Flow-dependent positive airway pressure to maintain airway patency in sleep apnea-hypopnea syndrome

American Journal of Respiratory and Critical Care Medicine

Volumn 157, Issue 6 PART I, 1998, Pages 1855-1863

  Farré, Ramon ^b   Peslin, René ^a   Montserrat, Josep M ^c   Rotger, Mar ^c   Navajas, Daniel ^c  

^a UNIVERSITY OF BARCELONA   (Spain)

^b UNIVERSITY OF BARCELONA   (Spain)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AIRWAY PRESSURE; ARTICLE; BREATHING; CLINICAL ARTICLE; HUMAN; MALE; MODEL; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; SLEEP APNEA SYNDROME;

EID: 0031834397     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/ajrccm.157.6.9710056     Document Type: Article

References (34)

1. Deegan, P. C., and W. T. McNicholas. 1995. Pathophysiology of obstructive sleep apnoea. Eur. Respir. J. 8:1161-1178.
2. Remmers, J. E., W. J. DeGroot, E. K. Sauerland, and A. M. Anch. 1978. Pathogenesis of upper airway occlusion during sleep. J. Appl. Physiol 44:931-938.
3. White, D. P. 1995. Pathophysiology of obstructive sleep apnoea. Thorax 50:797-804.
4. Gold, A. R., and A. R. Schwartz. 1996. The pharyngeal critical pressure: the whys and hows of using nasal continuous positive airway pressure diagnostically. Chest 110:1077-1088.
5. Sullivan, C. E., F. G. Issa, M. Berthon-Jones, and L. Eves. 1981. Reversal of obstructive sleep apnea by continuous positive airway pressure applied through the nares. Lancet 1:862-865.
6. American Thoracic Society. 1994. Indications and standards for use of nasal continuous positive airway pressure (CPAP) in sleep apnea syndromes. Am. J. Respir. Crit. Care Med. 150:1738-1745.
7. Sanders, M. H., and N. Kern. 1990. Obstructive sleep apnea treated by independently adjusted inspiratory and expiratory positive airway pressure via nasal mask: physiological and clinical implications. Chest 98:317-324.
8. Reeves-Hoché, M. K., D. W. Hudgel, R. Meek, R. Wittenam, A. Ross, and C. W. Zwillich. 1995. Continuous versus bilevel positive airway pressure for obstructive sleep apnea. Am. J. Respir. Crit. Care Med. 151:443-449.
9. Levy, P., J. L. Pepin, and G. Ferretti. 1994. Dynamique des structures pharyngées au cours des apnées obstructives (en ventilation spontanée, pression positive continué et BiPAP). Neurophysiol. Clin. 24:227-248.
10. Hudgel, D. W., P. Devadatta, and H. Hamilton. 1993. Pattern of breathing and upper airway mechanics during wakefulness and sleep in healthy elderly humans. J. Appl. Physiol. 74:2198-2204.
11. Schwartz, A. R., P. L. Smith, R. A. Wise, A. R. Gold, and S. Permutt. 1988. Induction of upper airway occlusion in sleeping individuals with subatmospheric nasal pressure. J. Appl. Physiol. 64:535-542.
12. Gleadhill, I. C., A. R. Schwartz, N. Schubert, R. A. Wise, S. Permutt, and P. L. Smith. 1991. Upper airway collapsibility in snorers and in patients with obstructive hypopnea and apnea. Am. Rev. Respir. Dis. 143:1300-1303.
13. Smith, P. L., R. A. Wise, A. R. Gold, A. R. Schwartz, and S. Permutt. 1988. Upper airway pressure-flow relationships in obstructive sleep apnea. J. Appl. Physiol. 64:789-795.
14. Kacmarek, R. M., and D. Hess. 1994. Equipment required for home mechanical ventilation. In M. J. Tobin, editor. Principles and Practice of Mechanical Ventilation. McGraw-Hill, New York.
15. Farré, R., R. Peslin, M. Rotger, and D. Navajas. 1997. Inspiratory dynamic obstruction detected by forced oscillation during CPAP. Am. J. Respir. Crit. Care Med. 155:952-956.
