Comfort and pressure profiles of two auto-adjustable positive airway pressure devices: a technical report

Study objectives: The purpose of this study was to compare comfort parameters and pressure profiles of the AutoSet TM (Resmed) and the SOMNOsmart TM (Weinmann), two auto-adjustable positive airway pressure (APAP) devices. Setting: The sleep disorders center of a university hospital. Design: A single...

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Veröffentlicht in:Respiratory medicine 2003-08, Vol.97 (8), p.903-908
Hauptverfasser: Hertegonne, Katrien B., Proot, Pascal M., Pauwels, Romain A., Pevernagie, Dirk A.
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container_issue 8
container_start_page 903
container_title Respiratory medicine
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creator Hertegonne, Katrien B.
Proot, Pascal M.
Pauwels, Romain A.
Pevernagie, Dirk A.
description Study objectives: The purpose of this study was to compare comfort parameters and pressure profiles of the AutoSet TM (Resmed) and the SOMNOsmart TM (Weinmann), two auto-adjustable positive airway pressure (APAP) devices. Setting: The sleep disorders center of a university hospital. Design: A single-blind randomized trial protocol was applied. A split night procedure allowed each patient to be treated in a crossover fashion with both APAP devices during one overnight study. Patients and methods: Fifty consecutive obstructive sleep apnea (OSA) patients were recruited. Each patient filled out an evaluation form for both devices after the study night. Visual analogue scales were used to score four comfort measures. Three CPAP outcomes generated by the devices ( P 50, P 95 and P max) were assessed, compared with each other and correlated with the individually predicted CPAP ( P pred). Results: Forty-five males and 5 females, mean age 53.0 years, body mass index 31.0, were included. The mean apnea-hypopnea index was 58.7, the mean arousal index was 54.3. Mean CPAP-compliance before the titration study was 4.9 h per night. Comparison of the two devices regarding the effect on the subjective sleep quality parameters showed no differences. The AutoSet TM pressure outcomes correlated significantly better with P pred in comparison with the SOMNOsmart TM. The P 50 and P 95 but not the P max values were significantly lower in the SOMNOsmart™ as compared with the AutoSet TM ( P 50: 5.1±1.3 vs 7.1±1.9 mbar, P
doi_str_mv 10.1016/S0954-6111(03)00113-6
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Setting: The sleep disorders center of a university hospital. Design: A single-blind randomized trial protocol was applied. A split night procedure allowed each patient to be treated in a crossover fashion with both APAP devices during one overnight study. Patients and methods: Fifty consecutive obstructive sleep apnea (OSA) patients were recruited. Each patient filled out an evaluation form for both devices after the study night. Visual analogue scales were used to score four comfort measures. Three CPAP outcomes generated by the devices ( P 50, P 95 and P max) were assessed, compared with each other and correlated with the individually predicted CPAP ( P pred). Results: Forty-five males and 5 females, mean age 53.0 years, body mass index 31.0, were included. The mean apnea-hypopnea index was 58.7, the mean arousal index was 54.3. Mean CPAP-compliance before the titration study was 4.9 h per night. Comparison of the two devices regarding the effect on the subjective sleep quality parameters showed no differences. The AutoSet TM pressure outcomes correlated significantly better with P pred in comparison with the SOMNOsmart TM. The P 50 and P 95 but not the P max values were significantly lower in the SOMNOsmart™ as compared with the AutoSet TM ( P 50: 5.1±1.3 vs 7.1±1.9 mbar, P&lt;0.0001; P 95: 7.8±3.0 vs 9.6±1.9 mbar, P&lt;0.0005; P max: 10.0±3.4 vs 10.8±1.8 mbar, NS). Conclusion: While the subjective tolerance of the two APAP machines was comparable, these devices were characterized by different pressure profiles. The pressure parameters of the AutoSet TM correlated better with P pred than those of the SOMNOsmart TM.</description><identifier>ISSN: 0954-6111</identifier><identifier>EISSN: 1532-3064</identifier><identifier>DOI: 10.1016/S0954-6111(03)00113-6</identifier><identifier>PMID: 12924516</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Airway management ; Anesthesia. Intensive care medicine. Transfusions. 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Setting: The sleep disorders center of a university hospital. Design: A single-blind randomized trial protocol was applied. A split night procedure allowed each patient to be treated in a crossover fashion with both APAP devices during one overnight study. Patients and methods: Fifty consecutive obstructive sleep apnea (OSA) patients were recruited. Each patient filled out an evaluation form for both devices after the study night. Visual analogue scales were used to score four comfort measures. Three CPAP outcomes generated by the devices ( P 50, P 95 and P max) were assessed, compared with each other and correlated with the individually predicted CPAP ( P pred). Results: Forty-five males and 5 females, mean age 53.0 years, body mass index 31.0, were included. The mean apnea-hypopnea index was 58.7, the