폐쇄성 수면 무호흡에 대한 양압 적정의 지침 |
양광익, 박형국 |
순천향대학교 의과대학 천안병원 신경과학교실 |
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Guideline of Positive Airway Pressure Titration for Obstructive Sleep Apnea |
Kwang-Ik Yang, Hyung-Kook Park |
Department of Neurology, College of Medicine, Soonchunhyang University, Cheonan Hospital |
Corresponding Author:
Kwang-Ik Yang ,Tel: +82-41-570-2290, Fax: +82-41-579-9021, Email: kiyang@sch.ac.kr |
Received: June 14, 2009 Accepted: June 20, 2009 Published online: June 30, 2009 |
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ABSTRACT |
Positive airway pressure (PAP) devices are used to treat patients with sleep related breathing disorders including obstructive sleep
apnea (OSA), a common disorder. PAP devices are divided into four basic types depending on their pressure delivery system: (1)
continuous positive airway pressure (CPAP), (2) bi-level positive airway pressure (BPAP), (3) automatic self-adjusting positive airway
pressure (APAP), and (4) adaptive servo-ventilation (ASV). Manual titration of CPAP or BPAP under full attended polysomnography
is currently the gold standard for selection of the effective PAP pressure in patients with OSA. The use and titration of PAP are reviewed
and recommendations of ‘the PAP Titration Task Force of the AASM’ are introduced in this report. The goal of PAP titration is acquisition
of the pressure, which eliminate obstructive respiratory related events. It should be understood and practiced the guideline of PAP titration
for patients with OSA. |
Keywords:
Obstructive sleep apnea. Continuous positive airway pressure | Guideline |
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