16. Baydur, A., P. K. Behrakis, W. A. Zin, M. Jaeger, and J. Milic-Emili. 1982. A simple method for assessing the validity of the esophageal balloon technique. Am. Rev. Respir. Dis. 126:788-791.
17. U.S. Public Health Service. 1963. A Manual of Standarized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects. A. Rechtschafen and A. Kales, editors. U.S. Government Printing Office, Washington, DC. 204.
18. ASDA Report. 1992. EEG arousal: scoring rules and examples. Sleep 15:174-184.
19. Condos, R., R. G. Norman, I. Krishnasamy, N. Peduzzi, R. M. Goldring, and D. M. Rapoport. 1994. Flow limitation as a noninvasive assessment of residual upper-airway resistance during continuous positive airway pressure therapy of obstructive sleep apnea. Am. J. Respir. Crit. Care Med. 150:475-480.
20. Montserrat, J. M., E. Ballester, H. Olivi, A. Reolid, P. Lloberes, A. Morello, and R. Rodriguez-Roisin. 1995. Time-course of stepwise titralion. Am. J. Respir. Crit. Care Med. 152:1854-1859.
21. Younes, M. 1992. Proportional assist ventilation: a new approach to ventilatory support: theory. Am. Rev. Respir. Dis. 145:114-120.
22. Younes, M. 1994. Proportional assist ventilation. In M. J. Tobin, editor. Principles and Practice and Mechanical Ventilation. McGraw-Hill, New York.
23. Hudgel, D. W., R. J. Marin, B. Johnson, and P. Hill. 1984. Mechanics of the respiratory system and breathing pattern during sleep in normal humans. J. Appl. Physiol. 56:133-137.
24. 2 between wakefulness and sleep in normal human subjects. J. Appl. Physiol. 78:1339-1349.
25. Navajas, D., R. Farré, M. Rotger, and J. M. Montserrat. 1996. Assessment of airway obstruction by means of the forced oscillation technique during application of CPAP in patients with SAS (abstract). Am. J. Respir. Crit. Care Med. 153(4):A772.
26. Anch, A. M., J. E. Remmers, and H. Bunce, III. 1982. Supraglottic airway resistance in normal subjects and patients with occlusive sleep apnea. J. Appl. Physiol. 53:1158-1163.
27. Isono, S., J. E. Remmers, A. Tanaka, Y. Sho, J. Sato, and T. Nishino. 1997. Anatomy of pharynx in patients with obstructive sleep apnea and in normal subjects. J. Appl. Physiol. 82:1319-1326.
28. Issa, F. G., and C. E. Sullivan. 1984. Upper airway closing pressures in obstructive apnea. J. Appl. Physiol. 57:520-527.
29. Robinson, R. W., D. P. White, and C. W. Zwillich. 1985. Moderate alcohol ingestion increases upper airway resistance in normal subjects. Am. Rev. Respir. Dis. 132:1238-1241.
30. Schwartz, A. R., A. R. Gold, N. Schubert, A. Stryzak, R. A. Wise. S. Permutt, and P. L. Smith. 1991. Effect of weight loss on upper airway collapsibility in obstructive sleep apnea. Am. Rev. Respir. Dis. 144:494-498.
31. Monton, C., J. M. Montserrat, O. Parra, J. Kimoff, and M. Cosío. 1994. Disminución del requerimiento del nivel de CPAP Iras un tratamiento prolongado en pacientes con síndrome de apneas obstructivas durante el sueño. Arch. Bronconeumol. 30:385-389.
32. Sériès, F., I. Marc, Y. Cormier, and J. La Forge. 1994. Required levels of nasal continuous positive airway pressure during treatment of obstructive sleep apnoea. Eur. Respir. J. 7:1776-1781.
33. Meurice, J. C., I. Marc, and F. Series. 1996. Efficacy of auto-CPAP in the treatment of obstructive sleep apnea/hypopnea syndrome. Am. J. Respir. Crit. Care Med. 153:794-798.
34. Berthon-Jones, M., S. Lawrence, C. E. Sullivan, and R. Grunstein. 1996. Nasal continuous positive airway pressure treatment: current realities and future. Sleep 19:5131-5135.