Document Detail


Bilevel positive airway pressure for obstructive sleep apnea.
MedLine Citation:
PMID:  24666419     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
For most patients with obstructive sleep apnea syndrome (OSA), continuous positive airway pressure (CPAP) is an effective therapy. However, for a subset of individuals, CPAP is either not effective or is poorly tolerated. Bilevel positive airway pressure (BPAP) is potentially capable of treating OSA at a lower mean pressure than CPAP and can help augment ventilation via pressure support. This review summarizes the evidence for the use of BPAP in spontaneous mode in the initial treatment of patients with OSA and in those who are poorly compliant with CPAP therapy. It also examines evidence regarding use of BPAP in OSA with associated hypoventilation, such as in chronic obstructive pulmonary disease or severe obesity. Finally, current clinical guidelines that help determine which patients would be candidates for a BPAP device and how to manually titrate BPAP to determine the optimal settings to be prescribed are also discussed.
Authors:
Meghna P Mansukhani; Bhanu Prakash Kolla; Eric J Olson; Kannan Ramar; Timothy I Morgenthaler
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-3-25
Journal Detail:
Title:  Expert review of medical devices     Volume:  -     ISSN:  1745-2422     ISO Abbreviation:  Expert Rev Med Devices     Publication Date:  2014 Mar 
Date Detail:
Created Date:  2014-3-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230445     Medline TA:  Expert Rev Med Devices     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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