The effectiveness and cost-utility of nasal continuous positive airway pressure (nCPAP) treatment was evaluated in obstructive sleep apnoea syndrome (OSAS), using a 15D health-related quality of life (HRQoL) instrument in a routine clinical setting. In total, 78 OSAS patients (43 receiving nCPAP; 35 receiving lifestyle guidance) were included in the study. nCPAP treatment had a minor effect on ...

Hudson prongs (Hudson RCI, Teleflex Medical, Research Triangle Park, North Carolina) (a device to deliver nasal continuous positive airway pressure) are often secured with a "Velcro mustache" in neonatal intensive care units. We report 2 premature infants who required bag-and-mask ventilation while on Hudson prongs secured with a Velcro mustache. Effective ventilation was achieved only after re...

Obstructive sleep apnoea (OSA) is linked to increased cardiovascular risk. This risk can be reduced by nasal continuous positive airway pressure (nCPAP) treatment. As OSA is associated with an increase of several vasoconstrictive factors, we investigated whether nCPAP influences the digital volume pulse wave. We performed digital photoplethysmography during sleep at night in 94 consecutive pati...

We conducted this study to investigate the efficacy of the silicon gel application on the nares in prevention of nasal injury in preterm infants ventilated with nasal continuous positive airway pressure (NCPAP). Patients (n=179) were randomized into two groups: Group 1 (n=87) had no silicon gel applied to nares, and in Group 2 (n=92), the silicon gel sheeting was used on the surface of nares du...

A preterm infant with mild respiratory insufficiency resulting from respiratory distress syndrome developed a pneumatocele after the start of nasal continuous positive airway pressure. Pneumonia was excluded by sputum and blood cultures. Treatment with high frequency oscillation ventilation resulted in complete recovery.

Background. Nasal continuous positive airway pressure (NCPAP) is widely used as treatment for obstructive sleep apnoea. However, to date there are no randomised controlled trials of this therapy against a well matched control. We undertook a randomised prospective parallel trial of therapeutic NCPAP for obstructive sleep apnoea compared with a control group on subtherapeutic NCPAP. Methods. Men...

This article provides an overview of the management of the obstructive sleep apnoea/hypopnoea syndrome (OSAHS). Where possible, recommendations are based on a review of the relevant literature. With the exception of nasal continuous positive airway pressure, which is considered in greater detail elsewhere in the series, and certain oral appliances, the efficacy of many proposed treatments for O...

Pharyngeal pressures in 11 preterm infants, receiving binasal Hudson prong continuous positive airway pressure (CPAP) pressurised by bubbling bottles, were measured. The mean (95% confidence interval) pressure drop from the prongs to the pharynx was 3.2 (2.6 to 3.7) cm H(2)O with mouths open and 2.2 (1.6 to 2.8) cm H(2)O with mouths closed. Mouth closure augments CPAP transmission.

background: preterm labor is at risk for respiratory distress syndrome (rds) and sometimes requires to mechanical ventilation (mv) and surfactant therapy. continuous positive airway pressure (cpap) and nasal continuous positive airway pressure (ncpap) are the methods of respiratory support especially for using in rds of neonates. in other method surfactant is administered to babies via tracheal...