Index. sleep.theclinics.com. Note: Page numbers of article titles are in boldface type.
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1 Index Note: Page numbers of article titles are in boldface type. A Acquired central hypoventilation syndrome, NPPV in children with, 475 Acute cardiogenic pulmonary edema, PAP therapy in, Adaptive servo-ventilation, for sleep apnea, historical context, technical and clinical aspects of available devices, ResMed VPAP Adapt SV, Respironics BIPAP AutoSV and BIPAP AutoSV Advanced, Adherence, adjunctive therapy to improve CPAP, to positive airway pressure therapy, authors experience with, definition of compliance, in the elderly, 326 interventions to improve, change of PAP modality, change of the interface, 328 heated humidification and inhale steroids, patient education, behavioral therapy, and intensive monitoring, use of sedatives during titration or for short term upon starting PAP, 330 monitoring of, 322 predictors of, Adjunctive therapy, to CPAP, heated humidification, hypnotics and sedatives, miscellaneous, supplemental oxygen, Adverse effects, of CPAP, treatment of, Amyotrophic lateral sclerosis, NPPV therapy for, APAP. See Auto-titrating positive airway pressure. Arnold-Chiari malformation II, noninvasive positive pressure ventilation in children with, 475 Arrhythmias, effects of CPAP on, Auto-titrating positive airway pressure (APAP), and alternative titration methods, advanced titration methods, 365 historical perspective, 361 other titration methods, 365 regulation, reimbursement, and the provider, Sleep Med Clin 5 (2010) doi: /s x(10) X/10/$ see front matter ª 2010 Elsevier Inc. All rights reserved. scientific evidence, bench studies, 362 clinical effectiveness, technology, change to, to improve compliance, Automatic self-adjusting positive airway pressure. See Auto-titrating positive airway pressure (APAP). B Behavioral therapy, to improve compliance with CPAP therapy, Bilevel positive airway pressure (BPAP), change to, to improve compliance, 329 models for NPPV, titration of, for central sleep apnea, for chronic obstructive pulmonary disease, 343 for neuromuscular disorders, 343 for obstructive sleep apnea, indications for, Blood gas abnormalities, treatment of, in pediatric sleep-disordered breathing, 444 BPAP. See Bilevel positive airway pressure. C C-reactive protein, improvement in vascular inflammation with CPAP treatment, Carbon dioxide (CO 2 ), measurement of PCO 2 during NPPV titration and treatment, Cardiovascular disease, CPAP effect on, arrhythmias, coronary artery disease, hypertension, platelet function, 388 vascular inflammation and endothelial function, visceral fat, 390 Central hypoventilation, pathophysiology of, in children, 440 Central hypoventilation syndromes, in children, , acquired, 475 congenital, 475 myelomeningocele/arnold-chiari malformation II, 475 sleep.theclinics.com
2 508 Index Central (continued) obesity hypoventilation syndrome, Prader-Willi syndrome, 475 Central respiratory control disorders, NPPV for treatment of, 493 Central sleep apnea, BPAP titration for, in patients with congestive heart failure, alternative modes of CPAP in, 400 mechanisms of action of CPAP in, treatment, 399 pathophysiology of, in children, 440 positive airway pressure treatment of, complex sleep apnea, prevalence, treatment, 414 in patients taking opioids, prevalence, treatment, 412 in systolic heart failure, prevalence, treatment, treatment-emergent, after CPAP titration for obstructive sleep apnea, Children, NPPV for treatment of hypoventilation in, initiation of, 477 sleep laboratory titration, positive airway pressure therapy in, diagnosis, guidelines for, mechanism of action, 442 newer therapies in development, 447 pathophysiology of sleep-disordered breathing, central sleep apnea and central hypoventilation, 440 chronic respiratory failure, 440 obstructive sleep apnea syndrome, practical goals of titration in the pediatric sleep laboratory, special considerations, for CPAP/BIPAP use, 446 for the neuromuscularly weak child, surgical treatment, 442 treatment of blood gas abnormalities in sleep disordered breathing, 444 Chronic hypoventilation syndromes. See Hypoventilation. Chronic obstructive pulmonary disease (COPD), BPAP titration for, 343 NPPV therapy for stable, comorbid conditions, 453 etiology and pathophysiology, 452 in acute decompensation, sleep architecture and arterial oxygen saturation, 453 treatment of, Chronic pulmonary disease. See Pulmonary disease, chronic. Chronic respiratory failure. See Respiratory failure, chronic. Complex sleep apnea, prevalence, treatment, 414 Compliance. See Adherence. Congenital central hypoventilation syndrome, in children, NPPV for, 475 Congestive heart failure, positive airway pressure in, acute cardiogenic pulmonary edema, central sleep apnea, , alternative modes of PAP therapy for, 400 mechanisms of action in, treatment, 399 obstructive sleep apnea, sleep disordered breathing, 395 Continuous positive airway pressure (CPAP). See also Positive airway pressure therapy. adjunctive therapy to, heated humidification, hypnotics and sedatives, miscellaneous, supplemental oxygen, effect on cardiovascular disease, arrhythmias, coronary artery disease, hypertension, platelet function, 388 vascular inflammation and endothelial function, visceral fat, 390 titration of, indications, 338 treatment-emergent central sleep apnea, Coronary artery disease, effects of CPAP in patients with and without, CPAP. See Continuous positive airway pressure and Positive airway pressure therapy. Cystic fibrosis, NPPV in children with, 477 NPPV therapy for stable, comorbid sleep conditions, 456 nocturnal oxygen treatment, 457 pathophysiology, 456 sleep architecture and gas exchange,
