The value of auto-adjustable CPAP devices in pressure titration and treatment of patients with obstructive sleep apnea syndrome

Sleep Medicine Reviews

Volumn 14, Issue 2, 2010, Pages 115-119

  Hertegonne, Katrien ^a   Bauters, Fré ^a  

^a GHENT UNIVERSITY HOSPITAL   (Belgium)

Author keywords

APAP; Auto adjustable CPAP; Automatic CPAP; Continuous positive airway pressure; Obstructive sleep apnea; OSAS; Prediction formula; Sleep disordered breathing; Snoring

Indexed keywords

ALGORITHM; AUTOANALYSIS; AUTOMATION; COST EFFECTIVENESS ANALYSIS; GOLD STANDARD; HUMAN; PATIENT ATTITUDE; PATIENT COMPLIANCE; POSITIVE END EXPIRATORY PRESSURE; PREDICTIVE VALIDITY; PRESSURE; REVIEW; SLEEP APNEA SYNDROME; SLEEP DISORDERED BREATHING; TITRIMETRY; TREATMENT INDICATION;

CONTINUOUS POSITIVE AIRWAY PRESSURE; COST-BENEFIT ANALYSIS; HUMANS; SLEEP APNEA SYNDROMES; SLEEP APNEA, OBSTRUCTIVE;

EID: 75849123874     PISSN: 10870792     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.smrv.2009.07.001     Document Type: Review

References (73)

