Positive Airway Pressure Device Technology Past and Present What's in the "Black Box"?
Positive Airway Pressure Device Technology Past and Present What's in the "Black Box"?
复制标题
DOI：
10.1016/j.jsmc.2017.07.001
复制
发表时间：
2017-12-01
影响因子：
2.8
通讯作者：
Javaheri, Shahrokh
中科院分区：
文献类型：
--
作者：
Brown, Lee K.;Javaheri, Shahrokh
自1981年引入持续气道正压通气（PAP）治疗阻塞性睡眠呼吸暂停（OSA）以来，PAP技术呈指数级多样化。紧凑安静的固定式连续PAP流量发生器、自动滴定PAP设备和双水平PAP设备可用于治疗多种睡眠呼吸障碍表型，包括OSA、中枢性睡眠呼吸暂停（CSA）、OSA和CSA的组合以及换气不足。自适应伺服呼吸机可以抑制Hunter-Cheyne-Stokes呼吸和CSA，并治疗共存的阻塞性事件。体积保证的压力支持PAP设备旨在提供目标程度的辅助治疗，同时还治疗同时发生的OSA和/或CSA。
Since the introduction of continuous positive airway pressure (PAP) for the treatment of obstructive sleep apnea (OSA) in 1981, PAP technology has diversified exponentially. Compact and quiet fixed continuous PAP flow generators, autotitrating PAP devices, and bilevel PAP devices that can treat multiple sleep-disordered breathing phenotypes, including OSA, central sleep apnea (CSA), combinations of OSA and CSA, and hypoventilation, are available. Adaptive servoventilators can suppress Hunter-Cheyne-Stokes breathing and CSA and treat coexisting obstructive events. Volume-assured pressure support PAP apparatus purports to provide a targeted degree of ventilatory assistance while also treating cooccurring OSA and/or CSA.