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CPAP titration by an auto-CPAP device based on snoring detection:a clinical trial and economic considerations

Ideally, the nCPAP level required for the treatment of OSAS is determined by two sequential night studies, including one polysomnography performed in the laboratory with the intervention of a technician to determine the effective nCPAP level, and one control polysomnography to check that the chosen nCPAP level restores normal breathing and sleep. However, this approach consumes suggests that the use of an auto-nCPAP device in a conventional hospital room without the intervention of a technician can determine the effective nCPAP level in 80% of patients, and that the effectiveness of this nCPAP level can be checked by ambulatory polysomnography. Therefore, the initiation of nCPAP treatment may be performed in a conventional pulmonary department without sleep laboratory intervention in the majority of patients. In addition, only 12 ambulatory polysomnography recordings were used to adapt nCPAP in the 10 OSAS patients. Compared to the procedure in the sleep laboratory, this method saved eight polysomnography procedures and replaced two laboratory polysomnography recordings by two ambulatory polysomnography recordings. This method can therefore be considered to be convenient and cost-effective.




 
 
 

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