3 Index 509 D Duchenne muscular dystrophy, NPPV in children with, 476 NPPV therapy for, E Education, patient, intensive, to improve compliance with CPAP therapy, Elderly patients, compliance with CPAP therapy in, 326 Electromyography, respiratory muscle EMG during NPPV titration, Endothelial function, improvement in with CPAP treatment, F Fat, visceral, CPAP effect on, 390 H Heart failure, congestive. See Congestive heart failure. systolic, central sleep apnea in, prevalence, treatment, Heated humidification, as adjunctive therapy to CPAP, to improve compliance with CPAP therapy, Hospital titration, of NPPV in children with hypoventilation, Humidification, for NPPV titration and treatment, 496 Humidification, heated, as adjunctive therapy to CPAP, to improve compliance with CPAP therapy, Hypercapnic respiratory failure, in noncardiac medical disorders, NPPV therapy for, in kyphoscoliosis, in neuromuscular disorders, in stable chronic obstructive pulmonary disease, in stable cystic fibrosis, positive airway pressure as treatment modality, Hypertension, effects of CPAP on, Hypnotics, as adjunctive therapy to CPAP, Hypoventilation, adaptive servo-ventilation for sleep apnea, central, pathophysiology in children, 440 in children, NPPV in treatment of, central hypoventilation syndromes, , acquired, 475 congenital, 475 myelomeningocele/arnold-chiari malformation II, 475 obesity hypoventilation syndrome, Prader-Willi syndrome, 475 chronic pulmonary disease, 474 cystic fibrosis, impact of obesity, 474 physiology of chronic respiratory failure, sleep laboratory titration, ventilatory muscle weakness and neuromuscular disease, , NPPV titration and treatment initiation for chronic benefits of, 490 BPAP modes for, follow-up of patients on, 502 goals of, in different patient groups, central respiratory control disorders, 493 neuromuscular disease, 493 obesity hypoventilation syndrome, restrictive chest wall disorders, 493 indications for initiation of, initiation of, after titration with polysomnography, 491 without polysomnography, titration with polysomnography, I Inhaled steroids, to improve compliance with CPAP therapy, Initiation, and titration of NPPV for chronic Interface, delivery, change in, to improve compliance with CPAP therapy, 328 Interleukin-6, improvement in vascular inflammation with CPAP treatment, K Kyphoscoliosis, NPPV therapy for, L Leaks, mask, interventions for during NPPV titration or treatment, 502
4 510 Index M Mask interfaces, for NPPV titration and treatment, 496 Mechanical ventilation, adaptive servo-ventilation for sleep apnea, Monitoring, intensive, to improve compliance with CPAP therapy, of patient compliance with CPAP therapy, 322 Muscle weakness, ventilatory, in children with neuromuscular disease, Myasthenia gravis, NPPV therapy for, Myelomeningocele, NPPV in children with, 475 Myopathies, congenital, NPPV in children with, N Neuromuscular disorders, BPAP titration for, 343 NPPV in children with, NPPV for treatment of central, 493 NPPV therapy for, amyotrophic lateral sclerosis, Duchenne muscular dystrophy, myasthenia gravis, postpolio syndrome, special considerations for PPV in children with, ventilatory muscle weakness in children with, Noninvasive positive pressure ventilation (NPPV), for treatment of hypoventilation in children, initiation of, 477 sleep laboratory titration, in hypercapnic respiratory failure in noncardiac medical disorders, in kyphoscoliosis, in neuromuscular disorders, in stable chronic obstructive pulmonary disease, in stable cystic fibrosis, positive airway pressure as treatment modality, titration and treatment initiation for chronic benefits of, 490 BPAP modes for, follow-up of patients on, 502 goals of, in different patient groups, central respiratory control disorders, 493 neuromuscular disease, 493 obesity hypoventilation syndrome, restrictive chest wall disorders, 493 indications for initiation of, initiation of, after titration with polysomnography, 491 without polysomnography, titration with polysomnography, addition of supplemental oxygen, 501 adjustments for patient comfort and synchronization, 500 choosing and adjusting backup rate, 499 choosing inspiratory time, dependence of oxygen concentration on flow rate, mask and other interventions for leak, 502 mask interfaces and humidification, 496 measurement of PCO 2 during, NPPV device and