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https://www.readbyqxmd.com/read/27720457/positive-airway-pressure-therapy-for-obstructive-sleep-apnea
#1
REVIEW
Pnina Weiss, Meir Kryger
Positive airway pressure (PAP) is considered first-line therapy for moderate to severe obstructive sleep apnea and may also be considered for mild obstructive sleep apnea, particularly if it is symptomatic or there are concomitant cardiovascular disorders. Continuous PAP is most commonly used. Other modes, such as bilevel airway pressure, autotitrating positive airway pressure, average volume assured pressure support, and adaptive support ventilation, play important roles in the management of sleep-related breathing disorders...
December 2016: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/27226024/prevalence-of-sleep-disorders-in-thai-children
#2
Montida Veeravigrom, Tayard Desudchit
OBJECTIVE: To evaluate the prevalence of sleep disorders in Thai children who underwent polysomnography at a single institution. METHODS: A retrospective analysis of pediatric polysomnographic studies was performed from January 2011 through December 2014. RESULTS: One hundred sixty-six studies were conducted; 142, 7, and 17 were diagnostic, split-night, and positive airway pressure (PAP) titration studies, respectively. In total, 136 diagnostic/split-night studies were performed to diagnose sleep disorders with presentation of snoring (92...
May 26, 2016: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/26559968/the-use-of-volume-assured-pressure-support-noninvasive-ventilation-in-acute-and-chronic-respiratory-failure-a-practical-guide-and-literature-review
#3
REVIEW
Mark Pluym, Asad Waseem Kabir, Ashraf Gohar
Noninvasive positive pressure ventilation (NPPV) is an important tool in the management of acute and chronic respiratory failure. Traditionally, continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BPAP) have been the most commonly utilized modes for these purposes. Newer hybrid modes of NPPV, such as average volume-assured pressure support (VAPS), combine the properties of both volume- and pressure-controlled NPPV and represent another tool in the treatment of acute and chronic respiratory failure...
2015: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/26392861/nocturnal-respiratory-failure-in-a-child-with-congenital-myopathy-management-using-average-volume-assured-pressure-support-avaps
#4
Natalie Gentin, Bruce Williamson, Ganesh Thambipillay, Arthur Teng
This is a case report of the effective use of bi-level positive airway pressure support (BPAP) using the volume-assured pressure support feature in a pediatric patient with a congenital myopathy and significant nocturnal hypoventilation. Our patient was started on nocturnal nasal mask BPAP but required high pressures to improve her oxygen saturations and CO2 baseline. She was then trialed on a BPAP machine with the volume-assured pressure support feature on. The ability of this machine to adjust inspiratory pressures to give a targeted tidal volume allowed the patient to be on lower pressure settings for periods of the night, with the higher pressures only when required...
September 2015: Respirology Case Reports
https://www.readbyqxmd.com/read/25766720/retrospective-assessment-of-home-ventilation-to-reduce-rehospitalization-in-chronic-obstructive-pulmonary-disease
#5
Steven Coughlin, Wei E Liang, Sairam Parthasarathy
BACKGROUND: Healthcare systems are attempting to reduce hospital readmissions due to chronic obstructive pulmonary disease (COPD). METHODS: A retrospective study of a quality improvement (QI) program performed at a single center whose multifaceted intervention included nocturnal administration of advanced positive airway pressure (PAP) modality (or noninvasive positive pressure ventilation [NIPPV]) called averaged volume assured pressure support (AVAPS-AE) initiation by a respiratory therapist (RT), medication reconciliation by a pharmacist, adequate provision of oxygen, and ongoing RT-led care...
June 2015: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/25315620/efficacy-of-noninvasive-volume-targeted-ventilation-in-patients-with-chronic-respiratory-failure-due-to-kyphoscoliosis
#6
P Piesiak, A Brzecka, M Kosacka, R Jankowska
Severe kyphoscoliosis can cause chronic respiratory failure. Noninvasive mechanical ventilation (NIMV) is a new optional treatment for such patients. The aim of this study was to evaluate the effectiveness of average volume-assured pressure support (AVAPS) NIMV in patients with kyphoscoliotic chronic respiratory failure. The study was performed in 12 patients (mean age 49±11 years and body mass index 27.5±7.9 kg/m2) with advanced kyphoscoliosis complicated by severe respiratory failure (PaO2 6.68±0.34 kPa, SaO2 81...
