Positive Pressure Therapy: Theory and Application

Sullivan CE , Issa FG , Berthon-Jones M , Eves L. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares. Lancet 1981;1(8225):862–865.

Strollo PJ Jr , Rogers RM . Obstructive sleep apnea. N Engl J Med 1996;334(2):99–104.

Eisele DW , Smith PL , Alam DS , Schwartz AR . Direct hypoglossal nerve stimulation in obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 1997;123(1):57–61.

Remmers JE , deGroot WJ , Sauerland EK , Anch AM . Pathogenesis of upper airway occlusion during sleep. J Appl Physiol 1978;44(6):931–938.

Sullivan CE , Issa FG . Obstructive sleep apnea. Clin Chest Med 1985;6(4):633–650.

Anch AM , Remmers JE , Bunce H III . Supraglottic airway resistance in normal subjects and patients with occlusive sleep apnea. J Appl Physiol 1982;53(5):1158–1163.

Horner RL , Mohiaddin RH , Lowell DG , Shea SA , Burman ED , Longmore DB , Guz A. Sites and sizes of fat deposits around the pharynx in obese patients with obstructive sleep apnoea and weight matched controls. Eur Respir J 1989;2(7):613–622.

Browman CP , Sampson MG , Yolles SF , Gujavarty KS , Weiler SJ , Walsleben JA , et al. Obstructive sleep apnea and body weight. Chest 1984;85(3):435–438.

Smith PL , Gold AR , Meyers DA , Haponik EF , Bleecker ER . Weight loss in mildly to moderately obese patients with obstructive sleep apnea. Ann Intern Med 1985;103(6 pt 1):850–855.

Davies RJ , Stradling JR . The relationship between neck circumference, radiographic pharyngeal anatomy, and the obstructive sleep apnoea syndrome. Eur Respir J 1990;3(5):509–514.

Miljeteig H , Hoffstein V. Determinants of continuous positive airway pressure level for treatment of obstructive sleep apnea. Am Rev Respir Dis 1993;147(6 pt 1):1526–1530.

Fouke JM , Teeter JP , Strohl KP . Pressure-volume behavior of the upper airway. J Appl Physiol 1986;61(3):912–918.

Hoffstein V , Zamel N , Phillipson EA . Lung volume dependence of pharyngeal cross-sectional area in patients with obstructive sleep apnea. Am Rev Respir Dis 1984;130(2):175–178.

Morrison DL , Launois SH , Isono S , Feroah TR , Whitelaw WA , Remmers JE . Pharyngeal narrowing and closing pressures in patients with obstructive sleep apnea. Am Rev Respir Dis 1993;148(3):606–611.

White DP . Sleep-related breathing disorder. 2. Pathophysiology of obstructive sleep apnoea. Thorax 1995;50(7):797–804.

Dealberto MJ , Ferber C , Garma L , Lemoine P , Alperovitch A. Factors related to sleep apnea syndrome in sleep clinic patients. Chest 1994;105(6):1753–1758.

Katz I , Stradling J , Slutsky AS , Zamel N , Hoffstein V. Do patients with obstructive sleep apnea have thick necks? Am Rev Respir Dis 1990;141(5 pt 1):1228–1231.

Schwab RJ , Gupta KB , Gefter WB , Metzger LJ , Hoffman EA , Pack AI . Upper airway and soft tissue anatomy in normal subjects and patients with sleep-disordered breathing: significance of the lateral pharyngeal walls. Am J Respir Crit Care Med 1995;152(5 pt 1):1673–1689.

Ferguson KA , Ono T , Lowe AA , Ryan CF , Fleetham JA . The relationship between obesity and craniofacial structure in obstructive sleep apnea. Chest 1995;108(2):375–381.

Sanders MH , Kern NB , Stiller RA , Strollo PJ Jr , Martin TJ , Atwood CW Jr . CPAP therapy via oronasal mask for obstructive sleep apnea. Chest 1994;106(3):774–779.

American Thoracic Society. Indications and standards for use of nasal continuous positive airway pressure (CPAP) in sleep apnea syndromes. Official statement adopted March 1994. Am J Respir Crit Care Med 1994;150(6 pt 1):1738–1745.

Sanders MH , Kern N. Obstructive sleep apnea treated by independently adjusted inspiratory and expiratory positive airway pressures via nasal mask: physiologic and clinical implications. Chest 1990;98(2):317–324.

Strollo PJ , Sanders MH , Stiller RA . Continuous and bi-level positive airway pressure therapy in sleep disordered breathing. Oral Maxillofacial Surg Clin North Am 1995;7(2):221–230.

Popper RA , Leidlinger MJ , Williams AJ . Endoscopic observations of the pharyngeal airway during treatment of obstructive sleep apnea with nasal continuous positive airways pressure—a pneumatic splint. West J Med 1986;144(1):83–85.

Series F , Cormier Y , Couture J , Desmeules M. Changes in upper airway resistance with lung inflation and positive airway pressure. J Appl Physiol 1990;68(3):1075–1079.

Rapoport DM , Garay SM , Goldring RM . Nasal CPAP in obstructive sleep apnea: mechanisms of action. Bull Eur Physiopathol Respir 1983;19(6):616–620.

