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"CPAP" OR "Continuous Positive Airway Pressure"

Jing Li, Xiaoxia Li, Xianmei Huang, Zhiqun Zhang
BACKGROUND: Noninvasive high-frequency oscillatory ventilation (nHFOV), a relatively new modality, is gaining popularity despite scarce evidence. This meta-analysis was designed to evaluate the efficacy and safety of nHFOV as respiratory support in premature infants. METHODS: We searched MEDLINE, EMBASE, CINAHL, and Cochrane CENTRAL from inception of the database to January 2019. All published randomized controlled trials (RCTs) evaluating the effect of nHFOV therapy with nasal continuous positive airway pressure (nCPAP) or biphasic nCPAP (BP-CPAP) in newborns for respiratory support were included...
March 15, 2019: Respiratory Research
Juan F Masa, Jean-Louis Pépin, Jean-Christian Borel, Babak Mokhlesi, Patrick B Murphy, Maria Ángeles Sánchez-Quiroga
Obesity hypoventilation syndrome (OHS) is defined as a combination of obesity (body mass index ≥30 kg·m-2 ), daytime hypercapnia (arterial carbon dioxide tension ≥45 mmHg) and sleep disordered breathing, after ruling out other disorders that may cause alveolar hypoventilation. OHS prevalence has been estimated to be ∼0.4% of the adult population. OHS is typically diagnosed during an episode of acute-on-chronic hypercapnic respiratory failure or when symptoms lead to pulmonary or sleep consultation in stable conditions...
March 31, 2019: European Respiratory Review: An Official Journal of the European Respiratory Society
Marie Bruyneel
Telemedicine (TM) is a current tool in the landscape of medicine. It helps to address public health challenges such as increases in chronic disease in an ageing society and the associated burden in healthcare costs. Sleep TM refers to patient data exchange with the purpose of enhancing disease management. Obstructive sleep apnoea (OSA) syndrome is a chronic disorder associated with a significant morbidity, mainly cardiometabolic, and mortality. Obtaining adequate compliance to continuous positive airway pressure (CPAP) remains the greatest challenge related to OSA treatment, and the adoption of TM to support OSA management makes sense...
March 31, 2019: European Respiratory Review: An Official Journal of the European Respiratory Society
Xiao-Ting Wang, Gang Zhao, Ling Tu, Zhi-Yong Yue, Zhen-Hua Liu, Jie Han, Kun Gao, Xuan-Chen Zhou, Shuai Xu, Jian-Feng Li
This work is aimed at exploring the clinical efficacy of continuous positive airway pressure (CPAP) in treatment of patients with arrhythmias combined with obstructive sleep apnea (OSA). Through evaluating serum native thiol, malonaldehyde (MDA) and nicotinamide adenine dinucleotide phosphate oxidase (NADPH oxidase) in these patients and describing the effects on oxidative parameters of CPAP therapy for 3 months, we confirmed the impact of oxidative stress on arrhythmias. A total of 64 patients with OSA combined with arrhythmias were collected from April 2014 to April 2017 with full clinical information...
February 2019: Current Medical Science
Marianne Gullvåg, Kari Hanne Gjeilo, Nina Fålun, Tone M Norekvål, Rune Mo, Anders Broström
BACKGROUND: Sleep-disordered breathing, including obstructive sleep apnoea and central sleep apnoea, is a common disorder among patients with chronic heart failure. Obstructive sleep apnoea is often treated with continuous positive airway pressure, but central sleep apnoea lacks a clear treatment option. Knowledge of how sleep-disordered breathing is experienced (e.g. difficulties and care needs) and handled (e.g. self-care actions) by the patients is limited, but needed, to provide patient-centred care...
March 13, 2019: Scandinavian Journal of Caring Sciences
Tiffany A Jagodich, Alexa M E Bersenas, Shane W Bateman, Carolyn L Kerr
OBJECTIVE: To determine the feasibility, degree of respiratory support, and safety of high flow nasal cannula (HFNC) oxygen therapy in sedated and awake healthy dogs, when compared to traditional nasal cannula (TNC) oxygen administration. DESIGN: Randomized experimental crossover study. SETTING: University research facility. ANIMALS: Eight healthy dogs. INTERVENTIONS: Variable flow rates (L/kg/min) were assessed, TNC: 0...
