keyword
Keywords "CPAP" OR "Continuous Positive...

"CPAP" OR "Continuous Positive Airway Pressure"

https://read.qxmd.com/read/38534164/conservative-airway-management-successful-in-majority-of-infants-with-pierre-robin-sequence-at-queensland-children-s-hospital-a-retrospective-review
#1
JOURNAL ARTICLE
Harrison Theile, Yun Phua, Stuart Bade, Susan O'Mahony, Jasneek Chawla, Sadasivam Suresh, Richard Theile
PURPOSE: Pierre-Robin Sequence (PRS) is a congenital abnormality characterized by micrognathia, glossoptosis, and variable severity upper airway obstruction. Clear management algorithms are lacking, particularly the indications for surgical versus nonsurgical intervention. The authors reviewed the management of these children in Queensland. METHODS: All children diagnosed with PRS at Queensland Children's Hospital from April 2014 to October 2019 were identified (n=45), and their charts were retrospectively reviewed...
March 27, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38532732/distance-follow-up-by-a-remote-medical-care-centre-improves-adherence-to-cpap-in-patients-with-obstructive-sleep-apnoea-over-the-short-and-long-term
#2
JOURNAL ARTICLE
Matteo Schisano, Alessandro Libra, Ludovica Rizzo, Giorgio Morana, Salvatore Mancuso, Antonella Ficili, Davide Campagna, Carlo Vancheri, Maria R Bonsignore, Lucia Spicuzza
BACKGROUND: Adherence to continuous positive air pressure (CPAP) in patients with obstructive sleep apnoea (OSA) has remained invariably low over the last decades. Remote monitoring of the nocturnal CPAP treatment, within telemedicine (TM)-based follow-up programs, in these patients has been suggested as a potential tool to improve adherence and release the workload of sleep units. The aim of this study was therefore to assess whether a follow-up program carried out by a Remote Medical Care Centre (RMCC), outside the sleep unit, improves adherence to CPAP in the short and long term in patients with OSA...
March 27, 2024: Journal of Telemedicine and Telecare
https://read.qxmd.com/read/38532048/awake-pronation-with-helmet-cpap-in-early-covid-19-ards-patients-effects-on-respiratory-effort-and-distribution-of-ventilation-assessed-by-eit
#3
JOURNAL ARTICLE
Tommaso Fossali, Martina Locatelli, Riccardo Colombo, Alice Veronese, Beatrice Borghi, Elisabetta Ballone, Antonio Castelli, Roberto Rech, Emanuele Catena, Davide Ottolina
Prone positioning with continuous positive airway pressure (CPAP) is widely used for respiratory support in awake patients with COVID-19-associated acute respiratory failure. We aimed to assess the respiratory mechanics and distribution of ventilation in COVID-19-associated ARDS treated by CPAP in awake prone position. We studied 16 awake COVID-19 patients with moderate-to-severe ARDS. The study protocol consisted of a randomized sequence of supine and prone position with imposed positive end-expiratory pressure (PEEP) of 5 and 10 cmH2 O delivered by helmet CPAP...
March 26, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38524568/the-zeep-peep-test-to-evaluate-the-response-to-positive-end-expiratory-pressure-delivered-by-helmet-a-prospective-physiologic-study
#4
JOURNAL ARTICLE
Marco Giani, Benedetta Fumagalli, Francesco Cipulli, Emanuele Rezoagli, Matteo Pozzi, Denise Fumagalli, Letizia Fumagalli, Katia Ferrari, Roberto Rona, Giacomo Bellani, Alberto Lucchini, Giuseppe Foti
INTRODUCTION: The improvement in oxygenation after helmet application in hypoxemic patients may be explained by the alveolar recruitment obtained with positive end expiratory pressure (PEEP) or by the administration of a more accurate inspiratory fraction of oxygen (Fi O2 ). We have designed the "ZEEP-PEEP test", capable to distinguish between the Fi O2 -related or PEEP-related oxygenation improvement. Our primary aim was to describe the use of this test during helmet CPAP to assess the oxygenation improvement attributable to PEEP application...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38524399/a-cross-sectional-study-evaluating-the-association-of-brachial-artery-flow-mediated-vasodilation-with-physical-activity-measured-by-accelerometry-in-patients-with-the-overlap-of-obstructive-sleep-apnea-and-chronic-obstructive-pulmonary-disease
#5
JOURNAL ARTICLE
Madalina Macrea, Atul Malhotra, Richard ZuWallack, Krisann Oursler, Richard Casaburi
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in Overlap Syndrome (OS), the co-occurrence of Obstructive Sleep Apnea and Chronic Obstructive Pulmonary Disease. Clustering of patients in subgroups with similar pre-clinical manifestations (ie, endothelial dysfunction) may identify relevant therapeutic phenotype categories for patients with OS who are at high risk of CVD. We therefore conducted a cross-sectional pilot study of endothelial function in 7 patients with OS (Forced Expiratory Volume in 1 second/Forced Vital Capacity < 0...
