Treatment of sleep-disordered breathing with positive airway pressure devices: technology update
Karin Gardner Johnson, Douglas Clark Johnson Department of Medicine, Baystate Medical Center, Springfield, MA, USA Abstract: Many types of positive airway pressure (PAP) devices are used to treat sleep-disordered breathing including obstructive sleep apnea, central sleep apnea, and sleep-related hy...
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Dove Medical Press
2015
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oai:doaj.org-article:aefee68c61234afca77eabd779eddbfd2021-12-02T03:47:05ZTreatment of sleep-disordered breathing with positive airway pressure devices: technology update1179-1470https://doaj.org/article/aefee68c61234afca77eabd779eddbfd2015-10-01T00:00:00Zhttps://www.dovepress.com/treatment-of-sleep-disordered-breathing-with-positive-airway-pressure--peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Karin Gardner Johnson, Douglas Clark Johnson Department of Medicine, Baystate Medical Center, Springfield, MA, USA Abstract: Many types of positive airway pressure (PAP) devices are used to treat sleep-disordered breathing including obstructive sleep apnea, central sleep apnea, and sleep-related hypoventilation. These include continuous PAP, autoadjusting CPAP, bilevel PAP, adaptive servoventilation, and volume-assured pressure support. Noninvasive PAP has significant leak by design, which these devices adjust for in different manners. Algorithms to provide pressure, detect events, and respond to events vary greatly between the types of devices, and vary among the same category between companies and different models by the same company. Many devices include features designed to improve effectiveness and patient comfort. Data collection systems can track compliance, pressure, leak, and efficacy. Understanding how each device works allows the clinician to better select the best device and settings for a given patient. This paper reviews PAP devices, including their algorithms, settings, and features. Keywords: BiPAP, CPAP, iVAPS, AVAPS, ASV, positive pressure respiration, instrumentation, treatment algorithmJohnson KGJohnson DCDove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2015, Iss default, Pp 425-437 (2015) |
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Medical technology R855-855.5 Johnson KG Johnson DC Treatment of sleep-disordered breathing with positive airway pressure devices: technology update |
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Karin Gardner Johnson, Douglas Clark Johnson Department of Medicine, Baystate Medical Center, Springfield, MA, USA Abstract: Many types of positive airway pressure (PAP) devices are used to treat sleep-disordered breathing including obstructive sleep apnea, central sleep apnea, and sleep-related hypoventilation. These include continuous PAP, autoadjusting CPAP, bilevel PAP, adaptive servoventilation, and volume-assured pressure support. Noninvasive PAP has significant leak by design, which these devices adjust for in different manners. Algorithms to provide pressure, detect events, and respond to events vary greatly between the types of devices, and vary among the same category between companies and different models by the same company. Many devices include features designed to improve effectiveness and patient comfort. Data collection systems can track compliance, pressure, leak, and efficacy. Understanding how each device works allows the clinician to better select the best device and settings for a given patient. This paper reviews PAP devices, including their algorithms, settings, and features. Keywords: BiPAP, CPAP, iVAPS, AVAPS, ASV, positive pressure respiration, instrumentation, treatment algorithm |
format |
article |
author |
Johnson KG Johnson DC |
author_facet |
Johnson KG Johnson DC |
author_sort |
Johnson KG |
title |
Treatment of sleep-disordered breathing with positive airway pressure devices: technology update |
title_short |
Treatment of sleep-disordered breathing with positive airway pressure devices: technology update |
title_full |
Treatment of sleep-disordered breathing with positive airway pressure devices: technology update |
title_fullStr |
Treatment of sleep-disordered breathing with positive airway pressure devices: technology update |
title_full_unstemmed |
Treatment of sleep-disordered breathing with positive airway pressure devices: technology update |
title_sort |
treatment of sleep-disordered breathing with positive airway pressure devices: technology update |
publisher |
Dove Medical Press |
publishDate |
2015 |
url |
https://doaj.org/article/aefee68c61234afca77eabd779eddbfd |
work_keys_str_mv |
AT johnsonkg treatmentofsleepdisorderedbreathingwithpositiveairwaypressuredevicestechnologyupdate AT johnsondc treatmentofsleepdisorderedbreathingwithpositiveairwaypressuredevicestechnologyupdate |
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