1. ATS. Indications and standards for use of nasal Continuous Positive Airway Pressure (CPAP) in sleep apnea syndromes. Am J Respir Crit Care Med 150 6 Pt 1 (1994) 1738-1745 American Thoracic Society. Official statement adopted March 1944 [published erratum appears in Am J Respir Crit Care Med 1995 Feb;151(2 Pt 1):578]
2. Pevernagie D.A., and Shepard Jr. J.W. Relations between sleep stage, posture and effective nasal CPAP levels in OSA. Sleep 15 2 (1992) 162-167
3. Berthon-Jones M., Lawrence S., Sullivan C.E., and Grunstein R. Nasal Continuous Positive Airway Pressure treatment: current realities and future. Sleep 19 9 Suppl. (1996) S131-S135
4. Teschler H., and Berthon-Jones M. Intelligent CPAP systems: clinical experience. Thorax 53 Suppl. 3 (1998) S49-S54
5. Behbehani K., Yen F.C., Lucas E.A., and Burk J.R. A sleep laboratory evaluation of an automatic positive airway pressure system for treatment of obstructive sleep apnea. Sleep 21 5 (1998) 485-491
6. Ficker J.H., Wiest G.H., Lehnert G., Wiest B., and Hahn E.G. Evaluation of an auto-CPAP device for treatment of obstructive sleep apnoea. Thorax 53 8 (1998) 643-648
7. Ficker J.H., Fuchs F.S., Wiest G.H., Asshoff G., Schmelzer A.H., and Hahn E.G. An auto-Continuous Positive Airway Pressure device controlled exclusively by the forced oscillation technique. Eur Resp J 16 5 (2000) 914-920
8. Gagnadoux F., Rakotonanahary D., Martins de Araujo M.T., Barros-Vieira S., and Fleury B. Long-term efficacy of fixed CPAP recommended by autoset for OSAS. Sleep 22 8 (1999) 1095-1099
9. Randerath W.J., Parys K., Feldmeyer F., Sanner B., and Ruhle K.H. Self-adjusting nasal Continuous Positive Airway Pressure therapy based on measurement of impedance: a comparison of two different maximum pressure levels. Chest 116 4 (1999) 991-999
10. Randerath W.J., Parys K., Lehmann D., Sanner B., Feldmeyer F., and Ruhle K.H. Self-adjusting Continuous Positive Airway Pressure therapy based on the measurement of impedance - a comparison of free pressure variation and individually fixed higher minimum pressure. Respiration 67 3 (2000) 272-279
11. Randerath W.J., Schraeder O., Galetke W., Feldmeyer F., and Ruhle K.H. Autoadjusting CPAP therapy based on impedance efficacy, compliance and acceptance. Am J Respir Crit Care Med 163 3 (2001) 652-657
12. Randerath W.J., Galetke W., David M., Siebrecht H., Sanner B., and Ruhle K. Prospective randomized comparison of impedance-controlled auto-Continuous Positive Airway Pressure (APAP(FOT)) with constant CPAP. Sleep Med 2 2 (2001) 115-124
13. Teschler H., Berthon-Jones M., Thompson A.B., Henkel A., Henry J., and Konietzko N. Automated Continuous Positive Airway Pressure titration for obstructive sleep apnea syndrome. Am J Respir Crit Care Med 154 3 Pt 1 (1996) 734-740
14. Boudewyns A., Grillier-Lanoir V., Willemen M.J., De Cock W.A., Van de Heyning P.H., and De Backer W.A. Two months follow up of auto-CPAP treatment in patients with obstructive sleep apnoea. Thorax 54 2 (1999) 147-149
15. dOrtho M.P., GrillierLanoir V., Levy P., Goldenberg F., Corriger E., Harf A., et al. Constant vs automatic Continuous Positive Airway Pressure therapy - home evaluation. Chest 118 4 (2000) 1010-1017
16. Hudgel D.W., and Fung C. A long-term randomized, cross-over comparison of auto-titrating and standard nasal continuous airway pressure. Sleep 23 5 (2000) 645-648
17. Hukins C. Comparative study of autotitrating and fixed-pressure CPAP in the home: a randomized, single-blind crossover trial. Sleep 27 8 (2004) 1512-1517
18. Hussain S.F., Love L., Burt H., and Fleetham J.A. A randomized trial of auto-titrating CPAP and fixed CPAP in the treatment of obstructive sleep apnea-hypopnea. Respir Med 98 4 (2004) 330-333
19. Konermann M., Sanner B.M., Vyleta M., Laschewski F., Groetz J., Sturm A., et al. Use of conventional and self-adjusting nasal Continuous Positive Airway Pressure for treatment of severe obstructive sleep apnea syndrome: a comparative study. Chest 113 3 (1998) 714-718
20. Marrone O., Resta O., Salvaggio A., Giliberti T., Stefano A., and Insalaco G. Preference for fixed or automatic CPAP in patients with obstructive sleep apnea syndrome. Sleep Med 5 3 (2004) 247-251
21. Massie C.A., McArdle N., Hart R.W., Schmidt-Nowara W.W., Lankford A., Hudgel D.W., et al. Comparison between automatic and fixed positive airway pressure therapy in the home. Am J Respir Crit Care Med (2003)
22. Meurice J.C., Marc I., and Series F. Efficacy of auto-CPAP in the treatment of obstructive sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med 153 2 (1996) 794-798
23. Nolan G.M., Ryan S., O'connor T.M., and Mc Nicholas W.T. Comparison of three auto-adjusting positive pressure devices in patients with sleep apnoea. Eur Respir J 28 1 (2006) 159-164
24. Nussbaumer Y., Bloch K.E., Genser T., and Thurnheer R. Equivalence of autoadjusted and constant Continuous Positive Airway Pressure in home treatment of sleep apnea. Chest 129 3 (2006) 638-643
