Physiological measurement
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Physiological measurement · Jul 2017
Gender differences in severity of desaturation events following hypopnea and obstructive apnea events in adults during sleep.
Severity estimation of obstructive sleep apnea (OSA) is currently based on the apnea-hypopnea index (AHI), which ignores individual breathing cessation event characteristics. Gender differences in the relationship between the breathing cessation event duration and the related desaturation event severity could mean that the severity of OSA is different in males and females despite a similar AHI. The aim of this work was to evaluate gender differences in the severity of peripheral oxygen desaturation events following obstructive apneas or hypopneas. ⋯ We found gender differences in the desaturation event severities following obstructive apneas and hypopneas. The results indicate that in females longer obstructive apneas (>30 s) could be more detrimental compared to those of males. As severe health consequences are related to the desaturation severity these aspects should be considered when estimating the severity of OSA.
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Physiological measurement · Jul 2017
Invasive and noninvasive means of measuring intracranial pressure: a review.
Measurement of intracranial pressure (ICP) can be invaluable in the management of critically ill patients. Cerebrospinal fluid is produced by the choroid plexus in the brain ventricles (a set of communicating chambers), after which it circulates through the different ventricles and exits into the subarachnoid space around the brain, where it is reabsorbed into the venous system. If the fluid does not drain out of the brain or get reabsorbed, the ICP increases, which may lead to brain damage or death. ICP elevation accompanied by dilatation of the cerebral ventricles is termed hydrocephalus, whereas ICP elevation accompanied by normal or small ventricles is termed idiopathic intracranial hypertension.