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J Korean Sleep Res Soc > Volume 6(1); 2009 > Article
REVIEW ARTICLE
J Korean Sleep Res Soc. 2009;6(1):29-34.         doi: https://doi.org/10.13078/jksrs.09007
폐쇄성 수면 무호흡에 대한 양압 적정의 지침
양광익, 박형국
순천향대학교 의과대학 천안병원 신경과학교실
 
Guideline of Positive Airway Pressure Titration for Obstructive Sleep Apnea
Kwang-Ik Yang, Hyung-Kook Park
Department of Neurology, College of Medicine, Soonchunhyang University, Cheonan Hospital
Corresponding Author: Kwang-Ik Yang ,Tel: +82-41-570-2290, Fax: +82-41-579-9021, Email: kiyang@sch.ac.kr
Received: June 14, 2009   Accepted: June 20, 2009   Published online: June 30, 2009
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ABSTRACT
Positive airway pressure (PAP) devices are used to treat patients with sleep related breathing disorders including obstructive sleep apnea (OSA), a common disorder. PAP devices are divided into four basic types depending on their pressure delivery system: (1) continuous positive airway pressure (CPAP), (2) bi-level positive airway pressure (BPAP), (3) automatic self-adjusting positive airway pressure (APAP), and (4) adaptive servo-ventilation (ASV). Manual titration of CPAP or BPAP under full attended polysomnography is currently the gold standard for selection of the effective PAP pressure in patients with OSA. The use and titration of PAP are reviewed and recommendations of ‘the PAP Titration Task Force of the AASM’ are introduced in this report. The goal of PAP titration is acquisition of the pressure, which eliminate obstructive respiratory related events. It should be understood and practiced the guideline of PAP titration for patients with OSA.
Keywords: Obstructive sleep apnea. Continuous positive airway pressure | Guideline
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