Real-Time Telemetry for the Remote Titration of CPAP in Patients with Obstructive Sleep Apnea Syndrome (OSAS) at Home.

Author(s):  
RL Dellaca' ◽  
L Govoni ◽  
A Pedotti ◽  
D Navajas ◽  
JM Montserrat ◽  
...  
2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Zhuxiang Chen ◽  
Zhang Zhao ◽  
Zhimin Zhang

With the acceleration of people’s life rhythm, obstructive sleep apnea syndrome appears more and more frequently. This research mainly discusses the treatment of obstructive sleep apnea syndrome with a positive pressure ventilator based on artificial intelligence processor. The information storage function of the smart positive pressure ventilator is included in the local medical terminal, presented after logging in with the user authority. It is mainly composed of data collection, data processing, and medical interface design, which embeds data request, data transmission, data analysis, and detailed tasks such as data compression and storage, and functions such as data display, image drawing, and alarm notification are realized by the medical interface. When the CPAP ventilator transmits respiratory data to the local medical terminal, it sends real-time respiratory information data packets. The data packet is collected and sent in real time in a fixed period and then received and analyzed by the local medical terminal. In the CPAP ventilator telemedicine system, the function of alarm message processing is mainly used to detect the patient’s breathing status in real time, extract the alarm-related information, and generate an alarm. This function specifically includes several tasks such as alarm detection, alarm prompt, alarm storage, and remote transmission of alarm messages. The confirmed OSAS patients were pressure-titrated with a smart CPAP ventilator and then treated for 5 hours a day, followed by echocardiography after 5 months of continuous treatment. During the study, the average BMI was (28.9 ± 7.2) kg/m2 and the average AHI index was (53.1 ± 37.8) times/h. This study may help improve the quality of life of patients with obstructive sleep apnea syndrome.


2014 ◽  
Vol 155 (18) ◽  
pp. 703-707 ◽  
Author(s):  
Pálma Benedek ◽  
Gabriella Kiss ◽  
Eszter Csábi ◽  
Gábor Katona

Introduction: Treatment of pediatric obstructive sleep apnea syndrome is surgical. The incidence of postoperative respiratory complications in this population is 5–25%. Aim: The aim of the authors was to present the preoperative evaluation and monitoring procedure elaborated in Heim Pál Children Hospital, Budapest. Method: 142 patients were involved in the study. Patient history was obtained and physical examination was performed in all cases. Thereafter, polysomnography was carried out, the severity of the obstructive sleep apnea syndrome was determined, and the patients underwent tonsilloadenotomy. Results: 45 patients with mild, 50 patients with moderate and 47 patients with severe obstructive sleep apnea syndrome were diagnosed. There was no complication in patients with mild disease, while complications were observed in 6 patients in the moderate group and 24 patients in the severe group (desaturation, apnea, stridor, stop breathing) (p<0.000). In patients with severe obstructive sleep apnea syndrome, no significant difference was noted in preoperative apnoea-hypapnea index (p = 0.23) and in nadir oxygen saturation values (p = 0.73) between patients with and without complication. Conclusions: Patients with severe obstructive sleep apnea syndrome should be treated in hospital where pediatric intensive care unit is available. Orv. Hetil., 2014, 155(18), 703–707.


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