Treatment-Emergent Central Apnea.

Abstract:

:The purpose of this review is to describe our management approach to patients with treatment-emergent central sleep apnea (TECSA). The emergence of central sleep apnea during positive airway pressure therapy occurs in approximately 8% of titration studies for obstructive sleep apnea, and has been associated with several demographic, clinical and polysomnographic factors, as well as factors related to the titration study itself. TECSA shares similar pathophysiology with central sleep apnea. In fact, central and obstrcutive sleep apnea pathophysiologic mechanisms are inextricably intertwined, with ventilatory instability and upper airway narrowing occurring in both entities. TECSA is a "dynamic" process, with spontaneous resolution with ongoing positive airway pressure therapy in most patients, persistence in some, or appearing de novo in a minority of patients. Management strategy for TECSA aims to eliminate abnormal respiratory events, stabilize sleep architecture, and improve the underlying contributing medical comorbidities. Continuous positive airway pressure therapy remains a standard therapy for TECSA. Expectant management is appropriate given its transient nature in most cases, while select patients would benefit from an early switch to an alternative positive airway pressure modality. Other treatment options include supplemental oxygen, and pharmacologic therapy.

journal_name

Chest

journal_title

Chest

authors

Zeineddine S,Badr MS

doi

10.1016/j.chest.2021.01.036

subject

Has Abstract

pub_date

2021-01-23 00:00:00

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(21)00108-2

pub_type

杂志文章,评审

相关文献

CHEST文献大全
  • Respiratory disease in tungsten carbide production workers.

    abstract::We carried out a medical and environmental survey to evaluate respiratory disease at two tungsten carbide (TC) production plants. The study population of 290 subjects (19.2 percent of the total work force) was chosen to focus on those with the greatest potential exposures to cobalt, a binding agent which is probably t...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.86.4.549

    authors: Sprince NL,Chamberlin RI,Hales CA,Weber AL,Kazemi H

    更新日期:1984-10-01 00:00:00

  • Positron emission tomography in the staging of small-cell lung cancer : a preliminary study.

    abstract:STUDY OBJECTIVES:Small-cell lung cancer (SCLC) has an unfavorable prognosis, especially when the disease is extensive at presentation. Accurate staging procedures are therefore needed for treatment planning. Positron emission tomography (PET) is a modern noninvasive imaging technique, the value of which for the staging...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.119.3.950

    authors: Hauber HP,Bohuslavizki KH,Lund CH,Fritscher-Ravens A,Meyer A,Pforte A

    更新日期:2001-03-01 00:00:00

  • A new diagnostic score for occupational asthma: the area between the curves (ABC score) of peak expiratory flow on days at and away from work.

    abstract:BACKGROUND:Evidence-based guidelines recommend serial measurements of peak expiratory flow (PEF) on days at and away from work as the first step in the objective confirmation of occupational asthma. The aim of this study was to improve the diagnostic value of computer-based PEF analysis by using the program Oasys-2 to ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-0778

    authors: Moore VC,Jaakkola MS,Burge CBSG,Robertson AS,Pantin CFA,Dev Vellore A,Burge PS

    更新日期:2009-02-01 00:00:00

  • Multidetector CT scan findings of a right aberrant retroesophageal vertebral artery with an anomalous origin from a cervical aortic arch.

    abstract::Various malformations of the aortic arch and great vessels have been reported in the literature, which reflects the complexity of their embryologic development. Most of them are of incidental finding and remain asymptomatic but can be responsible for respiratory or digestive symptoms and be associated with congenital ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-2244

    authors: Verin AL,Creuze N,Musset D

    更新日期:2010-08-01 00:00:00

  • Psychological defenses and coping styles in patients following a life-threatening attack of asthma.

    abstract::Twenty-five patients who have suffered a near miss asthma death (NMAD) have undergone a comprehensive psychiatric evaluation on average 13 months following this event. Forty percent of the patients were judged to have psychiatric disorders at the time of assessment. All patients had very high levels of denial and foll...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.6.1298

    authors: Yellowlees PM,Ruffin RE

    更新日期:1989-06-01 00:00:00

  • Comparison of maximal midexpiratory flow rate and forced expiratory flow at 50% of vital capacity in children.

