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Nocturnal Ventilation: When to Use CPAP, When NIV

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Non Invasive Artificial Ventilation

Abstract

The therapeutic options for respiratory disorders during sleep have increased greatly in recent years. In the past the only treatment possibilities available were continuous positive airway pressure (CPAP) ventilation and bilevel pressure ventilation. Over the years other methods of ventilation have gradually been introduced, such as automatic CPAP, or auto-CPAP, average volume-assured pressure support (AVAPS), intelligent volume-assured pressure support (iVAPS), adaptive servo-ventilation (ASV), auto-bilevel ventilation (auto BiPAP) up to the most recent ones, auto-variable positive airway pressure (auto-VPAP or tri-level ventilation), or the TA-mode (automatic auto-adaptive).

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  • Allam JS, Olson EJ, Gay PC, Morgenthaler TI (2007) Efficacy of adaptive servoventilation in treatment of complex and central sleep apnea syndromes. Chest 132(6):1839–1846

    Article  PubMed  Google Scholar 

  • Antic NA, Catcheside P, Buchan C et al (2011) The effect of CPAP in normalizing daytime sleepiness, quality of life, and neurocognitive function in patients with moderate to severe OSA. Sleep 34(1):111–119

    PubMed  Google Scholar 

  • Bachour A, Maasilta P (2004) Mouth breathing compromises adherence to nasal continuous positive airway pressure therapy. Chest 126(4):1248–1254

    Article  PubMed  Google Scholar 

  • Bachour A, Hurmerinta K, Maasilta P (2004) Mouth closing device (chinstrap) reduces mouth leak during nasal CPAP. Sleep Med 5(3):261–267

    Article  PubMed  Google Scholar 

  • Ballester E, Badia JR, Hernàndez L et al (1999) Evidence of the effectiveness of continuous positive airway pressure in the treatment of sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med 159(2):495–501

    Article  CAS  PubMed  Google Scholar 

  • Baltzan MA, Kassissia I, Elkholi O et al (2006) Prevalence of persistent sleep apnea in patients treated with continuous positive airway pressure. Sleep 29(4):557–563

    PubMed  Google Scholar 

  • Baltzan MA, Elkholi O, Wolkove N (2009) Evidence of interrelated side effects with reduced compliance in patients treated with nasal continuous positive airway pressure. Sleep Med 10(2):198–205

    Article  PubMed  Google Scholar 

  • Banerjee D, Yee BJ, Piper AJ et al (2007) Obesity hypoventilation syndrome: hypoxemia during continuous positive airway pressure. Chest 131(6):1678–1684

    Article  PubMed  Google Scholar 

  • Basner RC (2007) Continuous positive airway pressure for obstructive sleep apnea. N Engl J Med 356(17):1751–1758

    Article  CAS  PubMed  Google Scholar 

  • Battisti A, Tassaux D, Janssens JP et al (2005) Performance characteristics of 10 home mechanical ventilators in pressure-support mode: a comparative bench study. Chest 127(5):1784–1792

    Google Scholar 

  • Becker HF, Jerrentrup A, Ploch T et al (2003) Effect of nasal continuous positive airway pressure treatment on blood pressure in patients with obstructive sleep apnea. Circulation 107(1):68–73

    Article  PubMed  Google Scholar 

  • Berry RB, Chediak A, Brown LK, Finder J, Gozal D, Iber C, Kushida CA, Morgenthaler T, Rowley JA, Davidson-Ward SL (2010) Best clinical practices for the sleep center adjustment of noninvasive positive pressure ventilation (NPPV) in stable chronic alveolar hypoventilation syndromes. J Clin Sleep Med 6(5):497–509

    Google Scholar 

  • Caples SM, Gami AS, Somers VK (2005) Obstructive sleep apnea. Ann Intern Med 142(3):187–197

    Article  PubMed  Google Scholar 

  • Carlucci A, Fanfulla F, Mancini M, Nava S (2012) Volume assured pressure support ventilation—induced arousals. Sleep Med 13(6):767–768

    Article  PubMed  Google Scholar 

  • Chatwin M, Heather S, Hanak A, Polkey MI, Simonds AK (2010) Analysis of home support and ventilator malfunction in 1211 ventilator-dependent patients. Eur Respir J 35:310–316

