira, Ana Bernardino, João Elói, Vitória Martins, Fátima Teixeira, José Moutinho Dos Santos
SESSION TITLE: OSA PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Drug Induced Sleep Endoscopy (DISE) is a technique used to evaluate the point of airway obstruction in patients with obstructive sleep apnea syndrome (OSAS) in order to plan corrective surgery. The standard treatment for OSAS is nasal continuous positive airway pressure (CPAP), but there are a small percentage of patients that do not respond to CPAP and maintaining high apnea-hypopnea index (AHI)...
March 1, 2014: Chest
Pallavi Periwal, Mir Ali, Deepak Talwar
SESSION TITLE: OSA PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: CPAP Compliance in OSAHS is low all over the world. Studies evaluating compliance related issues in Indian patients using CPAP are scarce. METHODS: 35 patients of moderate to severe OSAHS who agreed to use CPAP after full polysomnography and titration studies between Jan-June 2013 and after 12 weeks were reviewed in OPD and asked to fill a prestructured questionnaire about compliance to PAP therapy...
March 1, 2014: Chest
Deisy Barrios Barreto, Eva Mañas Baena, Carolina Gotera, Carolina Jurkojc Mohremberger, Javier Garcia Leaniz, Patricia Lazo Meneses, Patricia Castro Acosta, Rosa Mirambeaux Villalona, Maria Salazar
SESSION TITLE: OSA PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Asses relationship between a poor clinical outcome in patients and therapeutic pressure variation determined by Auto CPAPMETHODS: Patients with poor clinical outcome after establishing fixed pressure CPAP with formula (F cpap), were placed in 3 groups according to the reasons for poor control: low tolerance, no clinical improvement and bad therapeutic adherence...
March 1, 2014: Chest
Jean Christian Borel, Renaud Tamisier, Sonia Dias-Domingos, Marc Sapene, Francis Martin, Bruno Stach, Yves Grillet, Jean François Muir, Patrick Levy, Frederic Series, Jean-Louis Pepin
RATIONALE: In obstructive sleep apnea patients (OSA), continuous positive airway pressure (CPAP) adherence is crucial to improve symptoms and cardiometabolic outcomes. The choice of mask may influence CPAP adherence but this issue has never been addressed properly. OBJECTIVE: To evaluate the impact of nasal pillows, nasal and oronasal masks on CPAP adherence in a cohort of OSA. METHODS: Newly CPAP treated OSA participating in "Observatoire Sommeil de la Fédération de Pneumologie", a French national prospective cohort, were included between March 2009 and December 2011...
2013: PloS One
John Reid, Regina Taylor-Gjevre, John Gjevre, Robert Skomro, Mark Fenton, Femi Olatunbosun, John R Gordon, David Cotton
OBJECTIVE: Recent evidence suggests that women with gestational hypertension (GH) have a high rate of sleep disordered breathing (SDB), and treatment for even marginal SDB may improve blood pressure control in women with GH. We assessed whether the application SDB treatment could improve blood pressure in women with GH. METHODS: This was a single-center randomized study. Subjects underwent an unattended home-based diagnostic sleep study. The study was then repeated with subjects wearing one of two randomly assigned treatments: auto-titrating continuous positive airway pressure (auto-CPAP) or mandibular advancement device (MAD) + nasal strip...
April 15, 2013: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
D M Wallace, S S Vargas, S J Schwartz, M S Aloia, S Shafazand
PURPOSE: There are little existing data on continuous positive airway pressure (CPAP) adherence in US Hispanic veterans with obstructive sleep apnea (OSA). Our aim was to describe determinants of 1-month adherence in a sleep clinic cohort of South Florida Hispanic veterans. METHODS: Hispanic veterans referred to the Miami VA sleep clinic were recruited and completed questionnaires about sleep apnea risk, sleep quality, insomnia symptoms, sleepiness, depression/anxiety, acculturation, personality traits, and cognitions about OSA and CPAP...
March 2013: Sleep & Breathing, Schlaf & Atmung
Aykut Cilli, Rusen Uzun, Ugur Bilge
PURPOSE: Autotitrating continuous positive airway pressure (auto-CPAP) devices not only titrate CPAP pressures but also measure residual respiratory events. The aim of the present study was to determine the accuracy of auto-CPAP-derived residual apnea-hypopnea index (AHI). METHODS: We studied 137 consecutive patients (72.3% men) with obstructive sleep apnea from January 2008 to December 2010 who underwent in-laboratory overnight polysomnography (PSG) using auto-CPAP...
March 2013: Sleep & Breathing, Schlaf & Atmung
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