2024: International Journal of Chronic Obstructive Pulmonary Disease
https://read.qxmd.com/read/38523051/management-of-obstructive-sleep-apnea-in-the-infant-and-newborn
#6
REVIEW
Jillian N Sanford, Derek J Lam
Obstructive sleep apnea in newborns and infants presents a unique challenge with distinct differences in sleep physiology, etiologies, and management compared to older children. The indications for and interpretation of polysomnography are less well defined in infants. There are also no broadly accepted clinical practice guidelines for treating sleep apnea in this age group. Etiologies include general causes of upper airway obstruction in infants such as laryngomalacia, micrognathia, and nasal obstruction in addition to adenotonsillar hypertrophy...
March 23, 2024: Otolaryngologic Clinics of North America
https://read.qxmd.com/read/38522444/bubble-continuous-positive-airway-pressure-for-children-with-pneumonia-and-hypoxaemia-in-ethiopia
#7
JOURNAL ARTICLE
Eric D McCollum, Tisungane Mvalo
No abstract text is available yet for this article.
March 21, 2024: Lancet Global Health
https://read.qxmd.com/read/38522443/effectiveness-of-bubble-continuous-positive-airway-pressure-for-treatment-of-children-aged-1-59-months-with-severe-pneumonia-and-hypoxaemia-in-ethiopia-a-pragmatic-cluster-randomised-controlled-trial
#8
JOURNAL ARTICLE
Meseret Gebre, Kassa Haile, Trevor Duke, Md Tanveer Faruk, Mehnaz Kamal, Md Farhad Kabir, Md Fakhar Uddin, Muluye Shimelis, Tigist Beyene, Bethelhem Solomon, Meles Solomon, Abebe Genetu Bayih, Alemseged Abdissa, Taye Tolera Balcha, Rahel Argaw, Asrat Demtse, Abate Yeshidinber Weldetsadik, Abayneh Girma, Bitseat W Haile, Abu Sadat Mohammad Sayeem Bin Shahid, Tahmeed Ahmed, John D Clemens, Mohammod Jobayer Chisti
BACKGROUND: The safety and efficacy of bubble continuous positive airway pressure (bCPAP) for treatment of childhood severe pneumonia outside tertiary care hospitals is uncertain. We did a cluster-randomised effectiveness trial of locally made bCPAP compared with WHO-recommended low-flow oxygen therapy in children with severe pneumonia and hypoxaemia in general hospitals in Ethiopia. METHODS: This open, cluster-randomised trial was done in 12 general (secondary) hospitals in Ethiopia...
March 21, 2024: Lancet Global Health
https://read.qxmd.com/read/38521724/neurostimulation-for-obstructive-sleep-apnea
#9
REVIEW
Maria V Suurna, Mia Klasner
Neurostimulation of hypoglossal nerve has emerged as an effective treatment option of obstructive sleep apnea (OSA). Since FDA approval in 2014, therapy has been widely used in select patients with moderate-to-severe OSA who do not benefit from positive airway pressure. Ongoing research and technological developments continue to advance the therapy to deliver personalized and efficient treatment to patients with OSA.
March 23, 2024: Otolaryngologic Clinics of North America
https://read.qxmd.com/read/38521646/multidisciplinary-consensus-on-the-management-of-non-invasive-respiratory-support-in-the-covid-19-patient
#10
Manel Luján, César Cinesi Gómez, Oscar Peñuelas, Carlos Ferrando, Sarah Béatrice Heili-Frades, José Manuel Carratalá Perales, Arantxa Mas, Javier Sayas Catalán, Olga Mediano, Oriol Roca, Javier García Fernández, Antonio González Varela, Gonzalo Sempere Montes, Gemma Rialp Cervera, Gonzalo Hernández, Teresa Millán, Miquel Ferrer Monreal, Carlos Egea Santaolalla
Acute respiratory failure due to COVID-19 pneumonia often requires a comprehensive approach that includes non-pharmacological strategies such as non-invasive support (including positive pressure modes, high flow therapy or awake proning) in addition to oxygen therapy, with the primary goal of avoiding endotracheal intubation. Clinical issues such as determining the optimal time to initiate non-invasive support, choosing the most appropriate modality (based not only on the acute clinical picture but also on comorbidities), establishing criteria for recognition of treatment failure and strategies to follow in this setting (including palliative care), or implementing de-escalation procedures when improvement occurs are of paramount importance in the ongoing management of severe COVID-19 cases...
