End-tidal carbon dioxide concentration monitoring in obstructive sleep apnea patients

Abstract Purpose The objective of this study was to investigate the end-tidal carbon dioxide concentration (ET co2 ) monitoring in obstructive sleep apnea (OSA) patients during sleep and to explore whether the ET co2 value may explain a significant portion of the relationship between ET co2 value an...

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Veröffentlicht in:American journal of otolaryngology 2011-05, Vol.32 (3), p.190-193
Hauptverfasser: Weihu, Chen, Jingying, Ye, Demin, Han, Yuhuan, Zhang, Jiangyong, Wang
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container_end_page 193
container_issue 3
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container_title American journal of otolaryngology
container_volume 32
creator Weihu, Chen
Jingying, Ye
Demin, Han
Yuhuan, Zhang
Jiangyong, Wang
description Abstract Purpose The objective of this study was to investigate the end-tidal carbon dioxide concentration (ET co2 ) monitoring in obstructive sleep apnea (OSA) patients during sleep and to explore whether the ET co2 value may explain a significant portion of the relationship between ET co2 value and apnea/hypopnea index (AHI) and nocturnal oxygenation indices. Materials and methods Thirty-eight consecutive patients underwent overnight polysomnography and were synchronously monitored for ET co2 using an microstream capnometer. Mean and maximum values during wake time and different sleep stages were recorded. We grouped 38 OSA patients into 2 subgroups on the basis of their difference of mean total sleep time and wake time ET co2 [(T − W) ET co2 ]; one group, 20 patients with (T − W) ET co2 less than 0, and the other group,18 patients with (T − W) ET co2 greater than 0. Results Group with (T − W) ET co2 less than 0 patients exhibited higher AHI (mean ± SD, 68.58 ± 22.78 vs. 27.61 ± 19.44 events/h) and lower nocturnal oxygenation indices (minimum Sa o2 , 67.85 ± 10.08 vs. 82.61% ± 6.07%; mean Sa o2 , 91.29 ± 3.31 vs. 95.15% ± 1.88%) compared with the other group. Conclusions In summary, the study provides preliminary data showing that ET co2 potentially can be used in continuous monitoring of OSA patients. And, (T − W) ET co2 can indicate the severity of OSA.
doi_str_mv 10.1016/j.amjoto.2010.01.006
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Materials and methods Thirty-eight consecutive patients underwent overnight polysomnography and were synchronously monitored for ET co2 using an microstream capnometer. Mean and maximum values during wake time and different sleep stages were recorded. We grouped 38 OSA patients into 2 subgroups on the basis of their difference of mean total sleep time and wake time ET co2 [(T − W) ET co2 ]; one group, 20 patients with (T − W) ET co2 less than 0, and the other group,18 patients with (T − W) ET co2 greater than 0. Results Group with (T − W) ET co2 less than 0 patients exhibited higher AHI (mean ± SD, 68.58 ± 22.78 vs. 27.61 ± 19.44 events/h) and lower nocturnal oxygenation indices (minimum Sa o2 , 67.85 ± 10.08 vs. 82.61% ± 6.07%; mean Sa o2 , 91.29 ± 3.31 vs. 95.15% ± 1.88%) compared with the other group. Conclusions In summary, the study provides preliminary data showing that ET co2 potentially can be used in continuous monitoring of OSA patients. And, (T − W) ET co2 can indicate the severity of OSA.</description><identifier>ISSN: 0196-0709</identifier><identifier>EISSN: 1532-818X</identifier><identifier>DOI: 10.1016/j.amjoto.2010.01.006</identifier><identifier>PMID: 20466453</identifier><identifier>CODEN: AJOTDP</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Biological and medical sciences ; Carbon dioxide ; Carbon Dioxide - analysis ; Cohort Studies ; Data processing ; Emergency medical care ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Monitoring, Physiologic - methods ; Otolaryngology ; Otorhinolaryngology. 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Materials and methods Thirty-eight consecutive patients underwent overnight polysomnography and were synchronously monitored for ET co2 using an microstream capnometer. Mean and maximum values during wake time and different sleep stages were recorded. We grouped 38 OSA patients into 2 subgroups on the basis of their difference of mean total sleep time and wake time ET co2 [(T − W) ET co2 ]; one group, 20 patients with (T − W) ET co2 less than 0, and the other group,18 patients with (T − W) ET co2 greater than 0. Results Group with (T − W) ET co2 less than 0 patients exhibited higher AHI (mean ± SD, 68.58 ± 22.78 vs. 27.61 ± 19.44 events/h) and lower nocturnal oxygenation indices (minimum Sa o2 , 67.85 ± 10.08 vs. 82.61% ± 6.07%; mean Sa o2 , 91.29 ± 3.31 vs. 95.15% ± 1.88%) compared with the other group. Conclusions In summary, the study provides preliminary data showing that ET co2 potentially can be used in continuous monitoring of OSA patients. 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Materials and methods Thirty-eight consecutive patients underwent overnight polysomnography and were synchronously monitored for ET co2 using an microstream capnometer. Mean and maximum values during wake time and different sleep stages were recorded. We grouped 38 OSA patients into 2 subgroups on the basis of their difference of mean total sleep time and wake time ET co2 [(T − W) ET co2 ]; one group, 20 patients with (T − W) ET co2 less than 0, and the other group,18 patients with (T − W) ET co2 greater than 0. Results Group with (T − W) ET co2 less than 0 patients exhibited higher AHI (mean ± SD, 68.58 ± 22.78 vs. 27.61 ± 19.44 events/h) and lower nocturnal oxygenation indices (minimum Sa o2 , 67.85 ± 10.08 vs. 82.61% ± 6.07%; mean Sa o2 , 91.29 ± 3.31 vs. 95.15% ± 1.88%) compared with the other group. Conclusions In summary, the study provides preliminary data showing that ET co2 potentially can be used in continuous monitoring of OSA patients. 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subjects Adolescent
Adult
Age Factors
Aged
Biological and medical sciences
Carbon dioxide
Carbon Dioxide - analysis
Cohort Studies
Data processing
Emergency medical care
Female
Humans
Male
Medical sciences
Middle Aged
Monitoring, Physiologic - methods
Otolaryngology
Otorhinolaryngology. Stomatology
Oxygen - metabolism
Pneumology
Polysomnography - methods
Prognosis
Pulmonary Gas Exchange
Respiratory Mechanics
Respiratory system : syndromes and miscellaneous diseases
Risk Assessment
Sensitivity and Specificity
Severity of Illness Index
Sex Factors
Sleep apnea
Sleep Apnea, Obstructive - diagnosis
Sleep Apnea, Obstructive - physiopathology
Sleep disorders
Surgery
Tidal Volume
Young Adult
title End-tidal carbon dioxide concentration monitoring in obstructive sleep apnea patients
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