[Treatment-Emergent Central Sleep Apnea - Detection and Treatment].

Hutter, Tabea; Horvath, Christian; Hefti, Jacqueline Pichler; Brill, Anne-Kathrin (2022). [Treatment-Emergent Central Sleep Apnea - Detection and Treatment]. Praxis, 111(8), pp. 436-443. Hogrefe 10.1024/1661-8157/a003848

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Treatment-Emergent Central Sleep Apnea - Detection and Treatment Abstract. In treatment-emergent central sleep apnea (TECSA), affected patients with obstructive sleep apnea newly develop central sleep apnea (AHI central ≥5/h) under therapy with positive pressure ventilation which cannot be explained by other causes. The pathophysiology of TECSA is incompletely understood. PaCO2 and the associated apnea threshold seem to play a central role. The incidence of TECSA varies (1.8-20%), and in about 2/3 of cases it is self-limiting in the course of the therapy. If persistence or new onset occurs later in the course of positive pressure therapy, a further evaluation (e.g., echocardiography, neurologic examination, medication history) is indicated. Effective treatment options include a change in ventilation therapy (adaptive servoventilation or bilevel ventilation with back-up frequency) or additional nocturnal oxygen supplementation; these options should be decided case by case.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Pneumology

UniBE Contributor:

Hutter, Tabea, Horvath, Christian, Brill, Anne-Kathrin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1661-8157

Publisher:

Hogrefe

Language:

German

Submitter:

Pubmed Import

Date Deposited:

09 Jun 2022 09:33

Last Modified:

02 Mar 2023 23:36

Publisher DOI:

10.1024/1661-8157/a003848

PubMed ID:

35673844

Uncontrolled Keywords:

L’apnée du sommeil Schlafbezogene Atemstörung Sleep disordered breathing Therapie adaptive Servoventilation adaptive servoventilation complex sleep apnea komplexe Schlafapnoe l’apnée complexe du sommeil l’apnée obstructive du sommeil obstructive sleep apnea obstruktive Schlafapnoe servoventilation adaptive therapy thérapie

URI:

https://boris.unibe.ch/id/eprint/170527

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