March 4, 2024: Archivos de Bronconeumología
https://read.qxmd.com/read/38519333/cpap-treatment-improves-quality-of-life-and-self-perception-of-voice-impairment-in-patients-with-osa
#11
JOURNAL ARTICLE
Victória Possebon Sgaria, Carla Aparecida Cielo, Francine Manara Bortagarai, Alessandra Hofstadler Deiques Fleig, Carine Cristina Callegaro
OBJECTIVE: The purpose of this study is to examine vocal fatigue and impairment, gastroesophageal symptoms, dysphagia risk, and sleep-related quality of life in individuals with obstructive sleep apnea (OSA) who have been treated with continuous positive airway pressure (CPAP) compared to those who have not received treatment. METHODS: Fifty-four participants diagnosed with OSA completed an online research form. Of these, 29 were receiving CPAP treatment, while 25 were not undergoing treatment...
March 21, 2024: Journal of Voice
https://read.qxmd.com/read/38515989/effects-of-different-treatments-on-metabolic-syndrome-in-patients-with-obstructive-sleep-apnea-a-meta-analysis
#12
Jianing Liu, Jiahuan Xu, Shibo Guan, Wei Wang
BACKGROUND: Obstructive sleep apnea (OSA) and metabolic syndrome (MetS) often coexist, and the causal relationship between them is not yet clear; treatments for OSA include continuous positive airway pressure (CPAP), mandibular advancement device (MAD), surgery, and lifestyle intervention and so on. However, the effects of different treatments on metabolic syndrome in OSA patients are still under debate. OBJECTIVES: Review the effects of different treatments on metabolic syndrome in OSA patients by meta-analysis...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38514168/skin-to-skin-stabilisation-and-uninterrupted-respiratory-support-for-preterm-infants-after-birth-feasibility-of-a-new-and-simplified-rpap-system
#13
JOURNAL ARTICLE
Sonja Baldursdottir, Kolbrun Gunnarsdottir, Snorri Donaldsson, Baldvin Jonsson, Thomas Drevhammar
BACKGROUND: The rPAP respiratory support system, used for delivery room stabilisation with nasal prongs, has been shown to reduce the need for intubation in extremely preterm infants. A simplified version of the system has been developed. The purpose of this study was to determine the feasibility of providing uninterrupted respiratory support with the simplified rPAP from birth up to 4 hours of life and to assess ease of use for skin-to skin stabilisation. METHODS: This was a non-randomised feasibility study conducted at Karolinska University Hospital, Sweden...
March 21, 2024: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://read.qxmd.com/read/38511227/cpap-versus-nippv-postextubation-in-preterm-neonates-a-comparative-effectiveness-study
#14
JOURNAL ARTICLE
Amit Mukerji, Brooke Read, Junmin Yang, Michelle Baczynski, Eugene Ng, Michael Dunn, Guillaume Ethier, Ayman Abou Mehrem, Marc Beltempo, Christine Drolet, Orlando da Silva, Deepak Louis, Brigitte Lemyre, Jehier Afifi, Balpreet Singh, Rebecca Sherlock, Miroslav Stavel, Edith Masse, Jaideep Kanungo, Jonathan Wong, Jaya Bodani, Faiza Khurshid, Kyong-Soon Lee, Sajit Augustine, Caio Barbosa de Oliveira, Hala Makary, Alana Newman, Cecil Ojah, Prakesh S Shah
BACKGROUND AND OBJECTIVES: Nasal intermittent positive pressure ventilation (NIPPV) has been shown to be superior to nasal continuous positive airway pressure (CPAP) postextubation in preterm neonates. However, studies have not permitted high CPAP pressures or rescue with other modes. We hypothesized that if CPAP pressures >8 cmH2O and rescue with other modes were permitted, CPAP would be noninferior to NIPPV. METHODS: We conducted a pragmatic, comparative-effectiveness, noninferiority study utilizing network-based real-world data from 22 Canadian NICUs...
March 21, 2024: Pediatrics
https://read.qxmd.com/read/38510615/obstructive-sleep-apnoea-triggering-autonomic-dysreflexia-isn-t-it-time-for-sleep-studies-to-be-routine-in-sci
#15
Ameerah Alsaqobi
Autonomic dysreflexia is a known complication after spinal cord injury. It is defined as a reflexive increase in blood pressure as a result of a painful or irritating stimulus below the level of the lesion. Although commonly caused by stimuli from the bladder, other rare triggers are still being described. Herein, we present a case with autonomic dysreflexia triggered by obstructive sleep apnoea. A 43-year-old smoker suffered a spinal cord injury after a road traffic accident secondary to multiple cervical spine vertebrae fractures...