    abstract:BACKGROUND:The mid-portion of the maximal expiratory flow-volume (MEFV) curve is often described by values of the mean forced expired flow as lung volume decreases from 75% to 25% of vital capacity (ie, forced expiratory flow, midexpiratory phase [FEF(25-75)]). It is common practice to report also forced expired flow a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.3.731

    authors: Bar-Yishay E,Amirav I,Goldberg S

    更新日期:2003-03-01 00:00:00

  • A 1-year community-based health economic study of ciprofloxacin vs usual antibiotic treatment in acute exacerbations of chronic bronchitis: the Canadian Ciprofloxacin Health Economic Study Group.

    abstract:OBJECTIVE:To evaluate the costs, consequences, effectiveness, and safety of ciprofloxacin vs standard antibiotic care in patients with an initial acute exacerbation of chronic bronchitis (AECB) as well as recurrent AECBs over a 1-year period. DESIGN:Randomized, multicenter, parallel-group, open-label study. SETTING:O...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.113.1.131

    authors: Grossman R,Mukherjee J,Vaughan D,Eastwood C,Cook R,LaForge J,Lampron N

    更新日期:1998-01-01 00:00:00

  • Prospective analysis of cystic fibrosis transmembrane regulator mutations in adults with bronchiectasis or pulmonary nontuberculous mycobacterial infection.

    abstract:BACKGROUND:Bronchiectasis and pulmonary infection with nontuberculous mycobacteria (NTM) may be associated with disease-causing mutations in the cystic fibrosis transmembrane regulator (CFTR). METHODS:Fifty adult patients at Stanford University Medical Center with a diagnosis of bronchiectasis and/or pulmonary NTM inf...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.130.4.995

    authors: Ziedalski TM,Kao PN,Henig NR,Jacobs SS,Ruoss SJ

    更新日期:2006-10-01 00:00:00

  • Pneumonia in allogenic and autologous bone marrow recipients. A retrospective study.

    abstract::Pulmonary infections, which frequently occur during the early and late period following bone marrow transplantation for hematologic malignancies, are associated with significant morbidity and mortality. In this study the incidence, the infectious causes of pneumonia and the mortality related to pneumonia in 130 alloge...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.2.371

    authors: Gentile G,Micozzi A,Girmenia C,Iori AP,Donati PP,Capria S,Martino P

    更新日期:1993-08-01 00:00:00

  • Electrocardiographic findings in brain death; description and presumed mechanism.

    abstract::Electrocardiogram changes and pharmacologic responses were studied in 28 cases of brain death. Cardiac activity in this condition is possibly determined by the dynamic balance between the depressant action of hypothermia and the stimulating action of the sympathetic nervous system (without any vagal or central influen...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.67.4.425

    authors: Drory Y,Ouaknine G,Kosary IZ,Kellermann JJ

    更新日期:1975-04-01 00:00:00

  • Transcarinal aspiration of a mediastinal cyst to facilitate anesthetic management.

    abstract::Marked airway obstruction and interference with gas exchange was encountered following institution of general anesthesia for resection of a cystic subcarinal mass. Intraoperative bronchoscopy revealed marked airway compression. The cyst was decompressed using a transbronchial needle through a fiberbronchoscope. This a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.6.1490

    authors: McDougall JC,Fromme GA

    更新日期:1990-06-01 00:00:00

  • Decreased Serum Sirtuin-1 in COPD.

    abstract:BACKGROUND:The protein deacetylase sirtuin-1 (SIRT1) is an antiaging molecule that is decreased in the lung in patients with COPD. Recently, SIRT1 was reported to be detectable in serum, but serum SIRT1 (s120S) levels have not yet been reported in patients with COPD. METHODS:Serum SIRT1 protein of all samples was meas...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2017.05.004

    authors: Yanagisawa S,Papaioannou AI,Papaporfyriou A,Baker JR,Vuppusetty C,Loukides S,Barnes PJ,Ito K

    更新日期:2017-08-01 00:00:00

  • Efficacy of dye-stained enteral formula in detecting pulmonary aspiration.

    abstract:STUDY OBJECTIVE:To determine the extent to which a mixture of human gastric juice and enteral formula stained with two concentrations of FD&C Blue No. 1 food dye (0.8 and 1.5 mL/L) is visible in suctioned tracheobronchial secretions following three forced small-volume pulmonary aspirations over a 6-h period in an anima...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.122.1.276

    authors: Metheny NA,Dahms TE,Stewart BJ,Stone KS,Edwards SJ,Defer JE,Clouse RE

    更新日期:2002-07-01 00:00:00

  • Distal airway function in symptomatic subjects with normal spirometry following World Trade Center dust exposure.

