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 journalArticle

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.

Original languageGerman
Pages (from-to)190-194
Number of pages5
JournalPneumologie
Volume49
Issue numberSUPPL. 1
StatePublished - Jan 1 1995

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ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Stammnitz, A., Becker, H., Schneider, H., Peter, J. H., & Wichert, V. P. (1995). FEHLER UND GEFAHREN BEI DER EINLEITUNG DER NASALEN BEATMUNGSTHERAPIE OBSTRUKTIVER SCHLAFAPNOEN. Pneumologie, 49(SUPPL. 1), 190-194.