Proposal for a systematic analysis of polygraphy or polysomnography for identifying and scoring abnormal events occurring during non-invasive ventilation.
Jésus Gonzalez-Bermejo,C. Perrin,Jean-Paul Janssens,Jean-Louis Pépin,G Mroue,Leger P,Bruno Langevin,Sylvie Rouault,Claudio Rabec,Daniel Rodenstein +9 more
TLDR
A systematic description of nocturnal respiratory events which occur during NIV is proposed: leaks, obstruction at different levels of the upper airway (glottis and/or pharynx), with or without decrease of respiratory drive and asynchrony.Abstract:
Non-invasive ventilation (NIV) is recognised as an effective treatment for chronic hypercapnic respiratory failure. Monitoring NIV during sleep may be preferable to daytime assessment. This paper reports the findings of an international consensus group which systematically analysed nocturnal polygraphic or polysomnographic tracings recorded with either volume-cycled or pressure-cycled ventilators. A systematic description of nocturnal respiratory events which occur during NIV is proposed: leaks, obstruction at different levels of the upper airway (glottis and/or pharynx), with or without decrease of respiratory drive and asynchrony.read more
Citations
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Journal ArticleDOI
Definition, discrimination, diagnosis and treatment of central breathing disturbances during sleep
Winfried Randerath,Johan Verbraecken,Stefan Andreas,Michael Arzt,Konrad E. Bloch,Thomas Brack,Bertien Buyse,Wilfried De Backer,Danny J. Eckert,Ludger Grote,L Hagmeyer,Jan Hedner,Poul Jennum,Maria Teresa La Rovere,Carla Miltz,Walter T. McNicholas,Josep M. Montserrat,Matthew T. Naughton,Jean-Louis Pépin,Dirk Pevernagie,Bernd Sanner,Dries Testelmans,Thomy Tonia,Bart Vrijsen,Peter J. Wijkstra,Patrick Levy +25 more
TL;DR: These statements report the results of an European Respiratory Society Task Force addressing actual diagnostic and therapeutic standards based on a systematic review of the literature and a systematic two-step decision process.
Journal ArticleDOI
Nocturnal monitoring of home non-invasive ventilation: the contribution of simple tools such as pulse oximetry, capnography, built-in ventilator software and autonomic markers of sleep fragmentation
TL;DR: Data provided by ventilator software help the clinician by estimating ventilation, tidal volume, leaks and the rate of inspiratory or expiratory triggering by the patient, although further validation of these signals by independent studies is indicated.
Journal ArticleDOI
Obesity Hypoventilation Syndrome
Juan F. Masa,Jean-Louis Pépin,Jean-Christian Borel,Babak Mokhlesi,Patrick B. Murphy,Patrick B. Murphy,Maria A. Sanchez-Quiroga +6 more
TL;DR: Both continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV) improve clinical symptoms, quality of life, gas exchange, and sleep disordered breathing in OHS patients and are considered the first-line treatment modality for OHS phenotype with concomitant severe obstructive sleep apnoea.
Journal ArticleDOI
Ventilator modes and settings during non-invasive ventilation: effects on respiratory events and implications for their identification.
Claudio Rabec,Daniel Rodenstein,Leger P,Sylvie Rouault,Christophe Perrin,Jésus Gonzalez-Bermejo +5 more
TL;DR: The equipment available for NIV, the effect of different ventilator modes and settings and of exhalation and connecting circuits on ventilatory traces are discussed, and the background necessary to understand their impact on nocturnal monitoring of NIV is given.
Journal ArticleDOI
Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement
Nicolino Ambrosino,Michele Vitacca,Michael Dreher,Valentina Isetta,Josep M. Montserrat,Thomy Tonia,Giuseppe Turchetti,João Carlos Winck,Felip Burgos,Michael Kampelmacher,Guido Vagheggini +10 more
TL;DR: Much more research is needed before considering tele-monitoring a real improvement in the management of ventilator dependent patients, and the economic advantages of this new approach must be compared to a “gold standard” of home care that is very variable among different European countries and within each European country.
References
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Journal ArticleDOI
Nocturnal monitoring of home non-invasive ventilation: the contribution of simple tools such as pulse oximetry, capnography, built-in ventilator software and autonomic markers of sleep fragmentation
TL;DR: Data provided by ventilator software help the clinician by estimating ventilation, tidal volume, leaks and the rate of inspiratory or expiratory triggering by the patient, although further validation of these signals by independent studies is indicated.