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Is auto-servoventilation unnecessary in patients with heart failure and apnoea?

Authors :
Gregory Reychler
Cinthia Rames
Olivier Rosant
Loïc Dégrugilliers
Thibault Coppens
Giuseppe Liistro
Sam Bayat
Source :
European Respiratory Journal. 44:551-553
Publication Year :
2014
Publisher :
European Respiratory Society (ERS), 2014.

Abstract

Body: Rationale: Upper airway and nasal airflow resistance are significant in infancy, due to the fact that infants are nasal breathers in early life, and that obstructive nasal diseases are frequent at this age. Nasal flow resistance is closely determined by anatomy, which rapidly changes with growth. The goal of this study was to assess standardized measurements of the nasal cavity dimensions in the first 2 years of life. Methods: 34 head CT scans of infants aged 4.13±4.08 months (range: 0.07 to 19.4, 17 male, 17 female) available in the Amiens University Hospital Dept. of Radiology database were retrospectively analyzed. Infants with craniofacial deformities were excluded. Images were 3D reconstructed, axially oriented and the nasal cavity was segmented by density thresholding from nares to vocal cords. Surface areas of the piriform and choanal apertures were automatically computed in the coronal plane, in standardized positions based on bony reference points. Results:Piriform surface area measured (mean±SD): 54.3±13.8 mm2 (range: 29.1 - 83.9), and was significantly correlated to age (R=0.59, p

Details

ISSN :
13993003 and 09031936
Volume :
44
Database :
OpenAIRE
Journal :
European Respiratory Journal
Accession number :
edsair.doi.dedup.....3c8d2e563239e3b9c78ee702743f0110
Full Text :
https://doi.org/10.1183/09031936.00057114