Abstract：
BACKGROUND:Some patients with obstructive sleep apnea syndrome remove the CPAP device during sleep, although they start CPAP at bedtime. We hypothesized that body position changes and oxygen desaturations may be associated with patient removal of the CPAP device. METHODS:We consecutively enrolled 36 poor CPAP adherers and 25 good CPAP adherers. Body positions and oxygen desaturations were evaluated when these subjects used CPAP during sleep for 2 nights, permitting the removal of the CPAP device during the recording. RESULTS:Twelve poor CPAP adherers exhibited subject removal of the CPAP device within 4 h from the start of body position recording. The frequency of body position changes was significantly higher within 15 min before the CPAP removal than during other periods when CPAP was used. At the same time, oxygen desaturations were significantly more frequent within 15 min before CPAP removal than during other periods when CPAP was used. In addition, the majority (66.7%) of the CPAP removal events were followed by a change from a supine position to a non-supine position within 5 min. The number of body position changes during the first 4-h recording was significantly higher in the poor CPAP adherers who had removed their CPAP device compared with the poor CPAP adherers who had not removed their device. However, the number of body position changes or oxygen desaturation index under CPAP during the first 4-h recording was not significantly different between the poor CPAP adherers and good CPAP adherers. CONCLUSIONS:Our findings are the first to indicate associations among CPAP removal, body position changes, and oxygen desaturations during sleep in poor CPAP adherers. However, our findings also indicated that most good CPAP adherers make frequent body position changes without removal of CPAP device, suggesting that patients can adapt to the discomfort of CPAP therapy at the time of body position changes.
journal_name
Respir Carejournal_title
Respiratory careauthors
Yamaguchi Y,Hibi S,Ishii M,Hanaoka Y,Yamamoto H,Ouchi Y,Akishita Mdoi
10.4187/respcare.03520subject
Has Abstractpub_date
2015-05-01 00:00:00pages
658-65issue
5eissn
0020-1324issn
1943-3654pii
respcare.03520journal_volume
60pub_type
杂志文章相关文献
Respiratory Care文献大全abstract：:Positive end-expiratory pressure (PEEP) and inspired oxygen fraction (F(IO(2))) are the primary means of improving P(aO(2)) during mechanical ventilation. Patients with acute respiratory distress syndrome (ARDS) typically present with a large intrapulmonary shunt, which makes even high F(IO(2)) ineffective in improvin...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2007-04-01 00:00:00
abstract：BACKGROUND:The use of neurally-adjusted ventilatory assist (NAVA) during noninvasive ventilation (NIV) results in better patient-ventilator interaction. Whether this improves clinical outcomes lacks dedicated study. METHODS:In this randomized controlled trial, we compared NAVA with PSV for delivering NIV in consecutiv...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.07952
更新日期：2021-02-01 00:00:00
abstract：BACKGROUND:Although tobacco practices and the effects of tobacco use among the general American population are well described, minimal data exist regarding tobacco use and barriers to smoking cessation among homeless individuals. METHODS:Anonymous, voluntary surveys based on a previously implemented instrument were co...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04439
更新日期：2016-05-01 00:00:00
abstract：INTRODUCTION:Patients receiving invasive mechanical ventilation with an endotracheal tube (ETT) can often benefit from pharmaceutical aerosols; however, drug delivery through the ventilator circuit is known to be very inefficient. The objective of this study was to improve the delivery of aerosol through an invasive me...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.02782
更新日期：2014-05-01 00:00:00
abstract：BACKGROUND:In this study, we aimed to validate the agreement between pulmonary function measurements obtained with a portable spirometer and measurements obtained with conventional spirometry in Chinese pediatric and adult populations. METHODS:Pulmonary function testing was performed to evaluate subjects enrolled at S...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.07116
更新日期：2020-05-01 00:00:00
