The Importance of Mask Selection on Continuous Positive Airway Pressure Outcomes for Obstructive Sleep Apnea. An Official American Thoracic Society Workshop Report.
The Importance of Mask Selection on Continuous Positive Airway Pressure Outcomes for Obstructive Sleep Apnea. An Official American Thoracic Society Workshop Report.
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DOI：
10.1513/annalsats.202007-864st
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发表时间：
2020-10
影响因子：
8.3
通讯作者：
Strollo P
中科院分区：
文献类型：
--
作者：
Genta PR;Kaminska M;Edwards BA;Ebben MR;Krieger AC;Tamisier R;Ye L;Weaver TE;Vanderveken OM;Lorenzi-Filho G;DeYoung P;Hevener W;Strollo P
持续气道正压通气（CPAP）仍然是阻塞性睡眠呼吸暂停（OSA）的主要治疗选择。美国胸科协会组织了一次研讨会，讨论CPAP治疗OSA时面罩选择的重要性。在本研讨会报告中，我们总结了鼻和口鼻CPAP期间呼吸途径的现有证据以及鼻部症状对CPAP结局的重要性。我们探讨了CPAP治疗过程中漏气的机制和可能的漏气控制方法。鼻和口鼻CPAP对依从性、残余呼吸暂停低通气指数、意外泄漏和压力要求的影响也进行了比较。最后，建议患者和合作伙伴参与口罩的选择，并讨论了未来的发展方向，以促进个性化口罩的选择。
Continuous positive airway pressure (CPAP) remains the major treatment option for obstructive sleep apnea (OSA). The American Thoracic Society organized a workshop to discuss the importance of mask selection for OSA treatment with CPAP. In this workshop report, we summarize available evidence about the breathing route during nasal and oronasal CPAP and the importance of nasal symptoms for CPAP outcomes. We explore the mechanisms of air leaks during CPAP treatment and possible alternatives for leak control. The impact of nasal and oronasal CPAP on adherence, residual apnea–hypopnea index, unintentional leaks, and pressure requirements are also compared. Finally, recommendations for patient and partner involvement in mask selection are presented, and future directions to promote personalized mask selection are discussed.