    Article  CAS  PubMed  Google Scholar 

  • Consensus Conference (1999) Clinical indications for noninvasive positive pressure ventilation in chronic respiratory failure due to restrictive lung disease, COPD, and nocturnal hypoventilation: a consensus conference report. Chest 116(2):521–534

    Google Scholar 

  • Cross MD, Mills NL, Al-Abri M et al (2008) Continuous positive airway pressure improves vascular function in obstructive sleep apnoea/hypopnoea syndrome: a randomised controlled trial. Thorax 63(7):578–583

    Article  CAS  PubMed  Google Scholar 

  • D’Ambrosio C, Bowman T, Mohsenin V (1999) Quality of life in patients with obstructive sleep apnea: effect of nasal continuous positive airway pressure—a prospective study. Chest 115(1):123–129

    Article  PubMed  Google Scholar 

  • Dellweg D, Barchfeld T, Klauke M, Eiger G (2009) Respiratory muscle unloading during autoadaptive non-invasive ventilation. Respir Med 193(11):1706–1712

    Article  Google Scholar 

  • Devouassoux G, Lévy P, Rossini E et al (2007) Sleep apnea is associated with bronchial inflammation and continuous positive airway pressure-induced airway hyperresponsiveness. J Allergy Clin Immunol 119(3):597–603

    Article  PubMed  Google Scholar 

  • Dimsdale JE, Loredo JS, Profant J (2000) Effect of continuous positive airway pressure on blood pressure: a placebo trial. Hypertension 35(1 Pt 1):144–147

    Article  CAS  PubMed  Google Scholar 

  • El-Solh AA, Aquilina A, Pineda L et al (2006) Noninvasive ventilation for prevention of postextubation respiratory failure in obese patients. Eur Respir J 28(3):588–595

    Article  CAS  PubMed  Google Scholar 

  • Engleman HM, Martin SE, Deary IJ, Douglas NJ (1994) Effect of continuous positive airway pressure treatment on daytime function in sleep apnoea-hypopnea syndrome. Lancet 343(8897):572–575

    Article  CAS  PubMed  Google Scholar 

  • Engleman HM, Kingshott RN, Wraight PK et al (1999) Randomized placebo-controlled crossover trial of continuous positive airway pressure for mild sleep apnoea/hypopnea syndrome. Am J Respir Crit Care Med 159(2):461–467

    Article  CAS  PubMed  Google Scholar 

  • Faccenda JF, Mackay TW, Boon NA, Douglas NJ (2001) Randomized placebo-controlled trial of continuous positive airway pressure on blood pressure in the sleep apnea-hypopnea syndrome. Am J Respir Crit Care Med 163(2):344–348

    Article  CAS  PubMed  Google Scholar 

  • Fanfulla F, Delmastro M, Berardinelli A et al (2005) Effects of different ventilator settings on sleep and inspiratory effort in patients with neuromuscular disease. Am J Respir Crit Care Med 172(5):619–624

    Article  PubMed  Google Scholar 

  • Fanfulla F, Taurino AE, Lupo ND et al (2007) Effect of sleep on patient/ventilator asynchrony in patients undergoing chronic non-invasive mechanical ventilation. Respir Med 101(8):1702–1707

    Article  PubMed  Google Scholar 

  • Gay PC, Hubmayr RD, Stroetz RW (1996) Efficacy of nocturnal nasal ventilation in stable, severe chronic obstructive pulmonary disease during a 3-month controlled trial. Mayo Clin Proc 71(6):533–542

    Article  CAS  PubMed  Google Scholar 

  • Gay P, Weaver T, Loube D et al (2006) Evaluation of positive airway pressure treatment for sleep related breathing disorders in adults. Sleep 29(3):381–401

    PubMed  Google Scholar 

  • Giles TL, Lasserson TJ, Smith BJ et al (2006) Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev (1):CD001106

    Google Scholar 

  • Gonzalez-Bermeio J, Perrin C, Janssens JP et al (2012) Proposal for a systematic analysis of polygraphy or polysomnography for identifying and scoring abnormal events occurring during non-invasive ventilation. Thorax 67:546–552

    Article  Google Scholar 

  • Gonzàlez MM, Parreira VF, Rodenstein DO (2002) Non-invasive ventilation and sleep. Sleep Med Rev 6(1):29–44

