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Title

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

Authors
Espa, Fabrice
Rodenstein, Daniel
Pépin, Jean Louis
Published in Sleep and Breathing. 2012, vol. 16, no. 4, p. 1081-1090
Abstract 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.
Keywords AgedBlood Gas Monitoring, TranscutaneousCircadian Rhythm/physiologyContinuous Positive Airway Pressure/methodsDyspnea/physiopathology/prevention & controlEquipment FailureFemaleHumansMaleMiddle AgedOxygen/bloodPolysomnography/methodsPulmonary Disease, Chronic Obstructive/physiopathology/therapySoftwareSwitzerlandTherapy, Computer-Assisted/methodsWakefulness/physiology
Identifiers
PMID: 22051930
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Research group Groupe Gasche-Soccal Paola (958)
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ADLER, Dan Elie et al. Polysomnography in stable COPD under non-invasive ventilation to reduce patient-ventilator asynchrony and morning breathlessness. In: Sleep and Breathing, 2012, vol. 16, n° 4, p. 1081-1090. https://archive-ouverte.unige.ch/unige:77041

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Deposited on : 2015-11-09

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