25. Scharf M.B., Brannen D.E., McDannold M.D., and Berkowitz D.V. Computerized adjustable versus fixed NCPAP treatment of obstructive sleep apnea. Sleep 19 6 (1996) 491-496
26. Senn O., Brack T., Matthews F., Russi E.W., and Bloch K.E. Randomized short-term trial of two autoCPAP devices versus fixed Continuous Positive Airway Pressure for the treatment of sleep apnea. Am J Respir Crit Care Med 168 12 (2003) 1506-1511
27. Series F., and Marc I. Efficacy of automatic Continuous Positive Airway Pressure therapy that uses an estimated required pressure in the treatment of the obstructive sleep apnea syndrome. Ann Intern Med 127 8 Pt 1 (1997) 588-595
28. Series F. Accuracy of an unattended home CPAP titration in the treatment of obstructive sleep apnea. Am J Respir Crit Care Med 162 1 (2000) 94-97
29. Teschler H., Wessendorf T.E., Farhat A.A., Konietzko N., and BerthonJones M. Two months auto-adjusting versus conventional nCPAP for obstructive sleep apnoea syndrome. Eur Resp J 15 6 (2000) 990-995
30. Meurice J.C., Cornette A., Philip-Joet F., Pepin J.L., Escourrou P., Ingrand P., et al. Evaluation of autoCPAP devices in home treatment of sleep apnea/hypopnea syndrome. Sleep Med 8 7-8 (2007) 704-710
31. Planes C., D'Ortho M.P., Foucher A., Berkani M., Leroux K., Essalhi M., et al. Efficacy and cost of home-initiated auto-nCPAP versus conventional nCPAP. Sleep 26 2 (2003) 156-160
32. Sharma S., Wali S., Pouliot Z., Peters M., Neufeld H., and Kryger M. Treatment of obstructive sleep apnea with a self-titrating Continuous Positive Airway Pressure (CPAP) system. Sleep 19 6 (1996) 497-501
33. Stradling J.R., Barbour C., Pitson D.J., and Davies R.J. Automatic nasal Continuous Positive Airway Pressure titration in the laboratory: patient outcomes. Thorax 52 1 (1997) 72-75
34. Berry R.B. Improving CPAP compliance - man more than machine. Sleep Med 1 3 (2000) 175-178
35. Weaver T.E. Adherence to positive airway pressure therapy. Curr Opin Pulm Med 12 6 (2006) 409-413
36. Series F., and Marc I. Importance of sleep stage- and body position-dependence of sleep apnoea in determining benefits to auto-CPAP therapy. Eur Resp J 18 1 (2001) 170-175
37. Nolan G.M., Doherty L.S., and Mc Nicholas W.T. Auto-adjusting versus fixed positive pressure therapy in mild to moderate obstructive sleep apnoea. Sleep 30 2 (2007) 189-194
38. Noseda A., Kempenaers C., Kerkhofs M., Braun S., Linkowski P., and Jann E. Constant vs auto-Continuous Positive Airway Pressure in patients with sleep apnea hypopnea syndrome and a high variability in pressure requirement. Chest 126 1 (2004) 31-37
39. Berkani M., Lofaso F., Chouaid C., Pia D.M., Theret D., et al. CPAP titration by an auto-CPAP device based on snoring detection: a clinical trial and economic considerations. Eur Respir J 12 4 (1998) 759-763
40. Fletcher E.C., Stich J., and Yang K.L. Unattended home diagnosis and treatment of obstructive sleep apnea without polysomnography. Arch Fam Med 9 2 (2000) 168-174
41. Series F. Is treatment of obstructive sleep apnea syndrome with auto-CPAP useful?. Sleep 23 Suppl. 4 (2000) S161-S165
42. Husain A.M. Evaluation and comparison of tranquility and autoset T autotitrating CPAP machines. J Clin Neurophysiol 20 4 (2003) 291-295
43. Kessler R., Weitzenblum E., Chaouat A., Iamandi C., and Alliotte T. Evaluation of unattended automated titration to determine therapeutic Continuous Positive Airway Pressure in patients with obstructive sleep apnea. Chest 123 3 (2003) 704-710
44. Lafond C., and Series F. Influence of nasal obstruction on auto-CPAP behaviour during sleep in sleep apnoea/hypopnoea syndrome. Thorax 53 9 (1998) 780-783
45. Stammnitz A., Jerrentrup A., Penzel T., Peter J.H., Vogelmeier C., and Becker H.F. Automatic CPAP titration with different self-setting devices in patients with obstructive sleep apnoea. Eur Respir J 24 2 (2004) 273-278
46. Hertegonne K.B., Rombaut B., Houtmeyers P., Van Maele G., and Pevernagie D.A. Titration efficacy of two auto-adjustable Continuous Positive Airway Pressure devices using different flow limitation-based algorithms. Respiration (2007)
47. Pevernagie D.A., Proot P.M., Hertegonne K.B., Neyens M.C., Hoornaert K.P., and Pauwels R.A. Efficacy of flow- vs impedance-guided autoadjustable continuous positive airway pressure: a randomized cross-over trial. Chest 126 1 (2004) 25-30
48. Series F., Plante J., and Lacasse Y. Reliability of home CPAP titration with different automatic CPAP devices. Respir Res 9 (2008) 56
49. Hertegonne K.B., Proot P.M., Pauwels R.A., and Pevernagie D.A. Comfort and pressure profiles of two auto-adjustable positive airway pressure devices: a technical report. Respir Med 97 8 (2003) 903-908
50. Abdenbi F., Chambille B., and Escourrou P. Bench testing of auto-adjusting positive airway pressure devices. Eur Respir J 24 4 (2004) 649-658
