Won - Figure 46
BiPAP Therapy
FIG. 46: In some patients with CSA, BiPAP ST may be an effective treatment,[21] but BiPAP without spontaneous/timed backup rate (BiPAP S) has been shown to worsen CSA, especially in patients who have periodic breathing.[39] BiPAP in these cases may be contributing to hyperventilation, which might increase plant gain and increase or worsen ventilatory instability.
Won C. Chest 2016;00.
References
[21]
Guilleminault C, Cao M, Yue HJ, Chawla P. Obstructive sleep apnea and chronic opioid use. Lung 2010;188:459–468
[39]
Johnson KG, Johnson DC. Bilevel positive airway pressure worsens central apneas during sleep. Chest 2005;128:2141–2150.