Case of postural complex sleep apnea: Effect of gravitational forces

We report a case of an elderly male with predominant obstructive sleep apnea and who developed or complex sleep apnea (CxSA) at the start of continuous positive airway pressure (CPAP) titration. This CxSA was more prominent in supine position, and he was not settling with either CPAP/bilevel positiv...

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Detalles Bibliográficos
Autores principales: Pawar, Kamender Singh, Goyal, Abhishek, Khurana, Alkesh, Kumar, Senthil, Sen, Amit Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5504900/
https://www.ncbi.nlm.nih.gov/pubmed/28671174
http://dx.doi.org/10.4103/lungindia.lungindia_374_16
Descripción
Sumario:We report a case of an elderly male with predominant obstructive sleep apnea and who developed or complex sleep apnea (CxSA) at the start of continuous positive airway pressure (CPAP) titration. This CxSA was more prominent in supine position, and he was not settling with either CPAP/bilevel positive airway pressure (PAP) in supine position. He finally settled with CPAP along with position therapy. This case highlights the importance of treating CxSA with basic PAP modes like CPAP along with positional therapy before switching to costlier therapies such as adaptive servo-ventilation.

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