FEHLER UND GEFAHREN BEI DER EINLEITUNG DER NASALEN BEATMUNGSTHERAPIE OBSTRUKTIVER SCHLAFAPNOEN

Translated title of the contribution: Risks and complications during positive airway pressure treatment of obstructive sleep apnea

A. Stammnitz, H. Becker, H. Schneider, J. H. Peter, V. P. Wichert

Research output: Contribution to journalArticlepeer-review

Abstract

Over a period of 1 year we observed in our sleep laboratory in 502 patients with sleep related breathing disorders several side effects of positive airway pressure treatment, furthermore we observed in 5 patients unexpected dangerous complications due to the application of CPAP and BIPAP. We observed mask leakages which lead to insufficient positive airway pressure-therapy and an occurrence of short central apnoeas during NREM sleep after arousal or wakefulness periods. Finally we observed in 5 patients during treatment with CPAP and BIPAP an unexpected appearance of long central apnoeas up to 110 s and central hypoventilations up to 5 min accompanied by excessive hypoxaemia (SaO2 < 20%) and cardiac arrhythmias. We conclude that in the treatment of obstructive sleep apnoeas we have to expect in 1-2% complications of the positive airway pressure treatment itself. To avoid life endangered complications the first night application should be done only in conventional sleep laboratories.

Translated title of the contributionRisks and complications during positive airway pressure treatment of obstructive sleep apnea
Original languageGerman
Pages (from-to)190-194
Number of pages5
JournalPneumologie
Volume49
Issue numberSUPPL. 1
StatePublished - Jan 1 1995

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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