Clinical Feasibility of an Auto-Adjusting Bi-Level PAP Device for the Treatment of Obstructive Sleep Apnea
Introduction: Bi-Level positive airway pressure (BPAP) is an effective alternative to continuous positive airway pressure (CPAP) in patients with obstructive sleep apnea (OSA) who could not tolerate CPAP. An automatically titrating BPAP device has recently been developed, BPAP Auto® with BiFlex™ (B...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2014-09-01
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| Series: | Türk Uyku Tıbbı Dergisi |
| Subjects: | |
| Online Access: | http://jtsm.org/archives/archive-detail/article-preview/clinical-feasibility-of-an-auto-adjusting-bi-level/8957 |
| _version_ | 1797918076776218624 |
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| author | Nejat Altıntaş Burcu Oktay Hikmet Fırat Patrick Strollo |
| author_facet | Nejat Altıntaş Burcu Oktay Hikmet Fırat Patrick Strollo |
| author_sort | Nejat Altıntaş |
| collection | DOAJ |
| description | Introduction:
Bi-Level positive airway pressure (BPAP) is an effective alternative to continuous positive airway pressure (CPAP) in patients with obstructive sleep apnea (OSA) who could not tolerate CPAP. An automatically titrating BPAP device has recently been developed, BPAP Auto® with BiFlex™ (BPAPauto). The primary aim of this study was to examine the performance of this new device during attended polysomnography (PSG).
Materials and Methods:
This was a prospective case series study. Participants with OSA currently using CPAP or BPAP therapy were recruited and undergo in-lab PSG study with BPAPauto.
Results:
A total of 27 participants met the criteria, enrolled the study. All participants received BPAPauto therapy during an attended PSG. Sleep and respiratory data were examined. The mean apnea hypopnea index was found 2.2±2.5 events/hour. SaO2 (oxygen saturation) was 94.0%±1.8. The mean inspiratory positive airway pressure (IPAP) abolish respiratory events was 14.1±3.4 cmH2O and that of expiratory positive airway pressure (EPAP) was 10.7±3.9 cmH2O.
Conclusions:
BPAPauto is able to establish an appropriate Bi-Level PAP and control oxygen saturation without excessive disruption of sleep. Further studies using randomized control design are needed to examine potential roles and advantages of BPAPauto for treatment of OSA. |
| first_indexed | 2024-04-10T13:23:28Z |
| format | Article |
| id | doaj.art-6efe6769334a4611b352b4eec5d16e0d |
| institution | Directory Open Access Journal |
| issn | 2148-1504 |
| language | English |
| last_indexed | 2024-04-10T13:23:28Z |
| publishDate | 2014-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Uyku Tıbbı Dergisi |
| spelling | doaj.art-6efe6769334a4611b352b4eec5d16e0d2023-02-15T16:11:56ZengGalenos YayineviTürk Uyku Tıbbı Dergisi2148-15042014-09-0113667010.4274/jtsm.015Clinical Feasibility of an Auto-Adjusting Bi-Level PAP Device for the Treatment of Obstructive Sleep ApneaNejat Altıntaş0Burcu Oktay1Hikmet Fırat2Patrick Strollo3Istanbul University Cerrahpasa Faculty Of Medicine, Department Of Neurology, Istanbul, TurkeyIstanbul University Cerrahpasa Faculty Of Medicine, Department Of Ear Nose And Throat, Istanbul, TurkeyIstanbul University Cerrahpasa Faculty Of Medicine, Department Of Ear Nose And Throat, Istanbul, TurkeyUniversity Of Pittburgh Medical Center, Department Of Pulmonary, Sleep And Critical Care Medicine, Pa, UsaIntroduction: Bi-Level positive airway pressure (BPAP) is an effective alternative to continuous positive airway pressure (CPAP) in patients with obstructive sleep apnea (OSA) who could not tolerate CPAP. An automatically titrating BPAP device has recently been developed, BPAP Auto® with BiFlex™ (BPAPauto). The primary aim of this study was to examine the performance of this new device during attended polysomnography (PSG). Materials and Methods: This was a prospective case series study. Participants with OSA currently using CPAP or BPAP therapy were recruited and undergo in-lab PSG study with BPAPauto. Results: A total of 27 participants met the criteria, enrolled the study. All participants received BPAPauto therapy during an attended PSG. Sleep and respiratory data were examined. The mean apnea hypopnea index was found 2.2±2.5 events/hour. SaO2 (oxygen saturation) was 94.0%±1.8. The mean inspiratory positive airway pressure (IPAP) abolish respiratory events was 14.1±3.4 cmH2O and that of expiratory positive airway pressure (EPAP) was 10.7±3.9 cmH2O. Conclusions: BPAPauto is able to establish an appropriate Bi-Level PAP and control oxygen saturation without excessive disruption of sleep. Further studies using randomized control design are needed to examine potential roles and advantages of BPAPauto for treatment of OSA.http://jtsm.org/archives/archive-detail/article-preview/clinical-feasibility-of-an-auto-adjusting-bi-level/8957obstructive sleep apneabi-level continuous positive airway pressurecontinuous positive airway pressure |
| spellingShingle | Nejat Altıntaş Burcu Oktay Hikmet Fırat Patrick Strollo Clinical Feasibility of an Auto-Adjusting Bi-Level PAP Device for the Treatment of Obstructive Sleep Apnea Türk Uyku Tıbbı Dergisi obstructive sleep apnea bi-level continuous positive airway pressure continuous positive airway pressure |
| title | Clinical Feasibility of an Auto-Adjusting Bi-Level PAP Device for the Treatment of Obstructive Sleep Apnea |
| title_full | Clinical Feasibility of an Auto-Adjusting Bi-Level PAP Device for the Treatment of Obstructive Sleep Apnea |
| title_fullStr | Clinical Feasibility of an Auto-Adjusting Bi-Level PAP Device for the Treatment of Obstructive Sleep Apnea |
| title_full_unstemmed | Clinical Feasibility of an Auto-Adjusting Bi-Level PAP Device for the Treatment of Obstructive Sleep Apnea |
| title_short | Clinical Feasibility of an Auto-Adjusting Bi-Level PAP Device for the Treatment of Obstructive Sleep Apnea |
| title_sort | clinical feasibility of an auto adjusting bi level pap device for the treatment of obstructive sleep apnea |
| topic | obstructive sleep apnea bi-level continuous positive airway pressure continuous positive airway pressure |
| url | http://jtsm.org/archives/archive-detail/article-preview/clinical-feasibility-of-an-auto-adjusting-bi-level/8957 |
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