Sleep Medicine
Volume 2, Issue 2 , Pages 115-124 , March 2001

Prospective randomized comparison of impedance-controlled auto-continuous positive airway pressure (APAPFOT) with constant CPAP

  • Winfried J Randerath

      Affiliations

    • Department of Pneumology, Allergology and Sleep Medicine, Klinik Ambrock, University Witten/Herdecke, Ambrocker Weg 60, D-58091 Hagen, Germany
    • Corresponding Author InformationCorresponding author. Tel.:+49-2331-9740; fax: +49-2331-974-209
    • ,
  • Wolfgang Galetke

      Affiliations

    • Department of Pneumology, Allergology and Sleep Medicine, Klinik Ambrock, University Witten/Herdecke, Ambrocker Weg 60, D-58091 Hagen, Germany
    • ,
  • Michaela David

      Affiliations

    • Department of Pneumology, Allergology and Sleep Medicine, Klinik Ambrock, University Witten/Herdecke, Ambrocker Weg 60, D-58091 Hagen, Germany
    • ,
  • Heidi Siebrecht

      Affiliations

    • Department of Pneumology, Allergology and Sleep Medicine, Klinik Ambrock, University Witten/Herdecke, Ambrocker Weg 60, D-58091 Hagen, Germany
    • ,
  • Bernd Sanner

      Affiliations

    • Department of Medicine I, Ruhr University Bochum, Marienhospital Herne, Germany
    • ,
  • Karl-Heinz Rühle

      Affiliations

    • Department of Pneumology, Allergology and Sleep Medicine, Klinik Ambrock, University Witten/Herdecke, Ambrocker Weg 60, D-58091 Hagen, Germany

Received 13 January 2000 ,Revised 24 May 2000 ,Accepted 14 June 2000.

