Pneumology and sleep medicine

被引:0
作者
Rühle K.-H. [1 ]
机构
[1] Klinik für Pneumologie, HELIOS-Klinik Ambrock, Universität Witten-Herdecke
来源
Der Pneumologe | 2008年 / 5卷 / 5期
关键词
Apnea; CPAP; Hypoventilation; NIV; Sleep;
D O I
10.1007/s10405-008-0262-4
中图分类号
学科分类号
摘要
Sleep-related breathing disorders (SRBD) are of great importance in everyday medical practice due to complications. Category II SRDB of the new international classification of sleep disorders contains a total of 14 diseases. These diseases are divided into five groups by aetiology and pathophysiology (central and obstructive sleep apnea syndromes, alveolar hypoventilation syndromes of unknown aetiology or triggered by an underlying disease, such as neurological, bronchial, pulmonary, thoracic or neuromuscular disease). The diagnosis is performed by obtaining a targeted history and polygraphic or polysomnographic recordings; severity and duration of nocturnal desaturation are important with a view to therapy. If necessary, the diagnosis should be supplemented by internal, neurological, neuropsychological and ear, nose and throat (ENT) examinations. These data can be used to decide which form of therapy is necessary, e.g. insufflation of oxygen, continuous positive airway pressure (CPAP) or non-invasive ventilation (NIV). © Springer Medizin Verlag 2008.
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页码:337 / 348
页数:11
相关论文
共 21 条
  • [1] ICSD-2 - International Classification of Sleep Disorders, (2005)
  • [2] Banerjee D., Yee B.J., Piper A.J., Et al., Obesity hypoventilation syndrome: Hypoxemia during continuous positive airway pressure, Chest, 131, pp. 1678-1684, (2007)
  • [3] Bellia V., Visconti A., Insalaco G., Et al., Validation of morning dip of peak expiratory flow as an indicator of the severity of nocturnal asthma, Chest, 94, pp. 108-110, (1988)
  • [4] Clark M., Cooper B., Singh S., Et al., A survey of nocturnal hypoxaemia and health related quality of life in patients with cryptogenic fibrosing alveolitis, Thorax, 56, 6, pp. 482-486, (2001)
  • [5] Douglas N.J., Nocturnal asthma, Thorax, 48, pp. 100-102, (1993)
  • [6] Duchna H.W., Sleep-related breathing disorders - A second edition of the International Classification of Sleep Disorders (ICSD-2) of the American Academy of Sleep Medicine (AASM), Pneumologie, 60, pp. 568-575, (2006)
  • [7] Fischer J., Mayer G., Peter J.H., Et al., Leitlinie S2″ der DGSM, Nicht Erholsamer Schlaf. Somnologie, 5, SUPPL. 3, (2001)
  • [8] Johns M.W., Sensitivity and specificity of the multiple sleep latency test (MSLT), the maintenance of wakefulness test and the Epworth sleepiness scale: Failure of the MSLT as a gold standard, J Sleep Res, 9, pp. 5-11, (2000)
  • [9] Krachman S., Minai O.A., Scharf S.M., Sleep abnormalities and treatment in emphysema, Proc Am Thorac Soc, 5, pp. 536-542, (2008)
  • [10] Kushida C.A., Littner M.R., Hirshkowitz M., Et al., American academy of sleep medicine. Practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep-related breathing disorders, Sleep, 29, pp. 375-380, (2006)