Complex Sleep Apnea Treatment Challenges：复杂的睡眠呼吸暂停治疗的挑战.pptVIP

下载本文档

9
0
约1.04万字
约 41页
2018-06-22 发布于江西
举报
版权申诉

Complex Sleep Apnea Treatment Challenges：复杂的睡眠呼吸暂停治疗的挑战.ppt

1、本文档共41页，可阅读全部内容。
2、有哪些信誉好的足球投注网站（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
5、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
6、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
7、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
8、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Complex Sleep Apnea Treatment Challenges：复杂的睡眠呼吸暂停治疗的挑战.ppt

Comparison VPAP Adapt ASV (n=35) Avg use 5.0 Change ESS -2.5 % nights 4 h 67 CMS compliant % 34 BIPAP Auto ASV (n=41) 6.0 -4 73.5 51 Reference 3 Patient T.Y. On ASV Therapeutic Challenges Adaptive Servo Ventilation costly nCPAP may eventually be adequate therapy. Other therapies not well studied. Conclusions/ Suggestions Clinicians caring for all OSA pts need proper training/ education given prevalence and natural history of Complex SA. Difficult to predict patients who will develop the syndrome. Prevalence of the syndrome highlights importance of CPAP titration study in OSA patients. Conclusions/ Suggestions (cont) Treatment decision generally pertains to ? ASV vs close f/u on CPAP Insurance carriers may impact on these decisions Suggest confirming emergent CAs prior to ASV titration Consider 02 and pharmacologic agents Need to consider best therapy for pt, but sensitive to costs (CPAP titration/ ASV) For More Info: References 1. Javaheri The prevalence and Natural History of Complex Sleep Apnea JCSM No 3, 2009 205-211 2. Hoffman The Appearance of Central Sleep Apnea after Treatment of Obstructive Sleep Apnea Chest Aug 2012 517-522 3. Kuzniar Comparison of two servo ventilator devices in the treatment of complex sleep apnea Sleep Medicine (2011) 2010.09.017 4. Nakazaki Continuous positive airway pressure intolerance associated with elevated nasal resistance is a possible mechanism of complex sleep apnea Sleep Breath (2012) 16:747-752 References 5 Efficacy of adaptive servoventilation in treatment of complex and central sleep apnea syndromes. Chest. 2007 Dec; 132 (6): 1839-1846. PMID: [PubMed – indexed for MEDLINE] 6. CPAP should be used for central sle