0000000000716732

AUTHOR

Davide Lo Nardo

showing 2 related works from this author

Use of autobilevel ventilation in patients with obstructive sleep apnea: An observational study.

2017

Continuous positive airway pressure (CPAP) is the first-choice treatment for obstructive sleep-disordered breathing. Automatic bilevel ventilation can be used to treat obstructive sleep-disordered breathing when CPAP is ineffective, but clinical experience is still limited. To assess the outcome of titration with CPAP and automatic bilevel ventilation, the charts of 356 outpatients (obstructive sleep apnea, n = 242; chronic obstructive pulmonary disease + obstructive sleep apnea overlap, n = 80; obesity hypoventilation syndrome [OHS], n = 34; 103 females) treated for obstructive sleep-disordered breathing from January 2014 to April 2017 were reviewed. Positive airway pressure titration was …

AdultMaleCognitive Neurosciencemedicine.medical_treatmentAmbulatory managementRespiratory failureSettore MED/10 - Malattie Dell'Apparato RespiratorioBody Mass Index03 medical and health sciencesBehavioral Neuroscience0302 clinical medicinePositive airway pressuremedicineNon-invasive ventilationHumansContinuous positive airway pressureAgedRetrospective StudiesObesity hypoventilation syndromeSleep Apnea ObstructiveContinuous Positive Airway Pressurebusiness.industryGeneral MedicineMiddle Agedmedicine.diseaseRespiration ArtificialConfidence intervalrespiratory tract diseasesObstructive sleep apnea030228 respiratory systemRespiratory failureAnesthesiaNon-invasive ventilationBreathingPatient ComplianceFemalebusiness030217 neurology & neurosurgeryFollow-Up StudiesJournal of sleep research
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Automatic bilevel ventilation (AutoBI) in obstructive sleep-disordered breathing (SDB): clinical features and compliance to treatment

2017

CPAP is the first-choice treatment for obstructive SDB, but the criteria to prescribe AutoBI are undefined. Trials of AutoBI ventilation in patients under titration for obstructive SDB from January 2015 to January 2017 ((n=67 out of 265 titrations) were reviewed to assess: a) their clinical features, b) the reason to shift from CPAP to AutoBI, and c) long-term compliance to treatment. AutoBI was used in cases of intolerance to high therapeutic CPAP levels (n=23) or incomplete resolution of SDB on CPAP (n=45). AutoBI failed in 11 patients (16.4%): 2 OSA patients (7.7%), 4 overlap patients (21%), and 5 OHS patients (22.7%). The Table reports the differences at diagnosis between patients presc…

Compliance (physiology)business.industryAnesthesiaBreathingSleep disordered breathingMedicineIn patientbusinessnervous system diseasesrespiratory tract diseasesSleep and Control of Breathing
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