CPAP or non-invasive ventilation in obesity hypoventilation syndrome: does it matter which one you start with?

Noda, Julio R.; Masa, Juan F.; Mokhlesi, Babak

doi:10.1136/thoraxjnl-2016-209607

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…Both CPAP and Bilevel appear to be equally effective in improving diurnal hypercapnia in patients with OHS without severe nocturnal hypoxemia. When compared, both have been shown to improve the PaCO 2 , sodium bicarbonate levels, clinical symptoms, and PSG parameters 233,239,243 . However, patients using Bilevel had better subjective sleep quality and presented a slight improvement in psychomotor performance than the patients using CPAP 243 .…”

Section: Obesity Hypoventilation Syndromementioning

confidence: 99%

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Practice recommendations for the role of physiotherapy in the management of sleep disorders: the 2022 Brazilian Sleep Association Guidelines

Frange¹,

Franco²,

Brasil³

et al. 2022

Sleep Sci

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This clinical guideline supported by the Brazilian Sleep Association comprises a brief history of the development of Brazilian sleep physiotherapy, outlines the role of the physiotherapist as part of a sleep health team, and describes the clinical guidelines in respect of the management of some sleep disorders by the physiotherapist (including sleep breathing disorders, i.e., obstructive sleep apnea, central sleep apnea, upper airway resistance syndrome, hypoventilation syndromes and overlap syndrome, and pediatric sleep breathing disorders; sleep bruxism; circadian rhythms disturbances; insomnia; and Willis-Ekbom disease/periodic limb movement disorder. This clinical practice guideline reflects the state of the art at the time of publication and will be reviewed and updated as new information becomes available.

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Section: Obesity Hypoventilation Syndromementioning

confidence: 99%

“…This condition can be treated with CPAP or non-invasive ventilation (NIV) with 2 levels of PAP (Bilevel), with or without respiratory rates 239 . Initial treatment with CPAP is recommended for OHS if clinically stable, and if PaCO 2 is unchanged.…”

Section: Other Sleep Breathing Disordersmentioning

confidence: 99%