    abstract:RATIONALE:Following collapse of the World Trade Center (WTC), individuals reported new-onset respiratory symptoms. Despite symptoms, spirometry often revealed normal airway function. However, bronchial wall thickening and air trapping were seen radiographically in some subjects. We hypothesized that symptomatic individ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-0913

    authors: Oppenheimer BW,Goldring RM,Herberg ME,Hofer IS,Reyfman PA,Liautaud S,Rom WN,Reibman J,Berger KI

    更新日期:2007-10-01 00:00:00

  • Late carmustine lung fibrosis. Age at treatment may influence severity and survival.

    abstract::Previously, we have reported in 1990 that 35% of carmustine treated patients (6 of 17) who survived childhood brain tumors died of pulmonary fibrosis between 2 and 13 years after treatment. In addition, 8 patients studied in 1989 (13 to 17 years post treatment), had physiologic and biopsy or radiologic evidence of pul...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.107.5.1355

    authors: O'Driscoll BR,Kalra S,Gattamaneni HR,Woodcock AA

    更新日期:1995-05-01 00:00:00

  • Prevention of suctioning-related arterial oxygen desaturation. Comparison of off-ventilator and on-ventilator suctioning.

    abstract::The purpose of this study was to determine the frequency and severity of arterial oxygen desaturation during and after endotracheal suctioning in a group of ventilator-dependent patients with acute respiratory failure (the majority of whom had underlying obstructive lung disease) and to evaluate the efficacy of severa...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.83.4.621

    authors: Brown SE,Stansbury DW,Merrill EJ,Linden GS,Light RW

    更新日期:1983-04-01 00:00:00

  • Mediastinal lymph node enlargement as a result of mitral valve stenosis.

    abstract::Two patients are described with severe MVS, pulmonary venous hypertension and enlarged mediastinal, pulmonary and hilar lymph nodes. These enlargements were diagnosed on a preoperative chest CT. After MV replacement these enlarged lymph nodes nearly all resolved. The lymphadenopathy should be considered to be secondar...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.4.1269

    authors: Drent M,Gelissen JP,Ascoop CA,Wagenaar SS,van den Bosch JM

    更新日期:1992-10-01 00:00:00

  • Effects of augmented continuous positive airway pressure education and support on compliance and outcome in a Chinese population.

    abstract: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 ...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.117.5.1410

    authors: Hui DS,Chan JK,Choy DK,Ko FW,Li TS,Leung RC,Lai CK

    更新日期:2000-05-01 00:00:00

  • Ultrasonic visualization of the posterior thoracic aorta in long axis: diagnosis of a saccular mycotic aneurysm.

    abstract::A saccular aneurysm arising from the descending thoracic aorta was identified ultrasonically in a 60-year-old man with a subsequent pathologic diagnosis of a Listeria monocytogenes mycotic aneurysm. A cross-sectional scanning technique, which permitted visualization of the descending thoracic aorta in long axis, demon...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.4.470

    authors: Come PC,Sacks B,Vine H,McArdle C,Koretsky S,Weintraub R

    更新日期:1981-04-01 00:00:00

  • Pulmonary vein obstruction following single lung transplantation.

    abstract::Angiographic documentation after single lung transplant showed pulmonary venous obstruction due to compression by the omental pedicle. Retransplantation is described, and this complication is examined. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.2.645

    authors: Malden ES,Kaiser LR,Gutierrez FR

    更新日期:1992-08-01 00:00:00

  • Erythrocytic glutathione in cystic fibrosis. A possible marker of pulmonary dysfunction.

    abstract::To evaluate the role of red blood cell (RBC) antioxidants as clinical markers of oxidative exposure, we measured RBC glutathione (GSH) concentrations in 32 adult patients with cystic fibrosis (CF), and 8 healthy age-matched control subjects. We chose patients with CF because this disease is characterized by severe bro...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.105.5.1470

    authors: Mangione S,Patel DD,Levin BR,Fiel SB

    更新日期:1994-05-01 00:00:00

  • Inhaled diuretics attenuate acid-induced cough in children with asthma.

    abstract::To evaluate the effect of inhaled diuretics, furosemide and amiloride, on cough induced by acid inhalation challenge in asthmatic children, a double-blind, randomized, placebo-controlled study was conducted. On separate days, 12 asthmatic children (10.3 +/- 0.7 [SEM] years) underwent acetic acid (AD) inhalation challe...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.107.2.413

    authors: Mochizuki H,Shimizu T,Morikawa A,Kuroume T

    更新日期:1995-02-01 00:00:00

  • Regulation of breathing and perception of dyspnea in healthy pregnant women.

