Search results for " positive airway pressure"

showing 10 items of 91 documents

The puzzle of metabolic effects of obstructive sleep apnoea in children.

2016

In adults, obstructive sleep apnoea (OSA) is often associated with metabolic alterations. Although obesity is a major culprit [1], large epidemiological studies have reported a metabolic risk associated with OSA that is independent of obesity. In particular, meta-analyses have shown that effective treatment of OSA by continuous positive airway pressure (CPAP) improves glycaemic control in both diabetic [2] and nondiabetic patients [3]. In obese children with obstructive sleep apnoea insulin resistance is common while lipids do not show a clear pattern

Pulmonary and Respiratory Medicinemedicine.medical_specialtymedicine.medical_treatmentPolysomnographySettore MED/10 - Malattie Dell'Apparato RespiratorioCulprit03 medical and health sciences0302 clinical medicineInsulin resistancestomatognathic systemInternal medicineEpidemiologymedicineHumansContinuous positive airway pressureChildTonsillectomySleep Apnea Obstructivebusiness.industryMedicine (all)Metabolic riskmedicine.diseaseSleep in non-human animalsObesitynervous system diseasesrespiratory tract diseasesChild; Humans; Polysomnography; Sleep Apnea Obstructive; Tonsillectomy; Medicine (all); Pulmonary and Respiratory MedicineEndocrinology030228 respiratory systemMetabolic effectsCardiologybusiness030217 neurology & neurosurgeryHumanThe European respiratory journal

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Chronic kidney disease in patients with obstructive sleep apnea. A narrative review.

2018

Prevalence of both chronic kidney disease (CKD) and obstructive sleep apnea (OSA) is continuously increasing. Moreover, the prevalence of OSA increases as kidney function declines and is higher among patients with end-stage renal disease (ESRD). In addition, OSA is recognized as a potential nontraditional risk factor for development and progression of CKD. Continuous positive airway pressure (CPAP) plays a pivotal role in the management of OSA, eliminating patients' symptoms and improving their quality of life. Recent studies suggested that CPAP treatment may have beneficial effects on kidney function among patients with OSA. This narrative review summarizes the existing knowledge on the as…

Pulmonary and Respiratory Medicinemedicine.medical_specialtymedicine.medical_treatmentRenal functionDiseaseSettore MED/10 - Malattie Dell'Apparato Respiratoriourologic and male genital diseases03 medical and health sciences0302 clinical medicinestomatognathic systemQuality of lifeRisk FactorsPhysiology (medical)Internal medicineEpidemiologymedicineHumansContinuous positive airway pressureRisk factorRenal Insufficiency ChronicChronic kidney disease Continuous positive airway pressure Kidney function Nocturnal hypoxia Obstructive sleep apneaSleep Apnea ObstructiveContinuous Positive Airway Pressurebusiness.industrymedicine.diseasenervous system diseasesrespiratory tract diseasesObstructive sleep apnea030228 respiratory systemNeurologyNeurology (clinical)business030217 neurology & neurosurgeryKidney diseaseSleep medicine reviews

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Sleep apnoea and metabolic dysfunction.

2013

Obstructive sleep apnoea (OSA) is a highly prevalent condition often associated with central obesity. In the past few years, several studies have analysed the potential independent contribution of OSA to the pathogenesis of metabolic abnormalities, including type 2 diabetes, the metabolic syndrome and non-alcoholic fatty liver disease. New perspectives in OSA patient care have been opened by the promotion of lifestyle interventions, such as diet and exercise programmes that could improve both OSA and the metabolic profile. The rich clinical literature on this subject, together with the growing amount of data on pathophysiological mechanisms provided by animal studies using the chronic inter…

Pulmonary and Respiratory Medicinemedicine.medical_specialtymedicine.medical_treatmentReviewDiseaseType 2 diabetesSettore MED/10 - Malattie Dell'Apparato Respiratoriostomatognathic systemRisk FactorsSleep and breathingDiabetes mellitusmedicineAnimalsHumansObesityContinuous positive airway pressureIntensive care medicineLungMetabolic Syndromelcsh:RC705-779Sleep Apnea ObstructiveContinuous Positive Airway Pressurebusiness.industryRespirationSleep apnealcsh:Diseases of the respiratory systemmedicine.diseaseObesitynervous system diseasesrespiratory tract diseasesdiabetes metabolic syndrome weight lossTreatment OutcomeAdipose TissuePhysical therapyMetabolic syndromebusinessRisk Reduction BehaviorSignal Transduction