51. Farre R., Montserrat J.M., Rigau J., Trepat X., Pinto P., and Navajas D. Response of automatic Continuous Positive Airway Pressure devices to different sleep breathing patterns: a bench study. Am J Respir Crit Care Med 166 4 (2002) 469-473
52. Lofaso F., Desmarais G., Leroux K., Zalc V., Fodil R., Isabey D., et al. Bench evaluation of flow limitation detection by automated Continuous Positive Airway Pressure devices. Chest 130 2 (2006) 343-349
53. Rigau J., Montserrat J.M., Wohrle H., Plattner D., Schwaibold M., Navajas D., et al. Bench model to simulate upper airway obstruction for analyzing automatic Continuous Positive Airway Pressure devices. Chest 130 2 (2006) 350-361
54. Hirose M., Honda J., Sato E., Shinbo T., Kokubo K., Ichiwata T., et al. Bench study of auto-CPAP devices using a collapsible upper airway model with upstream resistance. Respir Physiol Neurobiol 162 1 (2008) 48-54
55. Miljeteig H., and Hoffstein V. Determinants of Continuous Positive Airway Pressure level for treatment of obstructive sleep apnea. Am Rev Respir Dis 147 6 Pt 1 (1993) 1526-1530
56. Hertegonne K.B., Volna J., Portier S., De Pauw R., Van Maele G., and Pevernagie D.A. Titration procedures for nasal CPAP: automatic CPAP or prediction formula?. Sleep Med (2007)
57. Masa J.F., Jimenez A., Duran J., Capote F., Monasterio C., Mayos M., et al. Alternative methods of titrating continuous positive airway pressure: a large multicenter study. Am J Respir Crit Care Med 170 11 (2004) 1218-1224
58. West S.D., Jones D.R., and Stradling J.R. Comparison of three ways to determine and deliver pressure during nasal CPAP therapy for obstructive sleep apnoea. Thorax 61 3 (2006) 226-231
59. Marrone O., Salvaggio A., Romano S., and Insalaco G. Automatic titration and calculation by predictive equations for the determination of therapeutic Continuous Positive Airway Pressure for obstructive sleep apnea. Chest 133 3 (2008) 670-676
60. Brown L.K. Autotitrating CPAP: how shall we judge safety and efficacy of a "Black Box"?. Chest 130 2 (2006) 312-314
61. Marrone O., Insalaco G., Bonsignore M.R., Romano S., Salvaggio A., and Bonsignore G. Sleep structure correlates of Continuous Positive Airway Pressure variations during application of an autotitrating Continuous Positive Airway Pressure machine in patients with obstructive sleep apnea syndrome. Chest 121 3 (2002) 759-767
62. Lloberes P., Ballester E., Montserrat J.M., Botifoll E., Ramirez A., Reolid A., et al. Comparison of manual and automatic CPAP titration in patients with sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med 154 6 Pt 1 (1996) 1755-1758
63. Boudewyns A., Van de H.P., and De Backer W. Appearance of central apnoea in a patient treated by auto-CPAP for obstructive sleep apnoea. Respir Med 92 6 (1998) 891-893
64. Juhasz J., Schillen J., Urbigkeit A., Ploch T., Penzel T., and Peter J.H. Unattended Continuous Positive Airway Pressure titration. Clinical relevance and cardiorespiratory hazards of the method. Am J Respir Crit Care Med 154 2 Pt 1 (1996) 359-365
65. Xie A., Rutherford R., Rankin F., Wong B., and Bradley T.D. Hypocapnia and increased ventilatory responsiveness in patients with idiopathic central sleep apnea. Am J Respir Crit Care Med 152 6 Pt 1 (1995) 1950-1955
66. Condos R., Norman R.G., Krishnasamy I., Peduzzi N., Goldring R.M., and Rapoport D.M. 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 2 (1994) 475-480
67. Meurice J.C., Paquereau J., Denjean A., Patte F., and Series F. Influence of correction of flow limitation on Continuous Positive Airway Pressure efficiency in sleep apnoea/hypopnoea syndrome. Eur Respir J 11 5 (1998) 1121-1127
68. Marin J.M., Carrizo S.J., Vicente E., and Agusti A.G. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 365 9464 (2005) 1046-1053
69. Dursunoglu N., Dursunoglu D., Cuhadaroglu C., and Kilicaslan Z. Acute effects of automated Continuous Positive Airway Pressure on blood pressure in patients with sleep apnea and hypertension. Respiration 72 2 (2005) 150-155
70. Patruno V., Aiolfi S., Costantino G., Murgia R., Selmi C., Malliani A., et al. Fixed and autoadjusting Continuous Positive Airway Pressure treatments are not similar in reducing cardiovascular risk factors in patients with obstructive sleep apnea. Chest 131 5 (2007) 1393-1399
71. Bachour A., Virkkala J., and Maasilta P. AutoCPAP initiation at home: optimal trial duration and cost-effectiveness. Sleep Med 8 7-8 (2007) 704-710
72. Roldan N., Sampol G., Sagales M.T., Romero O., Jurado M., Rios J., et al. Cost-effectiveness analysis of automatic titration of Continuous Positive Airway Pressure at home in 1 night versus 2 nights. Arch Bronconeumol 44 12 (2008) 664-670
73. Morgenthaler T.I., Aurora R., Brown T., Zak R., Alessi C.A., Boehlecke B., et al. Practice parameters for the use of autotitrating Continuous Positive Airway Pressure devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome: an update for 2007. Sleep 1 31 (2008) 141-147