title: Application of dual mask for postoperative respiratory support in obstructive sleep apnea patient.
abstract: In some conditions continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BIPAP) therapy alone fails to provide satisfactory oxygenation. In these situations oxygen (O2) is often being added to CPAP/BIPAP mask or hose. Central sleep apnea and obstructive sleep apnea (OSA) are often present along with other chronic conditions, such as chronic obstructive pulmonary disease (COPD), congestive heart failure, pulmonary fibrosis, neuromuscular disorders, chronic narcotic use, or central hypoventilation syndrome. Any of these conditions may lead to the need for supplemental O2 administration during the titration process. Maximization of comfort, by delivering O2 directly via a nasal cannula through the mask, will provide better oxygenation and ultimately treat the patient with lower CPAP/BIPAP pressure.
authors: VA Western New York Healthcare System, Division of Critical Care and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo, School of Medicine and Biomedical Sciences, VA Medical Center, Room 203C, 3495 Bailey Avenue, Buffalo, NY 14215, USA.
authors: Jahan
authors: J
authors: Porhomayon
authors: Gino
authors: G
authors: Zadeii
authors: Nader D
authors: ND
authors: Nader
authors: George R
authors: GR
authors: Bancroft
authors: Alireza
authors: A
authors: Yarahamadi
references: BMJ. 2004 Oct 23;329(7472):955-9
references: 15499112
references: Anesth Analg. 1999 Sep;89(3):762-7
references: 10475322
references: Anaesthesist. 2005 Jul;54(7):684-93
references: 15809854
references: Br J Anaesth. 2001 Feb;86(2):254-66
references: 11573670
references: Chest. 2005 Nov;128(5):3691-8
references: 16304335
references: Respir Med. 2006 Sep;100(9):1608-13
references: 16448810
references: Anesthesiol Clin. 2010 Sep;28(3):443-55
references: 20850076
references: Prog Cardiovasc Dis. 2009 Jan-Feb;51(4):313-23
references: 19110133
references: Respiration. 2008;76(1):40-5
references: 18042974