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Postoperative continuous positive airway pressure to prevent pneumonia, re-intubation, and death after major abdominal surgery (PRISM): a multicentre…

2021

BackgroundRespiratory complications are an important cause of postoperative morbidity. We aimed to investigate whether continuous positive airway pressure (CPAP) administered immediately after major abdominal surgery could prevent postoperative morbidity.MethodsPRISM was an open-label, randomised, phase 3 trial done at 70 hospitals across six countries. Patients aged 50 years or older who were undergoing elective major open abdominal surgery were randomly assigned (1:1) to receive CPAP within 4 h of the end of surgery or usual postoperative care. Patients were randomly assigned using a computer-generated minimisation algorithm with inbuilt concealment. The primary outcome was a composite of…

Pulmonary and Respiratory Medicinemedicine.medical_treatmentPopulationNO03 medical and health sciences0302 clinical medicineCPAPAbdomenSettore MED/41 - ANESTESIOLOGIAIntubation IntratrachealmedicineHumansIntubation030212 general & internal medicineContinuous positive airway pressureAdverse effecteducationeducation.field_of_studyContinuous Positive Airway Pressurebusiness.industryrespiratory complications; continuous positive airway pressure; major abdominal surgeryPneumoniaMiddle Agedmedicine.diseaserespiratory tract diseasesIntratrachealPneumoniaTreatment Outcome030228 respiratory systemRespiratory failureAnesthesiaVomitingmedicine.symptomRespiratory InsufficiencyIntubationbusinessAbdominal surgery

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Survey of neonatal respiratory support use in very preterm infants in Italy

2012

Background: Respiratory support in very preterm infants is often a life-saving procedure and several techniques are available. There is lack of data on the current use of these techniques. Methods and aim: We analyzed a cohort of infants <30 weeks gestation or < 1501 g birth weight, enrolled in the Italian Neonatal Network in 2009 and 2010 (n = 8297, mean gestation = 29.3 weeks, mean birth weight = 1089 g) to ascertain the use of several techniques. We also conducted a questionnaire survey of all neonatal units adhering to the Italian Neonatal Network, inquiring about preferred methods of respiratory support. Results: Conventional ventilation was used in 53% of these infants, high frequency…

Respiratory Therapymedicine.medical_specialtymedicine.medical_treatmentContinuous positive airway pressureVentilation; continuous positive airway pressure; variation; preterm infant; respiratory managementVariationmacromolecular substancesPediatricsrespiratory managementpreterm infantCohort StudiesSettore MED/38 - Pediatria Generale E SpecialisticaHumansMedicineContinuous positive airway pressureIntensive care medicinePrematureVentilation continuous positive airway pressure variation preterm infant respiratory managementbusiness.industryInfant NewbornInfantObstetrics and GynecologyPerinatology and Child HealthNewbornVentilationRespiratory supportVery pretermItalyPreterm infantPediatrics Perinatology and Child HealthRespiratory managementBreathingPremature BirthContinuous positive airway pressure; Preterm infant; Respiratory management; Variation; Ventilation; Cohort Studies; Humans; Infant Newborn; Infant Premature; Italy; Premature Birth; Respiratory Therapy; Pediatrics Perinatology and Child Health; Obstetrics and Gynecologyvariationpreterm neonates; respiratory distress syndrome; respiratory supportbusinesscontinuous positive airway pressureInfant PrematureThe Journal of Maternal-Fetal & Neonatal Medicine

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Italian Association of Sleep Medicine (AIMS) position statement and guideline on the treatment of menopausal sleep disorders