abstract：:A 20-year-old man was admitted in the neurology ICU after the drainage of a large frontal hematoma related to the spontaneous bleeding of a recently diagnosed cavernoma. On admission the Glasgow coma score was 4/15, with evidence of sub-falcorial herniation and elevated intracranial pressure. On the 4th postoperative...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.01322
更新日期：2012-07-01 00:00:00
abstract：UNLABELLED:Lectures and demonstrations have been the teaching and testing strategies most often employed by the American Heart Association in Advanced Cardiac Life Support (ACLS) training. I compared the abilities of interactive videodisc (IVD) courseware and ACLS instructors to evaluate airway management skills. METH...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：1991-08-01 00:00:00
abstract：BACKGROUND:High-flow nasal cannula (HFNC) is commonly being used to provide noninvasive respiratory support in newborn infants. Continuous distending pressure generated by these devices in preterm infants has not been elucidated. The aim of this work was to determine the association between HFNC flow in L/min and end-e...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04317
更新日期：2016-03-01 00:00:00
abstract：:Polysomnography studies are an essential tool for the sleep physician and aid in the diagnosis and treatment of sleep disorders. Polysomnography refers to the recording, analysis, and interpretation of multiple physiologic signals collected simultaneously. Rapid advancements in technology have transformed the field fr...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2010-09-01 00:00:00
abstract：BACKGROUND:Metered-dose inhalers with valved holding chambers (MDI-VHCs) have been shown to be equivalent to small-volume nebulizers (SVNs) for the delivery of bronchodilators in children. At Seattle Children's Hospital and Regional Medical Center we sought to implement the conversion from SVN to MDI-delivered albutero...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
abstract：:Since 1998, the Global Initiative for Obstructive Lung Disease (GOLD) has worked with health care professionals, medical researchers, and public health officials around the world to optimize the prevention, treatment, and management of COPD. GOLD has continually worked to ensure COPD management strategy recommendation...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.05402
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:Oxidative damage is a major contributing factor to carcinogenesis and obstructive disorders in lungs. Current evidence suggests that the inflammatory processes yield to oxidative mechanisms, which underlie COPD, lung cancer, and obstructive sleep apnea syndrome (OSAS). This study aimed to evaluate the oxidat...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04209
更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:High-flow nasal cannula (HFNC) therapy is used for patients with respiratory failure. Recently, HFNC therapy with very high gas flows (ie, gas flows of 60-100 L/min) was reported to generate higher positive airway pressure and an associated decrease in breathing frequency. However, the humidification of HFNC...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.06417
更新日期：2019-07-01 00:00:00
abstract：:An 8-year-old female with pancreatic-insufficiency cystic fibrosis presented with recurrent pharyngitis, and reduction in body mass index and height velocity during the previous 2 years. Her symptoms (eg, snoring and restless sleep) suggested obstructive sleep apnea, and physical examination revealed tonsillar hypertr...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2009-12-01 00:00:00
abstract：:Gorham syndrome is a rare disease that presents as progressive osteolysis, and may affect any part of the skeleton. The pathologic process involves the replacement of normal bone by aggressively expanding but non-neoplastic vascular tissue, resulting in massive osteolysis of the adjacent bone. If the spine and ribs ar...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.02355
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:Portable oxygen devices simplify and facilitate patient therapy. This study was designed to compare S(pO2) and patient satisfaction with a portable oxygen concentrator or a combined system consisting of a fixed device with continuous-flow oxygen dispensation and a portable device with pulse dispensation for ...
