Graded Exposure Therapy for Addressing Claustrophobic Reactions to Continuous Positive Airway Pressure: A Case Series Report

2007 ◽  
Vol 5 (2) ◽  
pp. 105-116 ◽  
Author(s):  
Melanie K. Means ◽  
Jack D. Edinger
Author(s):  
Ben J. Riley ◽  
Sharon Harris ◽  
Tracey Nye ◽  
Zhila Javidi-Hosseinabad ◽  
Michael Baigent

2003 ◽  
Vol 128 (3) ◽  
pp. 353-357 ◽  
Author(s):  
B. Tucker Woodson ◽  
Adrian Saurejan ◽  
Laura T. Brusky ◽  
Joseph K. Han

OBJECTIVE: Automatic adjusting nasal continuous positive airway pressure titration (APAP) has been introduced as an alternative method of establishing pressures for patients with sleep apnea. The performance and accuracy of APAP in nonattended home environment are controversial. This study assessed APAP polysomnographic outcomes and accuracy in a nonattended home environment. STUDY DESIGN AND SETTING: We conducted a retrospective consecutive case series of 24 consecutive patients who had nonattended APAP and simultaneous full polysomnography (PSG). RESULTS: APAP was tolerated and reduced obstructive Apnea-Hypopnea Index (AHI) to < 10 events/h in all patients. Mean AHI decreased from 38.4 (21.2) to 5.9 (6.6) events/h. Central apneas worsened in one patient. A therapeutic pressure was determined in 91% of patients. Autoset accurately measured residual AHI compared with PSG ( R = 0.77, P < 0.001). APAP overestimated the AHI by 1.4 events/h. CONCLUSIONS: Nonattended APAP is successful in many patients in determining a therapeutic positive pressure setting. Reported AHI via Autoset is similar to that of PSG. SIGNIFICANCE: APAP reduces AHI and is tolerated in a nonattended environment.


2020 ◽  
Vol 7 (1) ◽  
pp. e000639 ◽  
Author(s):  
Rebecca Nightingale ◽  
Nneka Nwosu ◽  
Farheen Kutubudin ◽  
Tom Fletcher ◽  
Joe Lewis ◽  
...  

The aim of this case series is to describe and evaluate our experience of continuous positive airway pressure (CPAP) to treat type 1 respiratory failure in patients with COVID-19. CPAP was delivered in negative pressure rooms in the newly repurposed infectious disease unit. We report a cohort of 24 patients with type 1 respiratory failure and COVID-19 admitted to the Royal Liverpool Hospital between 1 April and 30 April 2020. Overall, our results were positive; we were able to safely administer CPAP outside the walls of a critical care or high dependency unit environment and over half of patients (58%) avoided mechanical ventilation and a total of 19 out of 24 (79%) have survived and been discharged from our care.


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