    Article  PubMed  Google Scholar 

  • Guest JF, Helter MT, Morga A, Stradling JR (2008) Cost-effectiveness of using continuous positive airway pressure in the treatment of severe obstructive sleep apnoea/hypopnoea syndrome in the UK. Thorax 63(10):860–865

    Article  CAS  PubMed  Google Scholar 

  • Guo YF, Sforza E, Janssens JP (2007) Respiratory patterns during sleep in obesity-hypoventilation patients treated with nocturnal pressure support: a preliminary report. Chest 131(4):1090–1099

    Article  PubMed  Google Scholar 

  • Haentjens P, Van Meerhaeghe A, Moscariello A et al (2007) The impact of continuous positive airway pressure on blood pressure in patients with obstructive sleep apnea syndrome: evidence from a meta-analysis of placebo-controlled randomized trials. Arch Intern Med 167(8):757–765

    Article  PubMed  Google Scholar 

  • Haniffa M, Lasserson TJ, Smith I (2004) Interventions to improve compliance with continuous positive airway pressure for obstructive sleep apnoea. Cochrane Database Syst Rev 18(4):CD003531

    Google Scholar 

  • Heinemann F, Budweiser S, Dobroschke J, Pfeifer M (2007) Non-invasive positive pressure ventilation improves lung volumes in the obesity hypoventilation syndrome. Respir Med 101(6):1229–1235

    Article  PubMed  Google Scholar 

  • Hoy CJ, Vennelle M, Kingshott RN et al (1999) Can intensive support improve continuous positive airway pressure use in patients with the sleep apnea/hypopnea syndrome? Am J Respir Crit Care Med 159(4 Pt 1):1096–1100

    Article  CAS  PubMed  Google Scholar 

  • Hui DS, Choy DK, Li TS et al (2001) Determinants of continuous positive airway pressure compliance in a group of Chinese patients with obstructive sleep apnea. Chest 120(1):170–176

    Article  CAS  PubMed  Google Scholar 

  • Insalaco G, Sanna A, Fanfulla F et al (2005) La terapia con dispositivo a pressione positiva nelle vie aeree: raccomandazioni per la prescrizione nel soggetto adulto affetto dalla sindrome delle apnee ostruttive nel sonno. Documento dell’Associazione Italiana Pneumologi Ospedalieri (AIPO) a cura del gruppo di studio “Disturbi respiratori nel sonno”. Available at: www.aiponet.it

  • Janssens JP, Metzger M, Sforza E (2009) Impact of volume targeting on efficacy of bi-level non-invasive ventilation and sleep in obesity-hypoventilation. Respir Med 103:165–172

    Article  PubMed  Google Scholar 

  • Janssens JP, Borel JC, Pepin JL et al (2011) Nocturnal monitoring of home non-invasive ventilation: the contribution of simple tools such as pulse oximetry, capnography, built-in ventilator software and autonomic markers of sleep fragmentation. Thorax 66(5):438–445

    Article  PubMed  Google Scholar 

  • Javaheri S, Smith J, Chung E (2009) The prevalence and natural history of complex sleep apnea. J Clin Sleep Med 5(3):205–211

    PubMed  Google Scholar 

  • Jaye J, Chatwin M, Dayer M et al (2009) Autotitrating versus standard noninvasive ventilation: a randomized crossover trial. Eur Respir J 33(3):566–571

    Article  CAS  PubMed  Google Scholar 

  • Jones SE, Packham S, Hebden M, Smith AP (1998) Domiciliary nocturnal intermittent positive pressure ventilation in patients with respiratory failure due to severe COPD: long-term follow up and effect on survival. Thorax 53(6):495–498

    Article  CAS  PubMed  Google Scholar 

  • Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14(6):540–545

    CAS  PubMed  Google Scholar 

  • Kingshott RN, Vennelle M, Hoy CJ et al (2000) Predictors of improvements in daytime function outcomes with CPAP therapy. Am J Respir Crit Care Med 161(3 Pt 1):866–871

    Article  CAS  PubMed  Google Scholar 

  • Kohler M, Stoewhas AC, Ayers L, Senn O, Bloch KE, Russi EW, Stradling JR (2011) Effects of continuous positive airway pressure therapy withdrawal in patients with obstructive sleep apnea. Am J Respir Crit Care Med 184:1192–1199

    Article  PubMed  Google Scholar 

  • Kribbs NB, Pack AI, Kline LR et al (1993) Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. Am Rev Respir Dis 147(4):887–895

