Polysomnography in stable COPD under non-invasive ventilation to reduce patient-ventilator asynchrony and morning breathlessness

Article Article scientifique Article Polysomnography in stable COPD under non-invasive ventilation to reduce patient-ventilator asynchrony and morning breathlessness eng 2012 author Adler Dan Elie 105451 author Perrig Stephan 550927 Stephen Perrig author Takahashi Hiromitsu 704494 author Espa Fabrice author Rodenstein Daniel author Pépin Jean Louis author Janssens Jean-Paul 30742 1081-1090 10.1007/s11325-011-0605-y 22051930 1520-9512 Stable severe chronic obstructive pulmonary disease (COPD) patients with chronic hypercapnic respiratory failure treated by nocturnal bi-level positive pressure non-invasive ventilation (NIV) may experience severe morning deventilation dyspnea. We hypothesised that in these patients, progressive hyperinflation, resulting from inappropriate ventilator settings, leads to patient-ventilator asynchrony (PVA) with a high rate of unrewarded inspiratory efforts and morning discomfort. Aged Blood Gas Monitoring, Transcutaneous Circadian Rhythm/physiology Continuous Positive Airway Pressure/methods Dyspnea/physiopathology/prevention & control Equipment Failure Female Humans Male Middle Aged Oxygen/blood Polysomnography/methods Pulmonary Disease, Chronic Obstructive/physiopathology/therapy Software Switzerland Therapy, Computer-Assisted/methods Wakefulness/physiology Dewey 616 Open Access - Licence nationale Springer 56 Département de médecine 221 false 952 Groupe Gasche-Soccal Paola 958 Sleep & breathing 16 4 4f4e60fb-f190-4249-a6cd-5137b7d98ebc Article (Published version) Public 11325_2011_Article_605.pdf 385803 application/pdf openAccess Faculté de médecine / Section de médecine clinique / Département de médecine

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Polysomnography in stable COPD under non-invasive ventilation to reduce patient-ventilator asynchrony and morning breathlessness	Sleep & breathing			2012	687	371

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Takahashi, Hiromitsu