monitoring, protocol, respiratory muscle EMG, use of ST and timed modes during, VT-BPAP, Noninvasive ventilation, adaptive servo-ventilation for sleep apnea, Nutrition, in children on NPPV for hypoventilation, O Obesity, in children, impact on respiratory system, 474 Obesity hypoventilation syndrome, NPPV for treatment of, , in children with, Obstructive sleep apnea, adjunctive therapy to CPAP for patients with, APAP and alternative titration methods for, BPAP titration for, CPAP effect on cardiovascular disease, CPAP titration for, in patients with congestive heart failure, positive airway pressure treatment of adult patients with, Obstructive sleep apnea syndrome, pathophysiology of, in children, Obstructive sleep apnea-hypopnea syndrome, adherence to PAP therapy in, Opioids, central sleep apnea in patients taking, Oxygen, supplemental, addition of, during NPPV titration or treatment, 501 as adjunctive therapy to CPAP, with positive pressure therapy, titration of,
5 Index 511 P Patient education, intensive, to improve compliance with CPAP therapy, Pediatrics, NPPV in treatment of hypoventilation in children, positive airway pressure therapy in children, Platelet function, effects of CPAP on, 388 Polysomnography, NPPV titration with, NPPV treatment initiated after titration with, 491 NPPV treatment initiated without, Positive airway pressure (PAP) therapy, adaptive servo-ventilation for sleep apnea, adherence to, auto-titrating (APAP) and alternative titration methods, continuous (CPAP), , , adjunctive therapy to, and bilevel (BPAP) titration, effect on cardiovascular disease, for central sleep apnea, in adult patients with obstructive sleep apnea, in children, in congestive heart failure, noninvasive positive pressure ventilation (NPPV), , , for treatment of hypoventilation in children, in hypercapnic respiratory failure in noncardiac medical disorders, titration and treatment initiation for chronic Postpolio syndrome, NPPV therapy for, Prader-Willi syndrome, NPPV in children with, 475 Pressure relief CPAP, change to, to improve compliance with CPAP therapy, 329 Pulmonary disease, chronic, in children, 474 Pulmonary edema, acute cardiogenic, PAP therapy in, R Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation syndrome (ROHHAD), NPPV in children with, 475 Regulation, of APAP devices, Reimbursement, for APAP devices, ResMed VPAP Adapt SV, Respiratory control disorders, NPPV for treatment of central, 493 Respiratory failure, hypercapnic, in noncardiac medical disorders, NPPV therapy for, in kyphoscoliosis, in neuromuscular disorders, in stable chronic obstructive pulmonary disease, in stable cystic fibrosis, positive airway pressure as treatment modality, Respiratory failure, chronic, NPPV in treatment of hypoventilation in children, central hypoventilation syndromes, , acquired, 475 congenital, 475 obesity hypoventilation syndrome, Prader-Willi syndrome, 475 chronic pulmonary disease, 474 cystic fibrosis, impact of obesity, 474 physiology of chronic respiratory failure, ventilatory muscle weakness and neuromuscular disease, , pathophysiology of, in children, 440 Respironics BIPAP AutoSV, Respironics BIPAP AutoSV Advanced, Restrictive chest wall disorders, NPPV for treatment of, 493 ROHHAD syndrome, NPPV in children with, 475 S Sedatives, as adjunctive therapy to CPAP, to improve CPAP compliance, 330 during titration, 330 for short term upon starting CPAP, 330 Sleep apnea, adaptive servo-ventilation for, central. See Central sleep apnea. complex. See Complex sleep apnea. obstructive. See Obstructive sleep apnea. Sleep laboratory, pediatric, practical goals of positive pressure titration in, titration of NPPV in children with hypoventilation, Sleep-disordered breathing, in patients with congestive heart failure, PAP therapy in, central sleep apnea, obstructive sleep apnea, pathogenesis of, pathophysiology of, in children, central sleep apnea and central hypoventilation, 440
6 512 Index Sleep-disordered (continued) chronic respiratory failure, 440 obstructive sleep apnea syndrome, Spinal muscular atrophy, NPPV in children with, 476 Steroids, inhaled, to improve compliance with CPAP therapy, Supplemental oxygen, addition of, during NPPV titration or treatment, 501 as adjunctive therapy to CPAP, with positive pressure therapy, titration of, Surgical treatment, of obstructive sleep apnea syndrome in children, 442 Systolic heart failure, central sleep apnea in, prevalence, treatment, T Titration, CPAP and BPAP, BPAP, CPAP, goals of, 337 optimal pressure, 336 preparation for, split-night versus full-night study, supplemental oxygen, of NPPV, and treatment initiation for chronic Titration methods, alternative, advanced methods, 365 other methods, 365 V Vascular inflammation, improvement in with CPAP treatment, Ventilatory muscle weakness, in children with neuromuscular disease, Ventilatory support, adaptive servo-ventilation for sleep apnea, Visceral fat, CPAP effect on, 390 Volume-targeted bilevel positive airway pressure (VT-BPAP),
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