Sleep-Related Breathing Disorders: When CPAP Is Not Enough.
Three decades ago, continuous positive airway pressure (CPAP) was introduced to treat obstructive sleep apnea (OSA). Shortly after, bilevel positive airway pressure devices (BPAP) that independently adjusted inspiratory and expiratory positive airway pressure were developed to treat complex sleep-re...
| Publicado en: | Neurotherapeutics Vol. 18; no. 1; pp. 81 - 91 |
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| Autores principales: | , |
| Formato: | review Journal Article |
| Publicado: |
Elsevier B.V.
Jan2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150302629&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150302629 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19337213 3106 jtl: Neurotherapeutics issn: 19337213 maglogo: N pubinfo: dt: Jan2021 vid: 18 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 150302629 146837894 150302629 NLM33150546 150302629 10.1007/s13311-020-00955-x NLM33150546 150302629 ppf: 81 ppct: 10 formats: tig: atl: Sleep-Related Breathing Disorders: When CPAP Is Not Enough. aug: au: Selim, Bernardo Ramar, Kannan affil: Pulmonary and Critical Care Division, Center for Sleep Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA sug: subj: Continuous Positive Airway Pressure Sleep Physiology Sleep Apnea Syndromes Therapy Polysomnography Software Sleep Apnea Syndromes Physiopathology ab: Three decades ago, continuous positive airway pressure (CPAP) was introduced to treat obstructive sleep apnea (OSA). Shortly after, bilevel positive airway pressure devices (BPAP) that independently adjusted inspiratory and expiratory positive airway pressure were developed to treat complex sleep-related breathing disorders unresponsive to CPAP. Based on the bilevel positive airway pressure platform (hardware) governed by propriety algorithms (software), advanced modes of noninvasive ventilation (NIV) were developed to address complex cardiorespiratory pathophysiology beyond OSA. This review summarizes key aspects of different bilevel PAP therapies (BPAP with/without backup rate, adaptive servoventilation, and volume-assured pressure support) to treat common sleep-related hypoventilation disorders, treatment-emergent central sleep apnea, and central sleep apnea syndromes. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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