Home Ventilation Therapy in Obstructive Sleep Apnea–Hypopnea Syndrome

• Published in: Archivos de bronconeumología (English ed.) Vol. 50; no. 12; pp. 528 - 534
• Main Authors: González Mangado, Nicolás, Troncoso Acevedo, María Fernanda, Gómez García, Teresa
• Format: Journal Article
• Language: English
• Published: Spain Elsevier España 01.12.2014
• Subjects: Adenoidectomy; Adult; Age Factors; Apnea del sueño; Cardiovascular Diseases - etiology; Cardiovascular Diseases - prevention & control; Child; Combined Modality Therapy; Continuous positive airway pressure; Continuous Positive Airway Pressure - methods; Dyssomnias - complications; Equipment Design; Female; Home Care Services; Humans; Intermittent Positive-Pressure Ventilation; Internal Medicine; Male; Patient Compliance; Polysomnography; Presión positiva continua en la vía aérea; Pulmonary/Respiratory; Sex Factors; Sleep apnea; Sleep Apnea, Central - physiopathology; Sleep Apnea, Central - therapy; Sleep Apnea, Obstructive - complications; Sleep Apnea, Obstructive - surgery; Sleep Apnea, Obstructive - therapy; Sleep apnea–hypopnea syndrome; Síndrome de apnea-hipopnea del sueño; Terapias ventilatorias; Tonsillectomy; Treatment Outcome; Ventilatory therapies; Continuous positive airway pressure; Síndrome de apnea-hipopnea del sueño; Apnea del sueño; Terapias ventilatorias; Sleep apnea–hypopnea syndrome; Sleep apnea; Presión positiva continua en la vía aérea; Ventilatory therapies; Sleep apnea-hypopnea syndrome
• ISSN: 1579-2129; 1579-2129
• DOI: 10.1016/j.arbr.2014.10.010

Abstract Obstructive sleep apnea–hypopnea is a highly prevalent disease that is often underdiagnosed at present. It has a significant economic and social welfare impact, accounting for a large part of the resources assigned to home respiratory therapies. As part of the 2014 SEPAR Year of the Chronic Patient and Domiciliary Respiratory Care sponsored by the Spanish Society of Pulmonology and Thoracic Surgery, this article reviews the most recent publications on the indications and controversial issues in the treatment of sleep apnea, the latest evidence for indication of various positive pressure devices, and adjustment modes, ranging from the use of empirical formulae or mathematical estimations to modern auto-CPAP equipment, while not forgetting the gold standard of manual titration. Emphasis is placed on the need for monitoring required by patients to ensure treatment adherence and compliance. Finally, other therapies that are not the object of this article are briefly reviewed.