High-Resolution Pulse Oximetry and Titration of a Mandibular Advancement Device for Obstructive Sleep Apnea
| Autor: | Dale L. Smith, James E. Metz, James E. Blank, David Gozal, Hrayr Attarian, Mickey C. Harrison, Christopher M. Takacs |
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| Rok vydání: | 2019 |
| Předmět: |
titration
obesity medicine.medical_specialty Oral appliance High resolution outcomes lcsh:RC346-429 intraoral appliances 03 medical and health sciences 0302 clinical medicine Disease severity Internal medicine Medicine In patient lcsh:Neurology. Diseases of the nervous system Original Research medicine.diagnostic_test business.industry Pulse (signal processing) Sleep apnea sleep apnea medicine.disease mandibular advancement device Obstructive sleep apnea Pulse oximetry 030228 respiratory system Neurology Cardiology Neurology (clinical) business high-resolution pulse oximetry 030217 neurology & neurosurgery |
| Zdroj: | Frontiers in Neurology Frontiers in Neurology, Vol 10 (2019) |
| ISSN: | 1664-2295 |
| Popis: | Background: To determine whether utilizing high-resolution pulse oximetry is a viable method for evaluating the successful titration of oral appliances for the treatment of obstructive sleep apnea (OSA) patients.Methods: Of 136 consecutive potentially eligible OSA patients, 133 were fitted with mandibular advancement devices (MADs), and 101 completed all phases of treatment. The vertical and horizontal dimensions of the appliances were adjusted based on three-nights with a high-resolution pulse oximeter during sleep and associated software after each adjustment.Results: Significant improvements in OSA severity were apparent in patients at all disease severity levels. High-resolution pulse oximetry provided reliable guidance in the titration process of mandibular advancement therapy. In 67 subjects (66.3%), a respiratory event index of |
| Databáze: | OpenAIRE |
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