2015: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/24111578/minute-ventilation-during-spontaneous-breathing-high-intensity-noninvasive-positive-pressure-ventilation-and-intelligent-volume-assured-pressure-support-in-hypercapnic-copd
#7
Emelie Ekkernkamp, Hans-Joachim Kabitz, David J Walker, Claudia Schmoor, Jan H Storre, Wolfram Windisch, Michael Dreher
BACKGROUND: High-intensity noninvasive positive pressure ventilation (HI-NPPV) is an effective treatment option in patients with stable hypercapnic chronic obstructive pulmonary disease (COPD). However, the effect of HI-NPPV compared with spontaneous breathing (SB) on minute ventilation (MV) in patients receiving long-term treatment remains to be determined. This study compared MV during HI-NPPV and SB. In addition, the ability of intelligent volume assured pressure support (iVAPS) to increase MV to the same extent as HI-NPPV was determined...
February 2014: COPD
https://www.readbyqxmd.com/read/23497021/noninvasive-mechanical-ventilation-with-average-volume-assured-pressure-support-avaps-in-patients-with-chronic-obstructive-pulmonary-disease-and-hypercapnic-encephalopathy
#8
Killen Harold Briones Claudett, Monica Briones Claudett, Miguel Chung Sang Wong, Alberto Nuques Martinez, Ricardo Soto Espinoza, Mayra Montalvo, Antonio Esquinas Rodriguez, Gumersindo Gonzalez Diaz, Michelle Grunauer Andrade
BACKGROUND: Non-invasive mechanical ventilation (NIV) in patients with acute respiratory failure has been traditionally determined based on clinical assessment and changes in blood gases, with NIV support pressures manually adjusted by an operator. Bilevel positive airway pressure-spontaneous/timed (BiPAP S/T) with average volume assured pressure support (AVAPS) uses a fixed tidal volume that automatically adjusts to a patient's needs. Our study assessed the use of BiPAP S/T with AVAPS in patients with chronic obstructive pulmonary disease (COPD) and hypercapnic encephalopathy as compared to BiPAP S/T alone, upon immediate arrival in the Emergency-ICU...
2013: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/22963752/positive-outcome-of-average-volume-assured-pressure-support-mode-of-a-respironics-v60-ventilator-in-acute-exacerbation-of-chronic-obstructive-pulmonary-disease-a-case-report
#9
Miyuki Okuda, Makoto Kashio, Nobuya Tanaka, Takashi Fujii, Yoshinari Okuda
INTRODUCTION: We were able to treat a patient with acute exacerbation of chronic obstructive pulmonary disease who also suffered from sleep-disordered breathing by using the average volume-assured pressure support mode of a Respironics V60 Ventilator (Philips Respironics: United States). This allows a target tidal volume to be set based on automatic changes in inspiratory positive airway pressure. This removed the need to change the noninvasive positive pressure ventilation settings during the day and during sleep...
2012: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/22923141/therapy-for-sleep-hypoventilation-and-central-apnea-syndromes
#10
Bernardo J Selim, Mithri R Junna, Timothy I Morgenthaler
• Primary Central Sleep Apnea (CSA): We would recommend a trial of Positive Airway Pressure (PAP), acetazolamide, or zolpidem based on thorough consideration of risks and benefits and incorporation of patient preferences.• Central Sleep Apnea Due to Cheyne-Stokes Breathing Pattern in Congestive Heart Failure (CSR-CHF): We would recommend PAP devices such as continuous positive airway pressure (CPAP) or adaptive servo-ventilation (ASV) to normalize sleep-disordered breathing after optimizing treatment of heart failure...
October 2012: Current Treatment Options in Neurology
https://www.readbyqxmd.com/read/22382596/volume-targeted-versus-pressure-support-non-invasive-ventilation-in-patients-with-super-obesity-and-chronic-respiratory-failure-a-randomised-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
Patrick Brian Murphy, Craig Davidson, Matthew David Hind, Anita Simonds, Adrian J Williams, Nicholas S Hopkinson, John Moxham, Michael Polkey, Nicholas Hart
INTRODUCTION: Automatic titration modes of non-invasive ventilation, including average volume assured pressure support (AVAPS), are hybrid technologies that target a set volume by automated adjustment of pressure support (PS). These automated modes could offer potential advantages over fixed level PS, in particular, in patients who are super obese. METHODS: Consecutive patients with obesity hypoventilation syndrome were enrolled in a two-centre prospective single-blind randomised controlled trial of AVAPS versus fixed-level PS using a strict protocolised setup...
August 2012: Thorax
https://www.readbyqxmd.com/read/21206552/average-volume-assured-pressure-support-in-a-16-year-old-girl-with-congenital-central-hypoventilation-syndrome
#12
Emmanouil Vagiakis, Ioannis Koutsourelakis, Eleni Perraki, Charis Roussos, Zafeiria Mastora, Spyros Zakynthinos, Anastasia Kotanidou
Congenital central hypoventilation syndrome (CCHS) is an uncommon disorder characterized by the absence of adequate autonomic control of respiration, which results in alveolar hypoventilation and decreased sensitivity to hypercarbia and hypoxemia, especially during sleep. Patients with CCHS need lifelong ventilatory support. The treatment options for CCHS include intermittent positive pressure ventilation administered via tracheostomy, noninvasive positive pressure ventilation, negative-pressure ventilation by body chamber or cuirass, and phrenic nerve pacing...
