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Guardado en:
0121-5426
2538-9513
30
2019-08-15
Revista Colombiana de Neumología - 2019
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INTRODUCTION: At the beginning of treatment with CPAP due to sleep apnea-hypo- pnea syndrome (SAHS), different types of problems may arise that prevent its correct use or even abandonment. Therefore, it is necessary to know which the main complications are to inform the patient and to give solutions early.MATERIAL AND METHOD: We studied 120 patients diagnosed with SAHS who be- gan the treatment with nasal CPAP. We carried out questionnaires to assess their sleep be- fore treatment and to identify factors that influence the adaptation to CPAP. After at least 2 months, questionnaires were asked about complications and tolerance to the treatment.RESULTS: The discomfort caused by the mask and/or fixation straps were the most frequent complications, as well as the in- juries caused by them (callosities, excoriations) disappearing in 2-3 weeks. Dryness of morning mucous membranes is frequent and tends to persist. The noise of the equipment initially caused discomfort, especially to the companions. Episodes of nasal congestion and morning eye redness were associated with poor fastening of the mask. 38% did not complete correctly, with few hours of use. Four patients rejected the treatment.DISCUSSION: Nasal CPAP involves initial complications to be detected early, because although most are sporadic or brief problems, they persist in some patients and can cause a poor treatment completion. After two months with complications, it is recommended assessing the change of masks or using humidifiers. From the sleep units, it is necessary to warn the patient of these complications and their normal disappearance. González García, Emilio Valdivieso Martínez, Rafael nasal continuous positive airway pressure sleep apnea syndrome respiratory therapies CPAP nasal SAHS terapias respiratorias 30 2 Artículo de revista Journal article 2019-08-15T00:00:00Z 2019-08-15T00:00:00Z 2019-08-15 application/pdf Asociación Colombiana de Neumología y Cirugía de Tórax Revista Colombiana de Neumología 0121-5426 2538-9513 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/314 10.30789/rcneumologia.v30.n2.2018.314 https://doi.org/10.30789/rcneumologia.v30.n2.2018.314 spa https://creativecommons.org/licenses/by-nc-sa/4.0/ Revista Colombiana de Neumología - 2019 https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/314/260 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication |
institution |
ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX |
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https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png |
country_str |
Colombia |
collection |
Revista Colombiana de Neumología |
description_eng |
INTRODUCTION: At the beginning of treatment with CPAP due to sleep apnea-hypo- pnea syndrome (SAHS), different types of problems may arise that prevent its correct use or even abandonment. Therefore, it is necessary to know which the main complications are to inform the patient and to give solutions early.MATERIAL AND METHOD: We studied 120 patients diagnosed with SAHS who be- gan the treatment with nasal CPAP. We carried out questionnaires to assess their sleep be- fore treatment and to identify factors that influence the adaptation to CPAP. After at least 2 months, questionnaires were asked about complications and tolerance to the treatment.RESULTS: The discomfort caused by the mask and/or fixation straps were the most frequent complications, as well as the in- juries caused by them (callosities, excoriations) disappearing in 2-3 weeks. Dryness of morning mucous membranes is frequent and tends to persist. The noise of the equipment initially caused discomfort, especially to the companions. Episodes of nasal congestion and morning eye redness were associated with poor fastening of the mask. 38% did not complete correctly, with few hours of use. Four patients rejected the treatment.DISCUSSION: Nasal CPAP involves initial complications to be detected early, because although most are sporadic or brief problems, they persist in some patients and can cause a poor treatment completion. After two months with complications, it is recommended assessing the change of masks or using humidifiers. From the sleep units, it is necessary to warn the patient of these complications and their normal disappearance.
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author |
González García, Emilio Valdivieso Martínez, Rafael |
spellingShingle |
González García, Emilio Valdivieso Martínez, Rafael nasal continuous positive airway pressure sleep apnea syndrome respiratory therapies CPAP nasal SAHS terapias respiratorias |
author_facet |
González García, Emilio Valdivieso Martínez, Rafael |
topic |
nasal continuous positive airway pressure sleep apnea syndrome respiratory therapies CPAP nasal SAHS terapias respiratorias |
topic_facet |
nasal continuous positive airway pressure sleep apnea syndrome respiratory therapies CPAP nasal SAHS terapias respiratorias |
topicspa_str_mv |
CPAP nasal SAHS terapias respiratorias |
citationvolume |
30 |
citationissue |
2 |
publisher |
Asociación Colombiana de Neumología y Cirugía de Tórax |
ispartofjournal |
Revista Colombiana de Neumología |
source |
https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/314 |
language |
spa |
format |
Article |
rights |
https://creativecommons.org/licenses/by-nc-sa/4.0/ Revista Colombiana de Neumología - 2019 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
type_driver |
info:eu-repo/semantics/article |
type_coar |
http://purl.org/coar/resource_type/c_6501 |
type_version |
info:eu-repo/semantics/publishedVersion |
type_coarversion |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
type_content |
Text |
publishDate |
2019-08-15 |
date_accessioned |
2019-08-15T00:00:00Z |
date_available |
2019-08-15T00:00:00Z |
url |
https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/314 |
url_doi |
https://doi.org/10.30789/rcneumologia.v30.n2.2018.314 |
issn |
0121-5426 |
eissn |
2538-9513 |
doi |
10.30789/rcneumologia.v30.n2.2018.314 |
url2_str_mv |
https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/314/260 |
_version_ |
1811200708283727872 |