1. Mask Continuous Positive Airway Pressure Increases Diaphragm Thickening Fraction in Healthy Subjects.
- Author
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Lindner, Simon, Teichert, Jan, Hoermann, Clara, Michels, Julia D., Herth, Felix J.F., Duerschmied, Daniel, and Britsch, Simone
- Subjects
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DIAPHRAGM physiology , *PILOT projects , *PRESSURE breathing , *CLINICAL trials , *CONTINUOUS positive airway pressure , *OXYGEN masks , *MECHANICAL ventilators , *RESPIRATORY measurements , *DIAPHRAGM (Anatomy) , *TREATMENT effectiveness , *COMPARATIVE studies , *DESCRIPTIVE statistics , *RESPIRATION , *PHYSIOLOGICAL research - Abstract
Introduction: The most widespread treatment for obstructive sleep apnoea and obesity hypoventilation syndrome is continuous positive airway pressure (CPAP). The addition of inspiratory support is a potential alternative. This is a physiological study to determine the effect of CPAP and inspiratory support pressure on respiratory effort measured by diaphragm thickening fraction (DTF) in healthy volunteers. Methods: DTF was measured in spontaneously breathing, healthy volunteers during 4 phases: (I) without connection to a ventilator, (II) on a ventilator without any applied pressures, (III) with a CPAP of 5 cmH2O, and (IV) with an additional inspiratory support pressure of 5 cmH2O. Results: Twenty-nine individuals agreed to participate. DTF was similar during the first two phases (32 ± 13% and 35 ± 22%). A considerable increase in DTF to 51 ± 21% was noted in phase III. The introduction of inspiratory support pressure during phase IV led to a reduction in DTF back to 36 ± 23% (p < 0.001). Tidal volume and minute ventilation were both slightly higher in phase IV compared to phase III. Conclusion: CPAP without inspiratory support pressure increases respiratory effort measured by DTF in healthy subjects. Further research is required to investigate this phenomenon in a clinical setting. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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