2019

Insomnia, vasomotor symptoms (VMS) and depression often co-occur after the menopause, with consequent health problems and reductions in quality of life. The aim of this position statement is to provide evidence-based advice on the management of postmenopausal sleep disorders derived from a systematic review of the literature. The latter yielded results on VMS, insomnia, circadian rhythm disorders, obstructive sleep apnea (OSA) and restless leg syndrome (RLS). Overall, the studies show that menopausal hormone therapy (MHT) improves VMS, insomnia, and mood. Several antidepressants can improve insomnia, either on their own or in association with MHT; these include selective serotonin reuptake …

Sleep Initiation and Maintenance Disordermedicine.medical_treatmentSerotonin and Noradrenaline Reuptake InhibitorPosition statementSleep medicine0302 clinical medicineSleep Initiation and Maintenance DisordersCognitive behavioraltherapy for insomnia (CBT-I)InsomniaSleep Wake Disorder030212 general & internal medicineContinuous positive airway pressureRestless legs syndromeSerotonin and Noradrenaline Reuptake InhibitorsCognitive behavioraltherapy for insomnia (CBT-I); Hormonereplacementtherapy (HRT); Menopause; Position statement; Sleepdisorders; Vasomotorsymptoms (VMS)Sleep Apnea Obstructive030219 obstetrics & reproductive medicineContinuous Positive Airway PressureDepressionObstetrics and GynecologySerotonin Uptake InhibitorAntidepressive AgentsMenopauseCognitive behavioral therapyCognitive behavioral therapy for insomnia (CBT-I)SleepdisordersAntidepressive AgentFemalemedicine.symptomMenopauseSelective Serotonin Reuptake Inhibitorsmedicine.drugHumanSleep Wake Disordersmedicine.medical_specialtyHormone Replacement TherapyVasomotor symptoms (VMS)MirtazapineCognitive behavioral therapy for insomnia (CBT-I); Hormone replacement therapy (HRT); Menopause; Position statement; Sleep disorders; Vasomotor symptoms (VMS); Antidepressive Agents; Cognitive Behavioral Therapy; Continuous Positive Airway Pressure; Depression; Exercise; Female; Humans; Mirtazapine; Quality of Life; Restless Legs Syndrome; Serotonin Uptake Inhibitors; Serotonin and Noradrenaline Reuptake Inhibitors; Sleep; Sleep Apnea Obstructive; Sleep Initiation and Maintenance Disorders; Sleep Wake Disorders; Hormone Replacement Therapy; MenopauseMirtazapineSettore MED/10 - Malattie Dell'Apparato RespiratorioHormone replacement therapy (HRT)Hormonereplacementtherapy (HRT)General Biochemistry Genetics and Molecular Biology03 medical and health sciencesRestless Legs Syndromemental disordersmedicineHumansExerciseSleep disorderCognitive Behavioral Therapybusiness.industryVasomotorsymptoms (VMS)medicine.diseasenervous system diseasesObstructive sleep apneaMenopause sleep disorders vasomotor symptoms (VMS) hormone replacement therapy (HRT) Cognitive Behavioral Therapy for Insomnia (CBT-I) Position StatementPhysical therapyQuality of LifebusinessSleep

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Impact of an oral appliance on obstructive sleep apnea severity, quality of life, and biomarkers

2017

OBJECTIVE/HYPOTHESIS To investigate outcomes including efficacy, quality of life, and levels of inflammatory markers of a mandibular advancement device (MAD) for moderate-to-severe obstructive sleep apnea (OSA). STUDY DESIGN Case-control study. METHODS Patients with apnea-hypopnea index (AHI) ≥ 15/hr who only accepted MAD therapy (study group) or who refused any treatment (control group) were recruited. At baseline and at 6 months, polysomnography, Epworth Sleepiness Scale (ESS), Functional Outcomes of Sleep Questionnaire (FOSQ), C-reactive protein (CRP), interleukin 1β, interleukin 6, and tumor necrosis factor α (TNF-α) were assessed in both groups. RESULTS At baseline, the study group (n …