2024: Brain Spine
https://read.qxmd.com/read/38508665/nocturnal-oxygen-therapy-in-obstructive-sleep-apnoea-a-systematic-review-and-meta-analysis
#16
REVIEW
Su Latt Phyu, Selin Ercan, Eli Harriss, Christopher Turnbull
Obstructive sleep apnoea is characterised by recurrent reduction of airflow during sleep leading to intermittent hypoxia. Continuous positive airway pressure is the first-line treatment but is limited by poor adherence. Nocturnal oxygen therapy may be an alternative treatment for obstructive sleep apnoea but its effects remain unclear. This meta-analysis evaluates the effects of nocturnal oxygen therapy on both obstructive sleep apnoea severity and blood pressure.A literature search was performed based on the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines...
January 31, 2024: European Respiratory Review: An Official Journal of the European Respiratory Society
https://read.qxmd.com/read/38508601/endobronchial-lesion-in-a-premature-neonate
#17
JOURNAL ARTICLE
Zakhar Shchomak, Lia Oliveira, Ana Saianda, Teresa Bandeira
Endobronchial and endotracheal tumours are rare in the paediatric population, especially in neonates. The common presentation is respiratory distress with persistent lung collapse or hyperinflation. Treatment usually involves endoscopic or surgical lobar resection. This case presents a preterm neonate who developed acute respiratory distress with persistent right upper lobe atelectasis. A flexible bronchoscopy showed a pediculate violaceous endobronchial lesion in the right main bronchus. Endoscopic resection was not possible due to the patient's low weight and the decision was made to support the patient with continuous positive airway pressure (CPAP) at home, while monitoring her closely...
March 19, 2024: BMJ Case Reports
https://read.qxmd.com/read/38507976/the-association-between-the-effective-apnea-hypopnea-index-and-blood-pressure-reduction-efficacy-following-cpap-oxygen-treatment
#18
JOURNAL ARTICLE
Yue-Nan Ni, Fei Lei, Xiangdong Tang, Zongan Liang, Robert Joseph Thomas
BACKGROUND: The effect of sleep apnea treatment on reducing cardiovascular disease risk remains inconclusive. This study aims to assess if the effective apnea hypopnea index (eAHI), a measure of residual sleep apnea burden post-treatment, is a factor in determining blood pressure (BP) response to continuous positive airway pressure therapy. The eAHI integrates time on therapy, residual apnea, and % of sleep time untreated. METHODS: A secondary analysis of the Heart Biomarker Evaluation in Apnea Treatment (HeartBEAT) study, a randomized, controlled, parallel group assessment of continuous positive airway pressure (CPAP), oxygen and sleep hygiene...
March 13, 2024: Sleep Medicine
https://read.qxmd.com/read/38506523/speech-and-language-development-hearing-and-feeding-in-patients-with-genetically-confirmed-crouzon-syndrome-with-acanthosis-nigricans-a-36-year-longitudinal-retrospective-review-of-patients-at-the-oxford-craniofacial-unit
#19
JOURNAL ARTICLE
Sarah Kilcoyne, Paula Scully, Sarah Overton, Sally Brockbank, Gregory P L Thomas, Rosanna C Ching, Jayaratnam Jayamohan, James D Ramsden, Jon Jones, Andrew O M Wilkie, David Johnson
OBJECTIVE: Crouzon syndrome with acanthosis nigricans (CAN) is caused by the specific mutation c.1172C>A (p.Ala391Glu) in the fibroblast growth factor receptor 3 gene, and has an estimated prevalence of 1:1,000,000 births. Most cases occur de novo; however, autosomal dominant inheritance may occur. The clinical presentation typically includes craniosynostosis, midface and maxillary hypoplasia, choanal atresia/stenosis, hydrocephalus, and intracranial hypertension. Patients develop acanthosis nigricans, a hyperkeratotic skin disorder...
March 20, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38506440/high-flow-nasal-cannula-therapy-for-infants-with-bronchiolitis
#20
REVIEW
Michael Armarego, Hannah Forde, Karen Wills, Sean A Beggs
BACKGROUND: Bronchiolitis is a common lower respiratory tract illness, usually of viral aetiology, affecting infants younger than 24 months of age and is the most common cause of hospitalisation of infants. It causes airway inflammation, mucus production and mucous plugging, resulting in airway obstruction. Effective pharmacotherapy is lacking and bronchiolitis is a major cause of morbidity and mortality. Conventional treatment consists of supportive therapy in the form of fluids, supplemental oxygen, and respiratory support...
March 20, 2024: Cochrane Database of Systematic Reviews
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