Liao P et al. Chest 2017 Screened: 722 Consented:195

Slides:

Advertisements

Similar presentations

The golden hour(s) for severe sepsis and septic shock treatment

Advertisements

The Stroke Oxygen Supplementation Study Chief Investigator: Prof. Christine Roffe Trial Manager: Dr Sarah Pountain North Staffordshire Combined Healthcare.

INDICATIONS AND RECOMMENDED DIAGNOSTIC STUDIES IN CHILDREN.

Obesity Hypoventilation Syndrome

PF-22 EVALUATION OF A SMART ANTI-SNORE PILLOW DEVICE FOR OBSTRUCTIVE SLEEP APNEA PATEIENT TREATMENT – PRELIMINARY REPORT Tsung-Te Chung 1,2, Cheng-Yu Wei.

Sleep Apnea and Cardiovascular Disease

Sleep Disordered Breathing (SDB) in Children Bergen County School Nurses Association November 18, 2013 Lee D. Eisenberg M.D., M.P.H., F.A.C.S. ENT and.

Interpreting Sleep Study Reports: A Primer for Pulmonary Fellows

Obstructive Sleep Apnea in Children

POSTOPERATIVE COMPLICATIONS OF OBSTRUCTIVE SLEEP APNEA Jason Shiffermiller, MD, MPH.

Coping with CPAP Wafaa El-Bahaey Prof. Of Psychiatry, Mansoura University

September 11, 2012 Mike Hummel Watermark Medical Obstructive Sleep Apnea (OSA) Impacting Workplace Safety and Cost.

Conclusion There was no disparity in sleep quality or KSS scores between CPAP treated OSA patients and healthy controls. Treated OSA patients obtained.

OBSTRUCTIVE SLEEP APNEA IN PATIENTS WITH CORONARY ATERY DISEASE OBSTRUCTIVE SLEEP APNEA IN PATIENTS WITH CORONARY ATERY DISEASE By Ahmad Younis Professor.

Sleep Apnea Maki Morimoto, MD.

OFEV ® (nintedanib) TOMORROW trial results Last updated These slides are provided by Boehringer Ingelheim for medical to medical education only.

Flow Diagram of Identification of Randomized Trials for Inclusion Goran Bjelakovic, et al. JAMA. 2007;297:

Treating Bruxism and OSA within a single continuum of care The Missing Piece Bruxism & OSA.

REVIEW Obstructive Sleep Apnea Syndrome and Perioperative Complications: A Systematic Review of the Literature J Clin Sleep Med 2012;8: Vasu TS,

Date of download: 6/21/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Testing for Pediatric Obstructive Sleep Apnea When.

Journal Club February 7, 2014 Sadie T. Velásquez, MD.

Short term effects of a vibrotactile neck-based treatment device for positional obstructive sleep apnea: a longitudinal efficacy and tolerability study.

호흡기내과 금요저널컨퍼런스 R3 박재훈 / Prof. 임효석.  Obesity & obstructive sleep apnea(OSA) ◦ linked to insulin resistance, dyslipidemia, HTN, inflammation ◦

Date of download: 7/15/2016 From: Diagnosis and Initial Management of Obstructive Sleep Apnea without Polysomnography: A Randomized Validation Study Ann.

Oxygen Desaturation Index (ODI) Obstructive Apnoea (OA)

Rationale for prescribing supplemental oxygen during exercise training

Measurement of oxygen saturation during exercise testing in pulmonary rehabilitation: a survey Leung R1, McKeough Z1, McDonald C2, Jenkins S3, Holland.

Oral Appliance Therapy: Improving Odds of Success

Postoperative Oxygen Therapy in Patients With OSA

Is Sleep Apnea a Winter Disease?

Volume 138, Issue 5, Pages (November 2010)

Volume 134, Issue 3, Pages (September 2008)

Use of multimodal analgesia Peripheral and central neuraxial blocks

Figure 3. Evidence on preoperative enteral nutrition

Fishbone diaphragm: root cause analysis identifying barriers to acceptance of OSA screening. OSA, obstructive sleep apnoea; STOP-BANG, loud Snoring, Tiredness,

COUNTERPOINT: Is the Apnea-Hypopnea Index the Best Way to Quantify the Severity of Sleep-Disordered Breathing? No Naresh M. Punjabi, MD, PhD, FCCP CHEST

Origins of and implementation concepts for upper airway stimulation therapy for obstructive sleep apnea Kingman P. Strohl, M.D., Jonathan Baskin, M.D.,

Stroke and the obstructive Sleep Apnea patient

Obesity and obstructive sleep apnea: Or is it OSA and obesity?

