OBJECTIVES To study the effects of augmentation of continuous positive airway pressure (CPAP) education and support on compliance and outcome in patients with obstructive sleep apnea (OSA). DESIGN A randomized, controlled, parallel study of basic vs augmented CPAP education and support. SETTING A university teaching hospital. PATIENTS A total of 108 OSA patients randomized into basic-supp...

OBJECTIVE To assess continuous positive airway pressure (CPAP) compliance and factors associated with CPAP compliance among Chinese patients with obstructive sleep apnea (OSA). DESIGN A prospective study of 112 consecutive patients with newly diagnosed OSA commencing CPAP treatment. SETTING A university teaching hospital. MEASUREMENTS AND RESULTS The following factors were evaluated for a...

STUDY OBJECTIVES Mouth leak compromises nasal continuous positive airway pressure (CPAP) therapy. We hypothesized that patients who breathe mainly through their mouths during sleep, compared to those who breathe mainly through their noses, would have more mouth leak during CPAP and therefore lower adherence to CPAP. DESIGN A case-control study to compare adherence to CPAP at 1 year in mouth b...

In an attempt to identify predictors of long-term compliance with nasal continuous positive airway pressure (CPAP), we reviewed the records of 125 patients with obstructive sleep apnea (OSA) referred to our center for nasal CPAP trials. Severity of sleep apnea, sleep staging, daytime hypersomnolence, effectiveness of nasal CPAP, previous palatal surgery, and adverse reactions were compared in c...

BACKGROUND The authors tested the hypothesis that pressure support ventilation (PSV) provides more effective gas exchange than does unassisted ventilation with continuous positive airway pressure (CPAP) in anesthetized adult patients treated using the laryngeal mask airway. METHODS Forty patients were randomized to two equal-sized crossover groups, and data were collected before surgery. In g...

BACKGROUND The Hoffstein formula is the most widely used equation to predict optimal CPAP pressure in patients with obstructive sleep apnea, but it is based on data from white patients. The purpose of this study was to develop an equation for optimal CPAP based on data from Asian patients, and to compare this new formula with the Hoffstein formula. METHODS We retrospectively reviewed the reco...

BACKGROUND Noninvasive continuous positive airway pressure (CPAP) is usually applied with a nasal or facial mask to treat mild acute respiratory failure (ARF) in infants. A pediatric helmet has now been introduced in clinical practice to deliver CPAP. This study compared treatment failure rates during CPAP delivered by helmet or facial mask in infants with respiratory syncytial virus-induced AR...

The forced oscillation technique (FOT) has been demonstrated to be a very sensitive tool for the assessment of upper airway obstruction during nasal continuous positive airway pressure (CPAP) therapy for obstructive sleep apnoea (OSA). The present study was designed to evaluate the therapeutic efficacy of a novel auto-CPAP device based exclusively on the FOT. Following manual CPAP titration, 18...

Digital Image Analysis (DIA) has been employed to characterize the time evolution of a bubble injected from a single orifice into a pseudo 2-dimansional gas-solid fluidized bed. The injected bubble diameter increased with the square root of time before detachment. During bubble free flight in the bed, its diameter remains approximately constant. The center of mass of the bubble increases with t...

BACKGROUND Patients with acute respiratory failure are at risk of deterioration during prehospital transport. Ventilatory support with continuous positive airway pressure (CPAP) can be initiated in the prehospital setting. The objective of the study is to evaluate adherence to treatment and effectiveness of CPAP as an addition to standard care. METHODS In North Denmark Region, patients with a...