    abstract:STUDY OBJECTIVE:To examine if the perception of dyspnea during normal pregnancy may be related to an inappropriate ventilatory response to the increased metabolic rate, due to a higher chemosensitivity. PATIENTS AND INTERVENTIONS:At weeks 12, 24, and 36 of gestation and 4 months after delivery, 11 healthy pregnant wom...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.110.2.446

    authors: García-Rio F,Pino JM,Gómez L,Alvarez-Sala R,Villasante C,Villamor J

    更新日期:1996-08-01 00:00:00

  • Pulse pressure and cardiovascular events in postmenopausal women with coronary heart disease.

    abstract:BACKGROUND:Pulse pressure (PP) has been shown to predict risk for cardiovascular events in men; however, this association has not been well established in women. Hormone replacement therapy may improve arterial compliance, but findings from cross-sectional and prospective studies report inconsistent results. We sought ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.5.1498

    authors: Nair GV,Chaput LA,Vittinghoff E,Herrington DM,Heart and Estrogen\/Progestin Replacement Study Investigators.

    更新日期:2005-05-01 00:00:00

  • Epidemiology and clinicopathology of aortic dissection.

    abstract:STUDY OBJECTIVES:To determine the incidence and mortality as well as to analyze the clinical and pathologic changes of aortic dissection. DESIGN AND SETTING:A population-based longitudinal study over 27 years on a study population of 106,500, including 66 hospitalized and 18 nonhospitalized consecutively observed pati...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.117.5.1271

    authors: Mészáros I,Mórocz J,Szlávi J,Schmidt J,Tornóci L,Nagy L,Szép L

    更新日期:2000-05-01 00:00:00

  • Orbital herniation associated with noninvasive positive pressure ventilation.

    abstract::A diagnosis of severe obstructive sleep apnea was made after a 52-year-old hypertensive man developed a large intracranial hemorrhage. Therapeutic noninvasive positive pressure ventilation (NPPV) for obstructive sleep apnea and hypoventilation was complicated by transient unilateral orbital herniation. As best as can ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.3.841

    authors: Lazowick D,Meyer TJ,Pressman M,Peterson D

    更新日期:1998-03-01 00:00:00

  • Multidisciplinary Team-Based Management of Incidentally Detected Lung Nodules.

    abstract:BACKGROUND:Each year, > 1.5 million Americans are diagnosed with an incidentally detected lung nodule. Practice guidelines attempt to balance the benefit of early detection of lung cancer with the risks of diagnostic testing, but adherence to guidelines is low. The goal of this study was to determine guideline adherenc...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.11.032

    authors: Verdial FC,Madtes DK,Cheng GS,Pipavath S,Kim R,Hubbard JJ,Zadworny M,Wood DE,Farjah F

    更新日期:2020-04-01 00:00:00

  • Postembolotherapy Pulmonary Arteriovenous Malformation Follow-Up: A Role for Graded Transthoracic Contrast Echocardiography Prior to High-Resolution Chest CT Scan.

    abstract:BACKGROUND:High-resolution chest CT (HRCT) scan is recommended after pulmonary arteriovenous malformation (PAVM) embolotherapy to assess for PAVM persistence and untreated PAVM growth. Graded transthoracic contrast echocardiography (TTCE) predicts the need for embolotherapy in PAVM screening. This study sought to deter...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.11.023

    authors: DePietro DM,Curnes NR,Chittams J,Ferrari VA,Pyeritz RE,Trerotola SO

    更新日期:2020-05-01 00:00:00

  • Pancreaticopleural fistula: diagnosis with magnetic resonance pancreatography.

    abstract::Pancreaticopleural fistula secondary to chronic pancreatitis is a rare cause of recurrent pleural effusion. The demonstration of the fistula with endoscopic retrograde pancreatography and CT is invasive or limited. We report in two patients the use of magnetic resonance pancreatography as a noninvasive alternative to ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.117.3.912

    authors: Materne R,Vranckx P,Pauls C,Coche EE,Deprez P,Van Beers BE

    更新日期:2000-03-01 00:00:00

  • Post-ICU weaning from mechanical ventilation: the role of long-term facilities.

    abstract::A review of the largest observational studies on post-ICU weaning from prolonged mechanical ventilation yields evidence that more than half of such patients can be successfully liberated from mechanical ventilation. Success is likely to fall within a 3-month window, with late successes and partial ventilator independe...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.120.6_suppl.482s

    authors: Scheinhorn DJ,Chao DC,Hassenpflug MS,Gracey DR

    更新日期:2001-12-01 00:00:00