Abstract
Obstructive sleep apnea (OSA) is a chronic condition associated with relevant morbidity, mortality, and social problems. Continuous positive airway pressure (CPAP) is the first-line therapy for OSA. However, some patients scarcely tolerate the device and compliance with the treatment is often unsatisfactory; therefore, other treatment options have been explored in the past few decades. High flow nasal cannula (HFNC) is an emerging technique designed to provide high flows, via a nasal cannula, with an optimal degree of heat and humidification. The device, first intended to treat acute hypoxemic respiratory failure, has gained great attention as it is well tolerated by the patients and easy to use in all clinical settings. Some studies have recently suggested that transnasal insufflation via HFNC may develop sufficient intraluminal pressure to overcome pharyngeal critical pressure reducing apneic events, with less discomfort for the patient, compare to CPAP. In this chapter, we will review evidence on the putative role of transnasal insufflation in the treatment of obstructive sleep apnea as an alternative to CPAP.
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Spicuzza, L., Di Maria, C., Ielo, G. (2023). Transnasal Insufflation: A New Approach to Treat Obstructive Sleep Apnea. In: Esquinas, A.M. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-031-28963-7_27
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DOI: https://doi.org/10.1007/978-3-031-28963-7_27
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