Sleep-Related Breathing Disorders: When CPAP Is Not Enough

被引：11
|
作者：
Selim, Bernardo [1 ]
Ramar, Kannan [1 ]
机构：
[1] Mayo Clin, Ctr Sleep Med, Pulm & Crit Care Div, 200 First St SW, Rochester, MN 55905 USA
来源：
NEUROTHERAPEUTICS | 2021年 / 18卷 / 01期
关键词：
Bilevel positive airway pressure (BPAP); Adaptive servoventilation (ASV); Volume-assured pressure support (VAPS); Sleep-related hypoventilation; Treatment-emergent central apnea; Central sleep apnea; OBESITY HYPOVENTILATION SYNDROME; POSITIVE AIRWAY PRESSURE; ADAPTIVE SERVO-VENTILATION; RANDOMIZED CONTROLLED-TRIAL; ADULTS PRACTICE PARAMETERS; CHRONIC OPIOID USE; NONINVASIVE VENTILATION; HEART-FAILURE; RESPIRATORY-FAILURE; APNEA SYNDROMES;
D O I：
10.1007/s13311-020-00955-x
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Three decades ago, continuous positive airway pressure (CPAP) was introduced to treat obstructive sleep apnea (OSA). Shortly after, bilevel positive airway pressure devices (BPAP) that independently adjusted inspiratory and expiratory positive airway pressure were developed to treat complex sleep-related breathing disorders unresponsive to CPAP. Based on the bilevel positive airway pressure platform (hardware) governed by propriety algorithms (software), advanced modes of noninvasive ventilation (NIV) were developed to address complex cardiorespiratory pathophysiology beyond OSA. This review summarizes key aspects of different bilevel PAP therapies (BPAP with/without backup rate, adaptive servoventilation, and volume-assured pressure support) to treat common sleep-related hypoventilation disorders, treatment-emergent central sleep apnea, and central sleep apnea syndromes.
引用
收藏
页码：81 / 90
页数：10
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