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Otolaryngol. Clin. North Am. · Dec 2016
ReviewPositive Airway Pressure Therapy for Obstructive Sleep Apnea.
- Pnina Weiss and Meir Kryger.
- Pediatric Respiratory Medicine and Medical Education, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA. Electronic address: pnina.weiss@yale.edu.
- Otolaryngol. Clin. North Am. 2016 Dec 1; 49 (6): 1331-1341.
AbstractPositive airway pressure (PAP) is considered first-line therapy for moderate to severe obstructive sleep apnea and may also be considered for mild obstructive sleep apnea, particularly if it is symptomatic or there are concomitant cardiovascular disorders. Continuous PAP is most commonly used. Other modes, such as bilevel airway pressure, autotitrating positive airway pressure, average volume assured pressure support, and adaptive support ventilation, play important roles in the management of sleep-related breathing disorders. This article outlines the indications, description, and comfort features of each mode. Despite the proven efficacy of PAP in treating obstructive sleep apnea syndrome and its sequelae, adherence to therapy is low. Close follow-up of patients for evaluation of adherence to and effectiveness of treatment is important.Copyright © 2016 Elsevier Inc. All rights reserved.
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