Sleep Stagesmedicine.medical_specialtymedicine.diagnostic_testbusiness.industrymedicine.medical_treatmentEpworth Sleepiness ScaleOral applianceRapid eye movement sleepPolysomnographymedicine.diseaserespiratory tract diseasesObstructive sleep apnea03 medical and health sciences0302 clinical medicine030228 respiratory systemOtorhinolaryngologyQuality of lifeInternal medicinemedicineContinuous positive airway pressurebusiness030217 neurology & neurosurgeryThe Laryngoscope

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Position paper on the management of patients with obstructive sleep apnea and hypertension: joint recommendations by the European Society of Hyperten…

2012

This article is aimed at addressing the current state of the art in epidemiology, pathophysiology, diagnostic procedures and treatment options for appropriate management of obstructive sleep apnea (OSA) in cardiovascular (particularly hypertensive) patients, as well as for the management of cardiovascular diseases (particularly arterial hypertension) in OSA patients. The present document is the result of the work done by a panel of experts participating in the European Union COST (COoperation in Scientific and Technological research) ACTION B26 on OSA, with the endorsement of the European Respiratory Society (ERS) and the European Society of Hypertension (ESH). These recommendations are par…

Societies Scientificmedicine.medical_specialtyPhysiologyArterial hypertension continuous positive airway pressure treatment guidelines hypertension treatment obstructive sleep apnoeaComorbiditySettore MED/10 - Malattie Dell'Apparato RespiratorioCheyne–Stokes respirationEpidemiologyarterial hypertension continuous positive airway pressure treatment guidelines hypertension treatment obstructive sleep apneaInternal MedicinemedicineHumansmedia_common.cataloged_instanceEuropean unionIntensive care medicinemedia_commonSleep Apnea Obstructivebusiness.industrySleep apneaMED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLAREmedicine.diseaseSettore MED/11 - Malattie Dell'Apparato CardiovascolareComorbidityEuropeSurvival RateObstructive sleep apneaBlood pressureHypertensionPractice Guidelines as TopicPosition papermedicine.symptomCardiology and Cardiovascular Medicinebusiness

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Performance of EasyBreath® Decathlon Snorkeling mask for Delivering Continuous Positive Airway Pressure

2020

ABSTRACTBackgroundDuring the COVID-19 pandemic, the need for noninvasive respiratory support devices has dramatically increased, sometimes exceeding hospital capacity. The full-face Decathlon snorkeling mask, EasyBreath® (EB® mask), has been adapted to deliver continuous positive airway pressure (CPAP) as an emergency respiratory interface. We aimed to assess the performance of this modified EB® mask.MethodsCPAP set at 5, 10, and 15 cmH2O was delivered to 10 healthy volunteers with a high-flow system generator set at 40, 80, and 120 L min-1 and with a turbine-driven ventilator during both spontaneous and loaded (resistor) breathing. Inspiratory CO2 partial pressure (PiCO2), pressure inside …

System generatorCoronavirus disease 2019 (COVID-19)business.industryCo2 partial pressureAnesthesiamedicine.medical_treatmentBreathingMedicineContinuous positive airway pressureRespiratory systemSnorkelingbusinessDiaphragm (structural system)

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Signal processing procedures for the evaluation of the cardiovascular effects in the obstructive sleep apnea syndrome

2002

A new index, the cross-power index (CPI), is proposed to quantify the severity of obstructive sleep apnea syndrome (OSAS) in terms of its cardiovascular effects. On the basis of the influences that recurring drops in oxygen saturation have on systolic blood pressure variability of OSAS patients, CPI is defined as the integral of the cross-spectrum modulus between systolic blood pressure and oxygen saturation. In a test group of 22 subjects, CPI correctly identified all 15 OSAS patients included in the pool. Moreover, evaluation of CPI in six OSAS patients sleeping with and without a CPAP (continuous positive airway pressure) device demonstrated that CPAP treatment substantially reduced the …

business.industryTest groupmedicine.medical_treatmentHemodynamicsSettore MED/10 - Malattie Dell'Apparato Respiratoriomedicine.diseasenervous system diseasesrespiratory tract diseasesObstructive sleep apneaBlood pressureAnesthesiaMedicineCpap treatmentPatient treatmentContinuous positive airway pressurebusinessCardiology and Cardiovascular MedicineSoftwareOxygen saturation (medicine)

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