References 

  1. Sullivan CE, Berthon-Jones M, Issa FG, Eves L. Reversal of obstructive sleep apnea by continuous positive airway pressure applied through the nares. Lancet. 1981;1:862–865
  2. Behbehani K, Yen FC, Burk JR, Lucas EA, et al.  Automatic control of airway pressure for treatment of obstructive sleep apnea. IEEE Trans Biomed Eng. 1995;42:1007–1016
  3. Fleury B, Rakotonanahary D, Hausser-Hauw C, Lebeau B, et al.  A laboratory validation study of the diagnostic mode of the AutoSet® system for sleep-related respiratory disorders. Sleep. 1996;19:502–505
  4. Scharf MB, Brannen DE, McDannold MD, Berkowitz DV. Computerized adjustable versus fixed NCPAP treatment of obstructive sleep apnea. Sleep. 1996;19:491–496
  5. Gugger M. Comparison of ResMed AutoSet (version 3.03) with polysomnography in the diagnosis of the sleep apnea/ hypopnea syndrome. Eur Respir J. 1997;10:587–591
  6. Hoster M, Schlenker E, Rühle KH. Influence of automated self-setting CPAP systems on sleep and breathing in sleep apnea syndrome. Wien Med Wochenschr. 1996;146:385–387
  7. Series F. Auto CPAP in the treatment of sleep apnea hypopnea syndrome. Sleep. 1996;19:S281–S283
  8. Sharma S, Wali S, Pouliot Z, Peters M, et al.  Treatment of obstructive sleep apnea with a self-titrating continuous positive airway pressure (CPAP) system. Sleep. 1996;19:497–501
  9. DuBois AB, Brody AW, Lewis DH, Burgess BF. Oscillation mechanics of lungs and chest in man. J Appl Physiol. 1956;8:587–594
  10. Peslin R, da Silva F, Duvivier C, Chabot F. Respiratory mechanics by forced oscillations during artificial ventilation. Eur Respir J. 1993;6:772–784
  11. Hoster M, Schlenker E, Rühle KH. Vergleichende Untersuchung von oszillatorischer Impedanz (ROI), Ösophagusdruck und Atemfluß in Abhängigkeit vom Atemwegsquerschnitt als Modell für Schlafapnoe. Atemw -Lungenkrkh. 1995;21:588
  12. Rühle KH. Oszillatorische Impedanz – Grundlagen und klinische Anwendungsmöglichkeiten. In:  Rühle KH editors. Oszillatorische Impedanz bei schlafbezogenen Atemregulationsstörungen. Stuttgart: Thieme; 1996;p. 1–5
  13. Rühle KH, Schlenker E, Randerath W. Upper airway resistance syndrome. Respiration. 1997;64(S1):29–34
  14. Farré R, Rotger M, Montserrat JM, Navajas D. A system to generate simultaneous forced oscillation and continuous positive airway pressure. Eur Respir J. 1997;10:1349–1353
  15. Farré R, Peslin R, Rotger M, Navajas D. Inspiratory dynamic obstruction detected by forced oscillation during CPAP: a model study. Am J Respir Crit Care Med. 1997;155:952–956
  16. Navajas D, Farré R, Rotger M, Montserrat JM. Assessment of airway obstruction by means of the forced oscillation technique during application of CPAP in patients with SAS. Am J Respir Crit Care Med. 1998;157:1526–1530
  17. Randerath W, Parys K, Feldmeyer F, Rühle KH. Selfadjusting nCPAP-therapy based on forced oscillation technique in obstructive sleep apnea syndrome. Respiration. 2000;67;(in press)
  18. Randerath W, Parys K, Lehmann D, Sanner B, et al.  Self-adjusting continuous positive airway pressure therapy based on measurement of impedance. A comparison of free pressure variation and individually fixed higher minimum pressure. Respiration. 2000;67:272–279
  19. Reisch S, Kulstrunk M, Timmer J, Schneider M, et al.  Physikalisches Modell zur Simulation von Zeitverläufen der Atemwegsimpedanz bei obstruktiver Schlafapnoe. Biomed Technik. 1996;41(S1):84–85
  20. Badr MS, Toiber F, Skatrud JB, Dempsey J. Pharyngeal narrowing/occlusion during central sleep apnea. J Appl Physiol. 1995;78:1806–1815
  21. ASDA Task Force . EEG arousals. Scoring rules and examples. Sleep. 1992;15:173–184
  22. ASDA Atlas Task Force . Recording and scoring leg movements. Sleep. 1993;16:749–759
  23. Rechtschaffen A, Kales A. A manual of standardized terminology techniques and scoring system for sleep stages of human subjects. Brain Information Service. Los Angeles, CA: University of California; 1968;
  24. Sachs L. In: Angewandte Statistik. Statistische Methoden und ihre Anwendungen. Heidelberg: Springer; 1978;p. 230–246
  25. Teschler H, Berthon-Jones M, Thompson AB, Henkel A, et al.  Automated continuous positive airway pressure titration for obstructive sleep apnea syndrome. Am J Respir Crit Care Med. 1996;154:734–740
  26. Berthon-Jones M, Lawrence S, Sullivan CE, Grunstein R. Nasal continuous positive pressure treatment: current realities and future. Sleep. 1996;19:S131–S135
  27. Boselli M, Parrino L, Smerieri A, Terzano MG. Effect of age on EEG arousals in normal sleep. Sleep. 1998;21:351–357
  28. Teschler H, Farhat AA, Exner V, Konietzko N, et al.  AutoSet® nasal CPAP titration. Constancy of pressure, compliance and effectiveness at 8 month follow-up. Eur Respir J. 1997;10:2073–2078
  29. Randerath W, Galetke W, David M, Rühle K-H. Efficacy, acceptance and compliance of a self-adjusting nCPAP device based on impedance (APAPFOT) compared with constant nCPAP – a prospective randomized cross-over twelve weeks follow-up. Abstract 6th World Congress on Sleep Apnea, Sydney, March 12–15. 2000;
  30. Badia JR, Farré R, Kimoff RJ, Ballester E, et al.  Clinical application of the forced oscillation technique for CPAP titration in the sleep apnea/hypopnea syndrome. Am J Respir Crit Care. 1999;160:1550–1554

PII: S1389-9457(00)00048-4

Sleep Medicine
Volume 2, Issue 2 , Pages 115-124 , March 2001

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