Positive Airway Pressure Therapy for Obstructive Sleep Apnea

被引:15
作者
Weiss, Pnina [1 ]
Kryger, Meir [2 ]
机构
[1] Yale Univ, Sch Med, Pediat Resp Med & Med Educ, 333 Cedar St, New Haven, CT 06520 USA
[2] Yale Sch Med, Pulm Crit Care & Sleep Med, 333 Cedar St, New Haven, CT 06520 USA
关键词
Positive airway pressure therapy; Continuous positive airway pressure; Bilevel positive airway pressure; Autotitrating positive airway pressure; Average volume assured pressure support; Adaptive support ventilation; Obstructive sleep apnea syndrome; Pressure relief; TREATING ADULT PATIENTS; NASAL CPAP; PRACTICE PARAMETERS; TREATMENT ADHERENCE; ADAPTIVE SERVOVENTILATION; TITRATING PRESSURES; IMPROVE COMPLIANCE; EFFICACY; TRIAL; SUPPORT;
D O I
10.1016/j.otc.2016.07.004
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
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. This article outlines the indications, description, and comfort features of each mode. Despite the proven efficacy of PAP in treating obstructive sleep apnea syndrome and its sequelae, adherence to therapy is low. Close follow-up of patients for evaluation of adherence to and effectiveness of treatment is important.
引用
收藏
页码:1331 / +
页数:12
相关论文
共 61 条
[1]   Treatment adherence and outcomes in flexible vs standard continuous positive airway pressure therapy [J].
Aloia, MS ;
Stanchina, M ;
Arnedt, JT ;
Malhotra, A ;
Millman, RP .
CHEST, 2005, 127 (06) :2085-2093
[2]   A randomized crossover efficacy trial of oral CPAP (Oracle) compared with nasal CPAP in the management of obstructive sleep apnea [J].
Anderson, FE ;
Kingshott, RN ;
Taylor, DR ;
Jones, DR ;
Kline, LR ;
Whyte, KF .
SLEEP, 2003, 26 (06) :721-726
[3]  
[Anonymous], 2015, NATL COVERAGE DETERM
[4]   Nasal continuous positive airway pressure (nCPAP) treatment for obstructive sleep apnea, road traffic accidents and driving simulator performance: A meta-analysis [J].
Antonopoulos, Constantine N. ;
Sergentanis, Theodoros N. ;
Daskalopoulou, Styliani S. ;
Petridou, Eleni Th. .
SLEEP MEDICINE REVIEWS, 2011, 15 (05) :301-310
[5]   Flexible Pressure Delivery Modification of Continuous Positive Airway Pressure for Obstructive Sleep Apnea Does Not Improve Compliance With Therapy Systematic Review and Meta-analysis [J].
Bakker, Jessie P. ;
Marshall, Nathaniel S. .
CHEST, 2011, 139 (06) :1322-1330
[6]  
Ballard RD, 2007, J CLIN SLEEP MED, V3, P706
[7]   Efficacy of positive airway pressure and oral appliance in mild to moderate obstructive sleep apnea [J].
Barnes, M ;
McEvoy, RD ;
Banks, S ;
Tarquinio, N ;
Murray, CG ;
Vowles, N ;
Pierce, RJ .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2004, 170 (06) :656-664
[8]   Efficacy of Bilevel-auto Treatment in Patients with Obstructive Sleep Apnea Not Responsive to or Intolerant of Continuous Positive Airway Pressure Ventilation [J].
Carlucci, Annalisa ;
Ceriana, Piero ;
Mancini, Marco ;
Cirio, Serena ;
Pierucci, Paola ;
Lupo, Nadia D'Artavilla ;
Gadaleta, Felice ;
Morrone, Elisa ;
Fanfulla, Francesco .
JOURNAL OF CLINICAL SLEEP MEDICINE, 2015, 11 (09) :981-985
[9]   Continuous positive airway pressure delivery interfaces for obstructive sleep apnoea [J].
Chai, C. L. ;
Pathinathan, A. ;
Smith, B. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (04)
[10]   Flexible Positive Airway Pressure Improves Treatment Adherence Compared with Auto-adjusting PAP [J].
Chihara, Yuichi ;
Tsuboi, Tomomasa ;
Hitomi, Takefumi ;
Azuma, Masanori ;
Murase, Kimihiko ;
Toyama, Yoshiro ;
Harada, Yuka ;
Aihara, Kensaku ;
Tanizawa, Kiminobu ;
Handa, Tomohiro ;
Yoshimura, Chikara ;
Oga, Toru ;
Yamamoto, Kazuhiko ;
Mishima, Michiaki ;
Chin, Kazuo .
SLEEP, 2013, 36 (02) :229-236