March 12, 2019: Journal of Veterinary Emergency and Critical Care
Amit Mukerji, Muzafar Gani Abdul Wahab, Souvik Mitra, Tapas Mondal, Debie Paterson, Jennifer Beck, Christoph Fusch
OBJECTIVE: We sought to evaluate physiological cardiorespiratory implications of high pressures (>8 cmH2 O) on continuous positive airway pressure (CPAP) in preterm neonates. METHODS: Fifteen preterm neonates at postmenstrual age ≥32 weeks on CPAP 5 cmH2 O were enrolled. Pressures were increased by 2 cmH 2 O increments until 13 cmH 2 O. At each increment, cardiac output, electrical diaphragmatic (Edi) activity, and clinical cardiorespiratory parameters were measured...
March 11, 2019: Pediatric Pulmonology
Shahram Seyfi, Parviz Amri, Simin Mouodi
Efficiency of non-invasive positive pressure ventilation in the treatment of respiratory failure has been shown in many published studies. In this review article, we introduced new modalities of non-invasive ventilation (NIV), clinical settings in which NIV can be used and a practical summary of the latest official guidelines published by the European Respiratory Clinical Practice. Clinical trials and review articles in four databases up to 25 February 2018 about new modalities of non-invasive positive pressure ventilation were reviewed...
2019: Caspian Journal of Internal Medicine
Cynthia Gyamfi-Bannerman, John A F Zupancic, Grecio Sandoval, William A Grobman, Sean C Blackwell, Alan T N Tita, Uma M Reddy, Lucky Jain, George R Saade, Dwight J Rouse, Jay D Iams, Erin A S Clark, John M Thorp, Edward K Chien, Alan M Peaceman, Ronald S Gibbs, Geeta K Swamy, Mary E Norton, Brian M Casey, Steve N Caritis, Jorge E Tolosa, Yoram Sorokin, J Peter VanDorsten
Importance: Administration of corticosteroids to women at high risk for delivery in the late preterm period (34-36 weeks' gestation) improves short-term neonatal outcomes. The cost implications of this intervention are not known. Objective: To compare the cost-effectiveness of treatment with antenatal corticosteroids with no treatment for women at risk for late preterm delivery. Design, Setting, and Participants: This secondary analysis of the Antenatal Late Preterm Steroids trial, a multicenter randomized clinical trial of antenatal corticosteroids vs placebo in women at risk for late preterm delivery conducted from October 30, 2010, to February 27, 2015...
March 11, 2019: JAMA Pediatrics
Tony Ononye, Khoa Nguyen, Erica Brewer
AIM: 1) To implement obstructive sleep apnea (OSA) screening of at -risk patients in a primary care setting; 2) to evaluate and refer screened participants to sleep studies since early identification of OSA symptoms is an important initial step in reducing the burden of undiagnosed OSA disease. METHOD: Participants completed the STOP-Bang questionnaire and those considered to be at risk were referred for sleep studies for disease identification, categorization, and treatment...
April 2019: Applied Nursing Research: ANR
Sun T Hsieh, Albert S Woo
Pierre Robin sequence consists of clinical triad of micrognathia, glossoptosis, and airway compromise with variable inclusion of cleft palate. Evaluation of airway obstruction includes physical examination, polysomnography for obstruction events, and a combination of nasoendoscopy and bronchoscopy to search for synchronous obstructive lesions. A multidisciplinary approach is required given the high rate of syndromic disease. Management of airway obstruction and feeding starts with nonsurgical maneuvers, such as prone and lateral positioning, nasopharyngeal stenting, and continuous positive airway pressure...
April 2019: Clinics in Plastic Surgery
Minna Myllylä, Anna Hammais, Mikhail Stepanov, Ulla Anttalainen, Tarja Saaresranta, Tarja Laitinen
PURPOSE: Obstructive sleep apnea (OSA) is suggested to predispose to cardiovascular disease (CVD) events. It is uncertain whether compliance to continuous positive airway pressure (CPAP) treatment could attenuate the risk. We explored this issue in long-term CPAP users and untreated controls. METHODS: Retrospective observational cohort of CPAP-treated and control patients were pairwise matched for gender, age, and apnea-hypopnea index (AHI). The study end point was a composite of nonfatal and fatal CVD events...