Strohl KP , Redline S. Nasal CPAP therapy, upper airway muscle activation, and obstructive sleep apnea. Am Rev Respir Dis 1986;134(3):555–558.

Condos R , Norman RG , Krishnasamy I , Peduzzi N , Goldring RM , Rapoport DM . Flow limitation as a noninvasive assessment of residual upper-airway resistance during continuous positive airway pressure therapy of obstructive sleep apnea. Am J Respir Crit Care Med 1994;150(2):475–480.

Guilleminault C , Stoohs R , Clerk A , Cetel M , Maistros P. A cause of excessive daytime sleepiness: the upper airway resistance syndrome. Chest 1993;104(3):781–787.

Strollo P , Sanders M , Walsh S , Stiller R , Atwood C , Martin T. Predicting the positive pressure prescription in sleep apnea/hypopnea (abstract). Am J Respir Crit Care Med 1995;151(4, Part 2):A155.

Pepin JL , Leger P , Veale D , Langevin B , Robert D , Levy P. Side effects of nasal continuous positive airway pressure in sleep apnea syndrome: study of 193 patients in two French sleep centers. Chest 1995;107(2):375–381.

Edinger JD , Radtke RA . Use of in vivo desensitization to treat a patient's claustrophobic response to nasal CPAP. Sleep 1993;16(7):678–680.

Strollo PJ , Sanders MH , Walsh S , Fernandes K , Atwood C. Compliance with CPAP for sleep apnea at varying pressures (abstract). Am J Respir Crit Care Med 1997;155(4, Part 2):A305.

Sanders MH , Gruendl CA , Rogers RM . Patient compliance with nasal CPAP therapy for sleep apnea. Chest 1986;90(3):330–333.

Rolfe I , Olson LG , Saunders NA . Long-term acceptance of continuous positive airway pressure in obstructive sleep apnea. Am Rev Respir Dis 1991;144(5):1130–1133.

Hoffstein V , Viner S , Mateika S , Conway J. Treatment of obstructive sleep apnea with nasal continuous positive airway pressure: patient compliance, perception of benefits, and side effects. Am Rev Respir Dis 1992;145(4 pt 1):841–845.

Reeves-Hoche MK , Meck R , Zwillich CW . Nasal CPAP: an objective evaluation of patient compliance. Am J Respir Crit Care Med 1994;149(1):149–154.

Kribbs NB , Pack AI , Kline LR , Smith PL , Schwartz AR , Schubert NM , et al. Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. Am Rev Respir Dis 1993;147(4):887–895.

Meurice JC , Dore P , Paquereau J , Neau JP , Ingrand P , Chavagnat JJ , Patte F. Predictive factors of long-term compliance with nasal continuous positive airway pressure treatment in sleep apnea syndrome. Chest 1994;105(2):429–433.

Engelman HM , Martin SE , Douglas NJ . Compliance with CPAP therapy in patients with the sleep apnoea/hypopnoea syndrome. Thorax 1994;49(3):263–266.

Hillberg RE , Johnson DC . Noninvasive ventilation. N Engl J Med 1997;337(24):1746–1752.

Sanders MH , Rogers RM , Pennock BE . Prolonged expiratory phase in sleep apnea: a unifying hypothesis. Am Rev Respir Dis 1985;131(3):401–408.

Reeves-Hoche MK , Hudgel DW , Meck R , Witterman R , Ross A , Zwillich CW . Continuous versus bi-level positive airway pressure for obstructive sleep apnea. Am J Respir Crit Care Med 1995;151(2 pt 1):443–449.

Richards GN , Cistulli PA , Ungar RG , Berthon-Jones M , Sullivan CE . Mouth leak with nasal continuous positive airway pressure increases nasal airway resistance. Am J Respir Crit Care Med 1996;154(1):182–186.

Juhasz J , Schillen J , Urbigkeit A , Ploch T , Penzel T , Peter JH . Unattended continuous positive airway pressure titration: clinical relevance and cardiorespiratory hazards of the method. Am J Respir Crit Care Med 1996;154(2 pt 1):359–365.

Teschler H , Berthon-Jones M , Wessendorf T , Meyer HJ , Konietzko N. Influence of moderate alcohol consumption on obstructive sleep apnoea with and without AutoSet nasal CPAP therapy. Eur Respir J 1996;9(11):2371–2377.

Teschler H , Berthon-Jones M , Thompson AB , Henkel A , Henry J , Konietzko N. Automated continuous positive airway pressure titration for obstructive sleep apnea syndrome. Am J Respir Crit Care Med 1996;154(3 pt 1):734–740.

Sharma S , Wali S , Pouliot Z , Peters M , Neufeld H , Kryger M. Treatment of obstructive sleep apnea with a self-titrating continuous positive airway pressure (CPAP) system. Sleep 1996;19(6):497–501.

Kiely JL , Delahunty C , Matthews S , McNicholas WT . Comparison of a limited computerized diagnostic system (ResCare Autoset) with polysomnography in the diagnosis of obstructive sleep apnoea syndrome. Eur Respir J 1996;9(11):2360–2364.

Berthon-Jones M , Lawrence S , Sullivan CE , Grunstein R. Nasal continuous positive airway pressure treatment: current realities and future. Sleep 1996;19(9 Suppl):S131–S135.