December 15, 2010: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/19672655/subjective-sleep-quality-during-average-volume-assured-pressure-support-avaps-ventilation-in-patients-with-hypercapnic-copd-a-physiological-pilot-study
#13
RANDOMIZED CONTROLLED TRIAL
Ernesto Crisafulli, Giuseppe Manni, Marika Kidonias, Ludovico Trianni, Enrico M Clini
The aim of this short-term, single-blind, randomized, crossover study was to evaluate night-time efficacy of and compliance and physiological responses to average volume assured pressure support (AVAPS) versus pressure support (PS) ventilation. AVAPS or PS ventilation was delivered to nine stable hypercapnic COPD patients via a mask over two 5-day periods during consecutive weeks. The Synchrony ventilator was used to deliver mask ventilation as follows: 8 ml/kg of ideal body weight (as the targeted inspiratory tidal volume) with IPAP ranging from EPAP up to 30 cmH(2)O for AVAPS, and the patient's highest tolerated IPAP level for PS...
September 2009: Lung
https://www.readbyqxmd.com/read/18795255/sleep-and-non-invasive-ventilation-in-patients-with-chronic-respiratory-insufficiency
#14
RANDOMIZED CONTROLLED TRIAL
Cristina Ambrogio, Xazmin Lowman, Ming Kuo, Joshua Malo, Anil R Prasad, Sairam Parthasarathy
OBJECTIVE: Noninvasive ventilation with pressure support (NIV-PS) therapy can augment ventilation; however, such therapy is fixed and may not adapt to varied patient needs. We tested the hypothesis that in patients with chronic respiratory insufficiency, a newer mode of ventilation [averaged volume assured pressure support (AVAPS)] and lateral decubitus position were associated with better sleep efficiency than NIV-PS and supine position. Our secondary aim was to assess the effect of mode of ventilation, body position, and sleep-wakefulness state on minute ventilation (V(E)) in the same patients...
February 2009: Intensive Care Medicine
https://www.readbyqxmd.com/read/16963680/average-volume-assured-pressure-support-in-obesity-hypoventilation-a-randomized-crossover-trial
#15
RANDOMIZED CONTROLLED TRIAL
Jan Hendrik Storre, Benjamin Seuthe, René Fiechter, Stavroula Milioglou, Michael Dreher, Stephan Sorichter, Wolfram Windisch
BACKGROUND: Average volume-assured pressure support (AVAPS) has been introduced as a new additional mode for a bilevel pressure ventilation (BPV) device (BiPAP; Respironics; Murrysville, PA), but studies on the physiologic and clinical effects have not yet been performed. There is a particular need to better define the most efficient ventilatory treatment modality for patients with obesity hypoventilation syndrome (OHS). METHODS: In OHS patients who did not respond to therapy with continuous positive airway pressure, the effects of BPV with the spontaneous/timed (S/T) ventilation mode with and without AVAPS over 6 weeks on ventilation pattern, gas exchange, sleep quality, and health-related quality of life (HRQL) assessed by the severe respiratory insufficiency questionnaire (SRI) were prospectively investigated in a randomized crossover trial...
September 2006: Chest
https://www.readbyqxmd.com/read/10693671/home-bowel-preparation-for-elective-colonic-procedures-in-children-cost-savings-with-quality-assurance-and-improvement
#16
S A Engum, M E Carter, D Murphy, F M Breckler, G Schoonveld, J L Grosfeld
BACKGROUND/PURPOSE: The current health care environment pressures providers to lower cost and demands quality care that is measured by outcomes and patient satisfaction. Most insurers will not approve bed days for in-hospital preoperative bowel preparations for elective colorectal procedures. This policy does not take into account that infants and children are unable to tolerate large volumes of enteral preparation, which adversely affects outcome because of an inadequate preparation...
February 2000: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/3295124/pressure-control-to-accommodate-patient-breathing-efforts-during-volume-ventilation
#17
F A Stawitcke, A K Ream, R L Piziali
Intermittent positive-pressure ventilation is used to support patients whose unassisted breathing is inadequate. Mechanical ventilators deliver pressurized gas to the patient's lungs by using a pattern of volume and timing that is preset by the clinician. A weakness of existing control methods is their emphasis on maintaining adequate gas exchange while poorly accommodating the patient's efforts to reassume control of the delivery pattern. A method is proposed to control airway pressure within a breath by making it respond to measurements of volume...
April 1987: Journal of Clinical Monitoring
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