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Nasal cpap therapy in the obstructive sleep apnea syndrome



Nasal cpap therapy in the obstructive sleep apnea syndrome



SMJ Singapore Medical Journal 29(2): 157-163



I evaluated the use of nasal continuous positive airway pressure (Nasal CPAP) to treat nine patients with the obstructive sleep apnoea syndrome. There were 8 Chinese and one Indian man. Nasal CPAP was applied using a nasal mask and variable positive end expiratory pressure valve (Sleep-easy Respironics Inc.) in single overnight studies after 3 to 4 hours of baseline recording. Sleep events were monitored with ear oximetry (Biox IIA) and impedence plethysmography (Respisomnograph). Eight out of nine patients achieved quiet sleep and regular breathing at appropriate levels of nasal CPAP (8 to 15 cm H2O). One patient could not tolerate nasal CPAP. The pitfalls and limitations in the use of nasal CPAP for the treatment of sleep apnoea are discussed.

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