ERJ
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Permissions
Right arrowRequest Permissions
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Berkani, M
Right arrow Articles by Housset, B
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Berkani, M
Right arrow Articles by Housset, B
Eur Respir J 1998; 12: 759-763
Copyright © ERS Journals Ltd 1998

Clinical Trial

CPAP titration by an auto-CPAP device based on snoring detection: a clinical trial and economic considerations

M Berkani, F Lofaso, C Chouaid, M Pia d'Ortho, D Theret, V Grillier-Lanoir, A Harf, and B Housset

This study aimed to assess the ability of an auto-nasal continuous positive airway pressure (nCPAP) device (REM + auto; NPBFD, Nancy, France) to predict the optimal constant nCPAP level. The apnoea/hypopnoea detection facility of the auto-nCPAP device was deliberately disabled and nasal mask pressure vibration detection was the only mode of pressure setting. The auto-nCPAP device was tested on 10 previously untreated patients with obstructive sleep apnoea during a single night, with ambulatory polysomnography performed in a conventional hospital room; the efficacy of the fixed pressure determined by the auto-nCPAP device was assessed by an ambulatory full polysomnography 2 weeks after the initiation of treatment at home. The fixed nCPAP pressure was effective (apnoea/hypopnoea and arousal indices <10 events x h(-1)) in all but two of the 10 patients studied. When the fixed nCPAP pressure was increased by 2 cmH2O in these two patients, sleep and respiration were normalized. Since only 12 ambulatory polysomnographic recordings were used to determine the effective nasal continuous positive airway pressure level, and as the device restored normal breathing and sleep in all 10 patients, it was concluded that this method of nasal continuous positive airway pressure titration may improve cost-effectiveness and reduce waiting lists in sleep laboratories.


This article has been cited by other articles:


Home page
 Proc Am Thorac SocHome page
M. H. Sanders, J. M. Montserrat, R. Farre, and R. J. Givelber
Positive Pressure Therapy: A Perspective on Evidence-based Outcomes and Methods of Application
Proceedings of the ATS, February 15, 2008; 5(2): 161 - 172.
[Abstract] [Full Text] [PDF]

Home page
 ERRHome page
D. Pevernagie, J. F. Masa, J. C. Meurice, R. Farre, O. Marrone, and D. Rodenstein
Treatment of obstructive sleep-disordered breathing with positive airway pressure systems
Eur. Respir. Rev., December 1, 2007; 16(106): 125 - 131.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
J. F. Masa, A. Jimenez, J. Duran, F. Capote, C. Monasterio, M. Mayos, J. Teran, L. Hernandez, F. Barbe, A. Maimo, et al.
Alternative Methods of Titrating Continuous Positive Airway Pressure: A Large Multicenter Study
Am. J. Respir. Crit. Care Med., December 1, 2004; 170(11): 1218 - 1224.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
A. Noseda, C. Kempenaers, M. Kerkhofs, S. Braun, P. Linkowski, and E. Jann
Constant vs Auto-Continuous Positive Airway Pressure in Patients With Sleep Apnea Hypopnea Syndrome and a High Variability in Pressure Requirement
Chest, July 1, 2004; 126(1): 31 - 37.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
F. Lofaso, K. Leroux, M.A. Quera-Salva, G. Mroue, M.P. D'Ortho, D. Isabey, and B. Louis
Snoring detection during auto-nasal continuous positive airway pressure
Eur. Respir. J., January 1, 2002; 19(1): 108 - 112.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
D. I. Loube
Technologic Advances in the Treatment of Obstructive Sleep Apnea Syndrome
Chest, November 1, 1999; 116(5): 1426 - 1433.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1998 by the European Respiratory Society.