1.
Alternative interventions for obstructive sleep apnea.
Waters, T
Cleveland Clinic journal of medicine. 2019;(9 Suppl 1):34-41
Abstract
Positive airway pressure (PAP) therapy is the gold standard treatment for patients with obstructive sleep apnea (OSA) and has been shown to positively impact quality of life and cardiovascular outcomes. However, not all patients with OSA can use or tolerate PAP therapy. Alternative interventions to PAP include lifestyle measures, surgical interventions, hypoglossal nerve stimulation, oral appliance therapy, and expiratory PAP devices for OSA. While these alternative interventions may benefit patients and have demonstrated improvements in OSA and quality-of-life measures, the cardiovascular impact of these interventions is uncertain as data are limited.
2.
Perioperative positive pressure ventilation: an integrated approach to improve pulmonary care.
Futier, E, Marret, E, Jaber, S
Anesthesiology. 2014;(2):400-8
3.
Nocturnal non-invasive ventilation for cardio-respiratory disorders in adults.
Wahab, R, Basner, RC
Expert review of respiratory medicine. 2013;(6):615-29
Abstract
Following the classic 'iron lung' non-invasive negative pressure ventilator, non-invasive positive pressure ventilation (NIPPV), particularly used 'nocturnally' has developed a broad role in both the acute hospital setting and domiciliary long-term use for many cardio-respiratory disorders associated with acute and chronic ventilatory failure. This role is based in part upon the perceived relative ease of application and discontinuation of NIPPV, ability to avoid intubation or tracheostomy and their associated morbidities and availability of increasingly portable pressure and volume cycled NIPPV devices. Nevertheless, the many methodologies necessary for optimal NIPPV use are often underappreciated by health care workers and patients alike. This review focuses on the rationale, practice, and future directions for 'nocturnal' use of non-invasive positive pressure ventilation (nNIV) in cardio-respiratory disorders in adults which are commonly associated with sleep-related apnea, hypoventilation and hypoxemia: congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), obesity hypoventilation syndrome (OHS), cystic fibrosis (CF) and neuromuscular disorders.
4.
[Non-invasive positive pressure ventilation for neuromuscular diseases. Practice guidelines].
,
Revue des maladies respiratoires. 2006;(5 Pt 4):14S15-14S40
5.
Acute lung injury in 2003.
Spragg, RG
Acta pharmacologica Sinica. 2003;(12):1288-91
Abstract
During the past several decades, clinical investigators world-wide have continued to study the causes, pathophysiology, and treatment strategies for acute lung injury (ALI). This syndrome, which is characterized by nonhydrostatic pulmonary edema and hypoxemia associated with a variety of etiologies, is slowly becoming better understood as a result of these efforts.