    Article  CAS  PubMed  Google Scholar 

  • Krieger J, McNicholas WT, Levy P et al (2002) Public health and medicolegal implications of sleep apnoea. Eur Respir J 20(6):1594–1609

    Article  CAS  PubMed  Google Scholar 

  • Kushida CA, Littner MR, Hirshkowitz M et al (2006) Practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep-related breathing disorders. Sleep 29(3):375–380

    PubMed  Google Scholar 

  • Kushida CA, Chediak A, Berry RB et al (2008) Positive airway pressure titration task force of the American Academy of Sleep Medicine. Clinical guidelines for the manual titration of positive airway pressure in patients with obstructive sleep apnea. J Clin Sleep Med 4(2):157–171

    PubMed  Google Scholar 

  • Lehman S, Antic NA, Thompson C et al (2007) Central sleep apnea on commencement of continuous positive airway pressure in patients with a primary diagnosis of obstructive sleep apnea-hypopnea. J Clin Sleep Med 3(5):462–466

    PubMed  Google Scholar 

  • Linee Guida di Procedura Diagnostica nella Sindrome delle Apnee Ostruttive nel Sonno dell’Adulto. Commissione Paritetica Associazione Italiana Medicina del Sonno (AIMS) e Associazione Italiana Pneumologi Ospedalieri (AIPO). Available at www.aiponet.it or www.sonnomed.it

  • Loredo JS, Ancoli-Israel S, Dimsdale JE (1999) Effect of continuous positive airway pressure versus placebo continuous positive airway pressure on sleep quality in obstructive sleep apnoea. Chest 116(6):1545–1549

    Article  CAS  PubMed  Google Scholar 

  • Mandal S, Suh E, Davies M et al (2013) Provision of home mechanical ventilation and sleep service for England survey. Thorax 68(9):880–881

    Google Scholar 

  • Marin JM, Carrizo SJ, Vicente E, Agusti AG (2005) Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 365(9464):1046–1053

    PubMed  Google Scholar 

  • Marshall NS, Barnes M, Travier N et al (2006) Continuous positive airway pressure reduces daytime sleepiness in mild to moderate obstructive sleep apnoea: a meta-analysis. Thorax 61(5):430–434

    Article  CAS  PubMed  Google Scholar 

  • Martins De Araùjo MT, Vieira SB, Vasquez EC, Fleury B (2000) Heated humidification or face mask to prevent upper airway dryness during continuous positive airway pressure therapy. Chest 117(1):142–147

    Article  PubMed  Google Scholar 

  • Massie CA, Hart RW (2003) Clinical outcomes related to interface type in patients with obstructive sleep apnea/hypopnea syndrome who are using continuous positive airway pressure. Chest 123(4):1112–1118

    Article  PubMed  Google Scholar 

  • Massie CA, Hart RW, Peralez K, Richards GN (1999) Effects of humidification on nasal symptoms and compliance in sleep apnea patients using continuous positive airway pressure. Chest 116(2):403–408

    Article  CAS  PubMed  Google Scholar 

  • McDaid C, Griffin S, Weatherly H et al (2009) Continuous positive airway pressure devices for the treatment of obstructive sleep apnoea–hypopnoea syndrome: a systematic review and economic analysis. Health Technol Assess 13(4)

    Google Scholar 

  • McNicholas WT, Bonsigore MR (2007) Sleep apnoea as an independent risk factor for cardiovascular disease: current evidence, basic mechanisms and research priorities. Eur Respir J 29(1):156–178

    Article  CAS  PubMed  Google Scholar 

  • Meecham Jones DJ, Paul EA, Jones PW, Wedzicha JA (1995) Nasal pressure support ventilation plus oxygen compared with oxygen therapy alone in hypercapnic COPD. Am J Respir Crit Care Med 152(2):538–544

    Article  CAS  PubMed  Google Scholar 

  • Mehta S, Hill NS (2001) Noninvasive ventilation. Am J Respir Crit Care Med 163(2):540–577

    Article  CAS  PubMed  Google Scholar 

  • Mokhlesi B, Tulaimat A, Evans AT et al (2006) Impact of adherence with positive airway pressure therapy on hypercapnia in obstructive sleep apnea. J Clin Sleep Med 2(1):57–62

