Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Predicting nasal continuous positive airway pressure

V Hoffstein1, S Mateika

  • 1Department of Medicine, St. Michael's Hospital, University of Toronto, Ontario, Canada.

American Journal of Respiratory and Critical Care Medicine
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Cystic echinococcosis: late rupture and complication of a stable pulmonary cyst.

Canadian respiratory journal·2011
Same author

Obstructive sleep apnea: a clinical review.

Canadian family physician Medecin de famille canadien·2011
Same author

Pharyngeal narrowing in end-stage renal disease: implications for obstructive sleep apnoea.

The European respiratory journal·2007
Same author

Apnea and snoring: state of the art and future directions.

Acta oto-rhino-laryngologica Belgica·2002
Same author

Upper airway pressures in snorers and nonsnorers during wakefulness and sleep.

The Journal of otolaryngology·2002
Same author

Comparing pressures required to abolish snoring and sleep apnea.

Canadian respiratory journal·2001

A new equation accurately predicts optimal continuous positive airway pressure (CPAP) for sleep apnea using simple measurements like BMI and neck circumference. This prediction can streamline CPAP titration, potentially reducing polysomnography costs.

Area of Science:

  • Pulmonology
  • Sleep Medicine
  • Medical Engineering

Background:

  • Sleep apnea is a common condition requiring effective treatment.
  • Continuous Positive Airway Pressure (CPAP) is a primary treatment for sleep apnea.
  • Accurate CPAP titration is crucial for treatment efficacy but can be time-consuming.

Purpose of the Study:

  • To prospectively validate a novel predictive equation for optimal CPAP levels.
  • To assess the accuracy of the equation using easily obtainable patient parameters.
  • To explore the potential of predicted CPAP in optimizing titration studies.

Main Methods:

  • A prospective study involving 26 patients with sleep apnea undergoing CPAP titration.
  • Utilized a previously proposed equation based on body mass index (BMI), neck circumference, and apnea/hypopnea index (AHI).

Related Experiment Videos

  • Compared predicted optimal CPAP values with actual titration results.

    • Main Results:

    • The predicted optimal CPAP level closely matched the actual required CPAP in a significant portion of patients.
    • 10 out of 26 patients had their optimal CPAP exactly match the predicted value.
    • An additional 10 patients had values within +/- 1 cm H2O, and 4 within +/- 2 cm H2O of the prediction.

    Conclusions:

    • Optimal CPAP can be reliably predicted within +/- 2 cm H2O using simple measurements.
    • Using predicted CPAP as a starting point may shorten and optimize the CPAP titration process.
    • This approach has significant implications for reducing the overall cost of sleep apnea diagnosis and treatment.