SAVE Trial design: Patients with moderate to severe obstructive sleep apnea (OSA) and known CV disease were randomized in a 1:1 fashion to either CPAP.

Obstructive Sleep Apnea

Obstructive Sleep Apnea and the Adult Perioperative Patient

Figure 1 Polygraphy records of obstructive sleep apnoea (OSA) and central sleep apnoea (CSA) Figure 1 | Polygraphy records of obstructive sleep apnoea.

F. Chung, R. Subramanyam, P. Liao, E. Sasaki, C. Shapiro, Y. Sun

Approach to the true resistant hypertensive and treatment approaches

Approach to the true resistant hypertensive and treatment approaches

Figure 2. Evidence on preoperative enteral nutrition

Ashish Shukla et al. JACEP 2015;1:41-51

The intermittent hypoxia model in normal volunteers.

Jessica Cooksey, MD, Babak Mokhlesi, MD, FCCP CHEST

How to evaluate patients with OSA postoperatively

Diagnostic and management strategy recommended in obstructive sleep apnoea syndrome (OSAS) suspicion [52, 75–77]. Diagnostic and management strategy recommended.

Postoperative Oxygen Therapy in Patients With OSA

Preoperative Screening for Obstructive Sleep Apnea and Outcomes in PACU Jill Setaro, MSN, RN, CPAN, ACNS-BC, Ruth Reinsel, PhD, Dana Brun, RN, CPAN Journal.

Acute postoperative hypoxemic respiratory failure as a result of Chilaiditi's syndrome: contribution of high flow oxygen through nasal cannula S Poignant,

a) Mortality per time point (p<0

Arterial oxygen saturation (SaO2) patterns during sleep in obstructive sleep apnoea (OSA) alone and the overlap syndrome. Arterial oxygen saturation (SaO2)

Prevalence of obstructive sleep apnoea (OSA) (apnoea/hypopnoea index ≥15 events·h−1) in a) males aged 50–69 years and b) females aged 50–69 years with.

Kaplan–Meier survival curves for outcomes among chronic obstructive pulmonary disease (COPD) patients without obstructive sleep apnoea (OSA) (COPD group),

A 66-year-old man (T4N1M0, clinical stage IVa, patient No

Obesity hypoventilation syndrome (OHS) management strategy.

Positive airway pressure adjustment in acute decompensated obesity-related respiratory failure. Positive airway pressure adjustment in acute decompensated.

Distribution of patients in the first- or second-year follow-up according to the number of acute exacerbations of chronic obstructive pulmonary disease.

P aeruginosa-free survival curves analyzed by center for screened and control CF patients using information either from all respiratory secretion cultures.

The complexity of obstructive sleep apnoea (OSA) for consideration in a personalised medicine approach. The complexity of obstructive sleep apnoea (OSA)

Kaplan-Meier survival curves for outcomes among COPD patients, overlap patients on CPAP, and overlap patients not on CPAP. CPAP treatment was not randomly.

Progression in the patient’s pulmonary function tests from 2010 to a) Forced vital capacity (FVC); b) total lung capacity (TLC); c) diffusing capacity.

Bench test setting for automatic continuous positive airway pressure (APAP) devices. a) System to simulate the breathing pattern and airway obstructions.

Distribution and change of the underlying disease in patients discharged with home mechanical ventilation (n = 854). ♦: chronic obstructive pulmonary disease;

Correlation between leg fluid volume (LFV) displacement measured by electrical impedance and apnoea/hypopnoea index (AHI) in non-obese obstructive sleep.

Presentation transcript:

Postoperative O2 Therapy in Patients with OSA: A Randomized Controlled Trial Liao P et al. Chest 2017 Screened: 722 Consented:195 Preoperative PSG: 170 obstructive sleep apnea pt: 123 Control: 61 Oxygen: 62 To investigate the effect of supplemental O2 on oxygen saturation, sleep respiratory effects and CO2 levels in untreated OSA.

Changes in parameters measuring O2 saturation (posto night 3, per-protocol analysis) Liao P et al. Chest 2017 WASaO2 ASaO2 LSAO2 *: p<0.05 vs No-Oxygen

AHI change from preop to postop night-3 in two groups, per-protocol analysis Liao P et al. Chest 2017

14 Patients had high Ptc CO2 postoperative nights Postoperative O2 Therapy in Patients with OSA. Liao P et al. Chest 2017 14 Patients had high Ptc CO2 postoperative nights One pt. Ptc CO2 96 mmHg 7 pt. Ptc CO2 >60 mmHg 14 patients had worrying high CO2 indicating respiratory depression