journal_title：Respiratory care
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.4187/respcare.03470
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:We recently demonstrated in a randomized study the feasibility and effectiveness of telephone-based health coaching using motivational interviewing on decreasing hospital readmissions and improving quality of life at 6 and 12 months after hospital discharge. In this qualitative study, we sought to explore th...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.05574
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:Exercise testing is part of the regular assessment of patients with cystic fibrosis (CF). We aimed to evaluate (1) the convergent validity of the 1-min sit-to-stand (STS) test in CF by investigating its relationships with peak oxygen uptake (peak V̇O2 ), quadriceps strength, and quality of life and (2) to co...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04821
更新日期：2016-12-01 00:00:00
abstract：UNLABELLED:The development of an expanded understanding of employees' reaction to their job may be important for improvement in the quality of work life and of services rendered. We sought to determine the factors, or rewards, that significantly affect respiratory therapists' job satisfaction. METHOD:Questionnaires de...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：1989-03-01 00:00:00
abstract：:Air pollution is frequently incriminated as a risk factor in the development of chronic lung impairment and in the aggravation of existing disease. The federal government has set primary air quality standards to protect public health and secondary standards to protect public welfare (eg, to preserve vegetation and bui...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：1983-04-01 00:00:00
abstract：:Post-traumatic pulmonary pseudocyst is an uncommon cavitary lesion of the lung, which generally develops after blunt chest trauma. We saw a 22-year-old man with chest trauma, hemopneumothorax, and hemoptysis, on the day he fell from an electrical pylon. Intubation in the emergency department was followed by 4 days of ...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2009-04-01 00:00:00
abstract：:As hospitals begin to implement electronic medical records, the inadequacies of legacy paper charting systems will become more evident. One area of particular concern for respiratory therapists is the charting of mechanical ventilator settings. Our profession's lack of a standardized and generally accepted taxonomy fo...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND:Recent literature suggests that optimization of tidal driving pressure (ΔP) would be a better variable to target for lung protection at the bedside than tidal volume (VT) or plateau pressure (Pplat), the traditional indicators of ventilator-induced lung injury. However, the usual range or variability of ΔP o...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.06599
更新日期：2019-08-01 00:00:00
abstract：:In the current cost-attentive health care climate, the effectiveness of various providers in delivering care is being examined closely. To evaluate the effectiveness of respiratory therapists (RTs) in delivering respiratory care in the intensive care unit (ICU), in adult non-ICU inpatient care, and in ambulatory care,...
journal_title：Respiratory care
pub_type： 杂志文章,meta分析
doi：
更新日期：2001-01-01 00:00:00
abstract：:Dieulafoy disease of the bronchus is a rare condition. A 28-y-old male patient with recurrent exacerbations of hemoptysis (producing up to 300 mL) over the previous 4 y was admitted to our hospital following an acute episode. A 3-mm sessile lesion covered with somewhat ulcerated smooth mucosa was detected at the dista...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.03307
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:Health-care providers often diagnose and empirically treat COPD without a confirmative pulmonary function test (PFT) or even despite a PFT that is not diagnostic of obstructive lung disease. We hypothesized that a portion of patients continue to carry a persistent empiric COPD diagnosis and receive treatment...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04647
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVE:To investigate the predictive value of the maximal inspiratory pressure obtained by a digital vacuometer using a unidirectional valve (P(ImaxUV)) as to weaning outcome, and to compare its performance with the respiratory drive using airway occlusion pressure at 0.1 second (P(0.1)), and P(0.1)/P(ImaxUV). METH...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.01489
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:To determine whether outcomes (mortality and need for intensive care unit [ICU] readmission) of patients undergoing tracheostomy in the ICU can be predicted by common clinical or historical criteria. METHODS:We conducted a retrospective review of data from the medical record and Project Impact database in a ...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2009-12-01 00:00:00
abstract：INTRODUCTION:We investigated whether decreasing ventilator circuit changes from every 2 days to every 7 days would impact ventilator-associated pneumonia rates at our institution. METHODS:All mechanically ventilated patients at Peking Union Medical College Hospital were studied over a 21 month period. From March 1998 ...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2001-09-01 00:00:00
abstract：UNLABELLED:Attrition in respiratory therapy programs is a waste of both human and economic resources and may be one cause of the current shortage of qualified personnel. Poor academic performance has been shown to be the leading cause of program attrition. The purposes of this study were to establish the predictive abi...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：1985-05-01 00:00:00
