Effectiveness and Side-Effects of Nasal Continuous Positive Airway Pressure Therapy in 66 Patients with Sleep Apnea
Since upper airway obstruction has been recognized as the crucial factor in the development of obstructive sleep apnea, tracheostomy — first reported as a therapeutical measure by Kuhlo et al. in 1969 — is regarded as the therapy of choice in patients with sleep apnea. The recognition of severe social and medical complications as long-term consequences of tracheostomy paved the ground for an intensive search for alternative methods during the years which followed. Therapeutical success could be achieved with certain medications and with pharyngeal dilatation by way of surgery, but neither of these methods was as successful as tracheostomy (Cohn, 1986; Strohl et al., 1981).
KeywordsObstructive Sleep Apnea Sleep Apnea Continuous Positive Airway Pressure Obstructive Sleep Apnea Syndrome Obstructive Sleep Apnoea
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- Becker, H., Figura, M., Himmelmann, H., et al., 1988, Die nasale ‘Continuous positive airway pressure’ (nCPAP)-Therapie-Praktische Erfahrungen bei 54 Patienten, Prax. Klin. Pneumol., (in press).Google Scholar
- Cohn, M.A., 1986, Surgical treatment in sleep apnea syndrome, in: “Abnormalities of Respiration During Sleep”, E.C. Fletcher, ed., Grupe & Stratton, Orlando.Google Scholar
- Issa, F., Grunstein, R., Bruderer, J., Costas, L., McCauly, V., Berthon-Jones, M., and Sullivan, C., 1987, Five years experience with home nasal continuous positive airway pressure therapy for the obstructive sleep apnea syndrome, in: “Sleep-Related Disorders and Internal Diseases”, Peter, J.H., Podszus, T., and von Wichert, P., eds., Springer, Berlin-Heidelberg-New York.Google Scholar
- Schweitzer, P.K., Chambers, G.W., Birkenmeier, N., and Walsh, J.K., 1987, Nasal continuous positive airway pressure (CPAP) compliance at six, twelve and eighteen months, Sleep Res., 16: 186.Google Scholar
- Strohl, K.P., Hensley, M.J., Saunders, N.A., Scharf, S.M., Brown, R., and Ingram, R.H., jr., 1981, Progesterone administration and progressive sleep apnea, JAMA, 245: 1230.Google Scholar