Treatment-Emergent Central Sleep Apnea - Detection and Treatment

Treatment-Emergent Central Sleep Apnea - Detection and Treatment Abstract. In treatment-emergent central sleep apnea (TECSA), affected patients with obstructive sleep apnea newly develop central sleep apnea (AHI central ≥5/h) under therapy with positive pressure ventilation which cannot be explained by other causes. The pathophysiology of TECSA is incompletely understood. PaCO2 and the associated apnea threshold seem to play a central role. The incidence of TECSA varies (1.8-20%), and in about 2/3 of cases it is self-limiting in the course of the therapy. If persistence or new onset occurs later in the course of positive pressure therapy, a further evaluation (e.g., echocardiography, neurologic examination, medication history) is indicated. Effective treatment options include a change in ventilation therapy (adaptive servoventilation or bilevel ventilation with back-up frequency) or additional nocturnal oxygen supplementation; these options should be decided case by case.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:111

Enthalten in:

Praxis - 111(2022), 8 vom: 08., Seite 436-443

Sprache:

Deutsch

Weiterer Titel:

Treatment-emergent zentrale Schlafapnoe erkennen und behandeln

Beteiligte Personen:

Hutter, Tabea [VerfasserIn]
Horvath, Christian [VerfasserIn]
Hefti, Jacqueline Pichler [VerfasserIn]
Brill, Anne-Kathrin [VerfasserIn]

Links:

Volltext

Themen:

Adaptive Servoventilation
Adaptive servoventilation
Complex sleep apnea
Journal Article
Komplexe Schlafapnoe
L’apnée complexe du sommeil
L’apnée du sommeil
L’apnée obstructive du sommeil
Obstructive sleep apnea
Obstruktive Schlafapnoe
Schlafbezogene Atemstörung
Servoventilation adaptive
Sleep disordered breathing
Thérapie
Therapie
Therapy

Anmerkungen:

Date Completed 09.06.2022

Date Revised 09.06.2022

published: Print

Citation Status MEDLINE

doi:

10.1024/1661-8157/a003848

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM341956481