mean arousal index was 54.3. Mean CPAP-compliance before the titration study was 4.9 h per night. Comparison of the two devices regarding the effect on the subjective sleep quality parameters showed no differences. The AutoSet TM pressure outcomes correlated significantly better with P pred in comparison with the SOMNOsmart TM. The P 50 and P 95 but not the P max values were significantly lower in the SOMNOsmart™ as compared with the AutoSet TM ( P 50: 5.1±1.3 vs 7.1±1.9 mbar, P&lt;0.0001; P 95: 7.8±3.0 vs 9.6±1.9 mbar, P&lt;0.0005; P max: 10.0±3.4 vs 10.8±1.8 mbar, NS). Conclusion: While the subjective tolerance of the two APAP machines was comparable, these devices were characterized by different pressure profiles. The pressure parameters of the AutoSet TM correlated better with P pred than those of the SOMNOsmart TM.</description><subject>Airway management</subject><subject>Anesthesia. Intensive care medicine. Transfusions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>APAP</topic><topic>Auto-adjustable positive airway pressure</topic><topic>AutoSet TM</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>CPAP</topic><topic>Cross-Over Studies</topic><topic>Emergency and intensive respiratory care</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neck</topic><topic>Obstructive sleep apnea</topic><topic>Patient Satisfaction</topic><topic>Positive-Pressure Respiration - instrumentation</topic><topic>Positive-Pressure Respiration - standards</topic><topic>Pressure</topic><topic>Single-Blind Method</topic><topic>Sleep Apnea, Obstructive - therapy</topic><topic>Sleep disorders</topic><topic>SOMNOsmart TM</topic><topic>Studies</topic><topic>Ventilators, Mechanical - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hertegonne, Katrien B.</creatorcontrib><creatorcontrib>Proot, Pascal M.</creatorcontrib><creatorcontrib>Pauwels, Romain A.</creatorcontrib><creatorcontrib>Pevernagie, Dirk A.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Respiratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hertegonne, Katrien B.</au><au>Proot, Pascal M.</au><au>Pauwels, Romain A.</au><au>Pevernagie, Dirk A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comfort and pressure profiles of two auto-adjustable positive airway pressure devices: a technical report</atitle><jtitle>Respiratory medicine</jtitle><addtitle>Respir Med</addtitle><date>2003-08-01</date><risdate>2003</risdate><volume>97</volume><issue>8</issue><spage>903</spage><epage>908</epage><pages>903-908</pages><issn>0954-6111</issn><eissn>1532-3064</eissn><abstract>Study objectives: The purpose of this study was to compare comfort parameters and pressure profiles of the AutoSet TM (Resmed) and the SOMNOsmart TM (Weinmann), two auto-adjustable positive airway pressure (APAP) devices. Setting: The sleep disorders center of a university hospital. Design: A single-blind randomized trial protocol was applied. A split night procedure allowed each patient to be treated in a crossover fashion with both APAP devices during one overnight study. Patients and methods: Fifty consecutive obstructive sleep apnea (OSA) patients were recruited. Each patient filled out an evaluation form for both devices after the study night. Visual analogue scales were used to score four comfort measures. Three CPAP outcomes generated by the devices ( P 50, P 95 and P max) were assessed, compared with each other and correlated with the individually predicted CPAP ( P pred). Results: Forty-five males and 5 females, mean age 53.0 years, body mass index 31.0, were included. The mean apnea-hypopnea index was 58.7, the mean arousal index was 54.3. Mean CPAP-compliance before the titration study was 4.9 h per night. Comparison of the two devices regarding the effect on the subjective sleep quality parameters showed no differences. The AutoSet TM pressure outcomes correlated significantly better with P pred in comparison with the SOMNOsmart TM. The P 50 and P 95 but not the P max values were significantly lower in the SOMNOsmart™ as compared with the AutoSet TM ( P 50: 5.1±1.3 vs 7.1±1.9 mbar, P&lt;0.0001; P 95: 7.8±3.0 vs 9.6±1.9 mbar, P&lt;0.0005; P max: 10.0±3.4 vs 10.8±1.8 mbar, NS). Conclusion: While the subjective tolerance of the two APAP machines was comparable, these devices were characterized by different pressure profiles. The pressure parameters of the AutoSet TM correlated better with P pred than those of the SOMNOsmart TM.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>12924516</pmid><doi>10.1016/S0954-6111(03)00113-6</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Airway management
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
APAP
Auto-adjustable positive airway pressure
AutoSet TM
Biological and medical sciences
Body Mass Index
CPAP
Cross-Over Studies
Emergency and intensive respiratory care
Female
Humans
Intensive care medicine
Male
Medical sciences
Middle Aged
Neck
Obstructive sleep apnea
Patient Satisfaction
Positive-Pressure Respiration - instrumentation
Positive-Pressure Respiration - standards
Pressure
Single-Blind Method
Sleep Apnea, Obstructive - therapy
Sleep disorders
SOMNOsmart TM
Studies
Ventilators, Mechanical - standards
title Comfort and pressure profiles of two auto-adjustable positive airway pressure devices: a technical report
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