Comparison of conventional continuous positive airway pressure to continuous positive airway pressure titration performed with sleep endoscopy
| Autor: | Algın Kayar Eraslan, Caglar Cuhadaroglu, Suat Turgut, Birsen Karaci Eksioglu, Denizhan Dizdar, Senol Civelek, Ismet Emrah Emre |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Polysomnography medicine.medical_treatment law.invention Double-Blind Method Randomized controlled trial law medicine Humans Prospective Studies Continuous positive airway pressure Prospective cohort study Aged Sleep Apnea Obstructive Continuous Positive Airway Pressure medicine.diagnostic_test business.industry Sleep apnea Endoscopy Middle Aged medicine.disease nervous system diseases respiratory tract diseases Obstructive sleep apnea Treatment Outcome Otorhinolaryngology Sleep endoscopy Anesthesia Female Sleep business therapeutics Follow-Up Studies circulatory and respiratory physiology Cohort study |
| Zdroj: | The Laryngoscope. 122:691-695 |
| ISSN: | 0023-852X |
| DOI: | 10.1002/lary.22494 |
| Popis: | Objectives/Hypothesis: To evaluate the effect and obtain a pressure value of continuous positive airway pressure (CPAP) under direct visualization using drug-induced sleep endoscopy (DISE) and compare the pressure values with values obtained using conventional CPAP. Study Design: Prospective, double-blinded, cohort study. Methods: Sixteen patients with obstructive sleep apnea syndrome (OSAS) were included in the study. Each patient underwent polysomnographic evaluation. After diagnosis of OSAS, patients underwent conventional CPAP titration. Patients were then taken to the operating theatre and put under sedation, where CPAP titration with nasendoscopy was performed (DISE CPAP). Results: There were no statistically significant differences between the two techniques regarding pressure levels that decreased apneas in conventional CPAP and provided sufficient opening during DISE CPAP. Conclusions: Results with conventional CPAP titration and endoscopy-assisted CPAP titration showed no statistically significant difference. Endoscopy-assisted CPAP is a cheaper and less time consuming alternative to conventional CPAP and has similar results. |
| Databáze: | OpenAIRE |
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