    PubMed Central  PubMed  Google Scholar 

  • Monasterio C, Vidal S, Duran J et al (2001) Effectiveness of continuous positive airway pressure in mild sleep apnea-hypopnea syndrome. Am J Respir Crit Care Med 164(6):939–943

    Article  CAS  PubMed  Google Scholar 

  • Morgenthaler TI, Kagramanov V, Hanak V, Decker PA (2006) Complex sleep apnea syndrome: is it a unique clinical syndrome? Sleep 29(9):1203–1209

    PubMed  Google Scholar 

  • Morgenthaler TI, Gay PC, Gordon N, Brown LK (2007) Adaptive servoventilation versus noninvasive positive pressure ventilation for central, mixed, and complex sleep apnea syndromes. Sleep 30(4):468–547

    PubMed  Google Scholar 

  • Morgenthaler TI, Aurora RN, Brown T et al (2008) Standards of Practice Committee of the AASM. Practice parameters for the use of autotitrating continuous positive airway pressure devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome: an update for 2007. An American Academy of Sleep Medicine report. Sleep 31(1):141–147

    Google Scholar 

  • Mulgrew AT, Lawati NA, Ayas NT, Fox N, Hamilton P, Cortes L, Ryan CF (2010) Residual sleep apnea on polysomnography after 3 months of CPAP therapy: clinical implications, predictors and patterns. Sleep Med 11:119–125

    Article  PubMed  Google Scholar 

  • Mulqueeny Q, Ceriana P, Carlucci A et al (2007) Automatic detection of ineffective triggering and double triggering during mechanical ventilation. Intensive Care Med 33(11):2014–2018

    Article  PubMed  Google Scholar 

  • Murphy PB, Davidson C, Hind MD, Simonds A et al (2012) Volume targeted versus pressure support non-invasive ventilation in patients with super obesity and chronic respiratory failure: a randomised controlled trial. Thorax 67:727–734

    Article  PubMed  Google Scholar 

  • Patel SR, White DP, Malhotra A et al (2003) Continuous positive airway pressure therapy for treating sleepiness in a diverse population with obstructive sleep apnea: results of a meta-analysis. Arch Intern Med 163(5):565–571

    Article  PubMed  Google Scholar 

  • Patruno V, Aiolfi S, Costantino G et al (2007) Fixed and autoadjusting continuous positive airway pressure treatments are not similar in reducing cardiovascular risk factors in patients with obstructive sleep apnea. Chest 131(5):1393–1399

    Article  PubMed  Google Scholar 

  • Pelletier-Fleury N, Meslier N, Gagnadoux F et al (2004) Economic arguments for the immediate management of moderate-to-severe obstructive sleep apnoea syndrome. Eur Respir J 23(1):53–60

    Article  CAS  PubMed  Google Scholar 

  • Pépin JL, Leger P, Veale D et al (1995) Side effects of nasal continuous positive airway pressure in sleep apnea syndrome. Study of 193 patients in two French sleep centers. Chest 107(2):375–381

    Article  PubMed  Google Scholar 

  • Pépin JL, Krieger J, Rodenstein D et al (1999) Effective compliance during the first 3 months of continuous positive airway pressure. A European prospective study of 121 patients. Am J Respir Crit Care Med 160(4):1124–1129

    Article  PubMed  Google Scholar 

  • Peppard PE, Young T, Palta M, Skatrud J (2000) Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 342(19):1378–1384

    Article  CAS  PubMed  Google Scholar 

  • Pepperell JC, Ramdassingh-Dow S, Crosthwaite N et al (2002) Ambulatory blood pressure after therapeutic and subtherapeutic nasal continuous positive airway pressure for obstructive sleep apnoea: a randomised parallel trial. Lancet 359(9302):204–210

    Article  PubMed  Google Scholar 

  • Pierobon A, Giardini A, Fanfulla F et al (2008) A multidimensional assessment of obese patients with obstructive sleep apnoea syndrome (OSAS): a study of psychological, neuropsychological and clinical relationships in a disabling multifaceted disease. Sleep Med 9(8):882–889

    Article  PubMed  Google Scholar 

  • Piper AJ, Wang D, Yee BJ, Barnes DJ, Grunstein RR (2008) Randomised trial of CPAP vs bilevel support in the treatment of obesity hypoventilation syndrome without severe nocturnal desaturation. Thorax 63:395–401