March 8, 2019: Sleep & Breathing
Miguel Angel Martinez-Garcia, Irene Valero-Sánchez, Nuria Reyes-Nuñez, Grace Oscullo, Alberto Garcia-Ortega, Jose Daniel Gómez-Olivas, Francisco Campos-Rodriguez
In the very elderly, the indication and prescription of continuous positive airway pressure should be individualised
February 2019: ERJ Open Research
Maria Fs Torres, Gustavo Jm Porfírio, Alan Pv Carvalho, Rachel Riera
BACKGROUND: Pulmonary complications are often seen during the postoperative period following lung resection for patients with lung cancer. Some situations such as intubation, a long stay in the intensive care unit, the high cost of antibiotics and mortality may be avoided with the prevention of postoperative pulmonary complications. Non-invasive positive pressure ventilation (NIPPV) is widely used in hospitals, and is thought to reduce the number of pulmonary complications and mortality after this type of surgery...
March 6, 2019: Cochrane Database of Systematic Reviews
C C Egwu, W N Ogala, Z L Farouk, A M Tabari, A H Dambatta
Background: Intraventricular hemorrhage (IVH) is a severe complication among preterm neonates which can result in hydrocephalus, cerebral palsy, behavioural disorders, learning disabilities, or death. It is important to identify the factors associated with IVH in order to prevent these neurological consequences and reduce the resultant burden of neurological disease. Aim: To determine the factors associated with IVH among preterm neonates. Design: The study was prospective cross-sectional in design...
March 2019: Nigerian Journal of Clinical Practice
Tetyana Kendzerska, Kelly Wilton, Russell Bahar, Clodagh M Ryan
PURPOSE: Obstructive sleep apnea (OSA) is highly prevalent in post-stroke patients and observational evidence suggests that untreated it is a harbinger of poorer outcomes in this population. Clinical trials on the impact of treatment of OSA with continuous positive airway pressure (CPAP) have countered difficulties with patient engagement and adherence to CPAP therapy. Real-world data on continuous positive airway pressure initiation and usage in the post-stroke population with obstructive sleep apnea is limited...
February 28, 2019: Sleep & Breathing
Esther Sapiña-Beltrán, Fernando Santamaria-Martos, Ivan Benítez, Gerard Torres, Juan F Masa, Manuel Sánchez-de-la-Torre, Ferran Barbé, Mireia Dalmases
BACKGROUND: Continuous positive airway pressure (CPAP) treatment reduces blood pressure (BP) in obstructive sleep apnoea (OSA) and hypertensive patients, but there is a lack of data about the effects of CPAP on the BP in normotensive patients. OBJECTIVE: The aim of the study was to evaluate BP changes in normotensive OSA individuals receiving CPAP treatment. METHODS: We selected 131 normotensive outpatients with an apnoea/hypopnoea index (AHI) greater than 15 events/hour who required CPAP treatment...
April 2019: Journal of Hypertension
Samantha Latremouille, Wissam Shalish, Lara Kanbar, Philippe Lamer, Smita Rao, Robert E Kearney, Guilherme M Sant'Anna
BACKGROUND: NCPAP and High flow nasal cannula (HFNC) are common modes of non-invasive respiratory support used after extubation. Heart rate variability (HRV) has been demonstrated as a marker of well-being in neonates and differences in HRV were described in preterm infants receiving respiratory care. The objective was to investigate the effects of NCPAP and HFNC on HRV after extubation. METHODS: Randomized crossover trial in infants with birth weight (BW) ≤1250 g after undergoing their first elective extubation...
February 27, 2019: Pediatric Pulmonology
Ioannis Papadiochos, Stavros-Evangelos Sarivalasis, Nickolaos Papadogeorgakis
Pneumomediastinum (PM) implies an abnormal condition where a collection of free air or gas is entrapped within the fascial planes of mediastinal cavity. It is considered as benign entity, but an uncommonly seen complication of craniofacial injuries. We report a case of a 63-year-old male patient with the presenting sign of closed rhinolalia who was diagnosed with retropharyngeal emphysema and PM due to a linear and nondisplaced fracture of midface. The patient cited multiple efforts of intense nasal blowing shortly after a facial injury by virtue of a motorcycle accident...
March 2019: Craniomaxillofacial Trauma & Reconstruction
Akiomi Yoshihisa, Yasuchika Takeishi
Sleep disordered breathing (SDB), which causes sleep deprivation, intermittent hypoxia, and negative intrathoracic pressure swings, can be accompanied by other harmful pathophysiologies relating to cardiovascular diseases (CVD), including sudden death, atrial fibrillation, stroke, and coronary artery disease leading to heart failure. Continuous positive airway pressure (CPAP) therapy for SDB has been reported to provide favorable effects such as lowered systemic blood pressure and improved endothelial function...
February 28, 2019: Journal of Atherosclerosis and Thrombosis
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