    Article  CAS  PubMed  Google Scholar 

  • Poulet C, Veale D, Arnol N et al (2009) Psychological variables as predictors of adherence to treatment by continuous positive airway pressure. Sleep Med 10(9):993–999

    Article  CAS  PubMed  Google Scholar 

  • Redline S, Adams N, Strauss ME et al (1998) Improvement of mild sleep-disordered breathing with CPAP compared with conservative therapy. Am J Respir Crit Care Med 157(3 Pt 1):858–865

    Article  CAS  PubMed  Google Scholar 

  • Robert D, Argaud L (2007) Non-invasive positive ventilation in the treatment of sleep-related breathing disorders. Sleep Med 8(4):441–452

    Article  PubMed  Google Scholar 

  • Schwartz DJ, Karatinos G (2007) For individuals with obstructive sleep apnea, institution of CPAP therapy is associated with an amelioration of symptoms of depression which is sustained long term. J Clin Sleep Med 3(6):631–635

    PubMed  Google Scholar 

  • Sharma SK, Agrawal S, Damodaran D et al (2011) CPAP for the metabolic syndrome in patients with obstructive sleep apnea. N Engl J Med 365:2277–2286

    Article  CAS  PubMed  Google Scholar 

  • Siccoli MM, Pepperell JC, Kohler M et al (2008) Effects of continuous positive airway pressure on quality of life in patients with moderate to severe obstructive sleep apnea: data from a randomized controlled trial. Sleep 31(11):1551–1558

    PubMed  Google Scholar 

  • Sparrow D, Aloia M, DeMolles DA et al (2010) A telemedicine intervention to improve adherence to continuous positive airway pressure: a randomized controlled trial. Thorax 65:1061–1066

    Article  PubMed  Google Scholar 

  • Storre JH, Seuthe B, Fiechter R et al (2006) Average volume-assured pressure support in obesity hypoventilation: a randomized crossover trial. Chest 130(3):815–821

    Article  PubMed  Google Scholar 

  • Tan MCY, Ayas NT, Mulgrew A, Cortes L et al (2008) Cost-effectiveness of continuous positive airway pressure therapy in patients with obstructive sleep apnea-hypopnea in British Columbia. Can Respir J 15(3):159–165

    CAS  PubMed Central  PubMed  Google Scholar 

  • Tobin MJ, Jubran A, Laghi F (2001) Patient-ventilator interaction. Am J Respir Crit Care Med 163(5):1059–1063

    Article  CAS  PubMed  Google Scholar 

  • Tomfohr LM, Ancoli-Israel S, Loredo JS, Dimsdale JE (2011) Effects of continuous positive airway pressure on fatigue and sleepiness in patients with obstructive sleep apnea: data from a randomized controlled trial. Sleep 34(1):121–126

    PubMed  Google Scholar 

  • Veale D, Gonzalez-Bermejo J, Borel JC et al (2010) Initiation of long-term non-invasive ventilation at home: current practices and expected issues. Survey from the CasaVNI working party. Revue des Mal Respiratoire 27:1022–1029

    Article  CAS  Google Scholar 

  • Vitacca M, Nava S, Confalonieri M et al (2000) The appropriate setting of noninvasive pressure support ventilation in stable COPD patients. Chest 118(5):1286–1293

    Article  CAS  PubMed  Google Scholar 

  • Vitacca M, Barbano L, D’Anna S et al (2002) Comparison of five bilevel pressure ventilators in patients with chronic ventilatory failure: a physiologic study. Chest 122(6):2105–2114

    Article  PubMed  Google Scholar 

  • Vitacca M, Bianchi L, Zanotti E et al (2004) Assessment of physiologic variables and subjective comfort under different levels of pressure support ventilation. Chest 126(3):851–859

    Article  PubMed  Google Scholar 

  • Weaver TE, Maislin G, Dinges DF et al (2007) Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning. Sleep 30(6):711–719

    PubMed  Google Scholar 

  • Young T, Peppard PE, Gottlieb DJ (2002) Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 165(9):1217–1239

    Article  PubMed  Google Scholar 

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Nava, S., Fanfulla, F. (2014). Nocturnal Ventilation: When to Use CPAP, When NIV. In: Non Invasive Artificial Ventilation. Springer, Milano. https://doi.org/10.1007/978-88-470-5526-1_24

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