title: [Proposal for a systematic analysis of polygraphy or polysomnography for identifying and scoring abnormal events occurring during non-invasive ventilation].
abstract: Non-invasive ventilation (NIV) is recognised as an effective treatment for chronic hypercapnic respiratory failure. Monitoring NIV during sleep may be preferable to daytime assessment. This paper reports the findings of an international consensus group, which systematically analysed nocturnal polygraphic or polysomnographic tracings recorded with either volume-cycled or pressure-cycled ventilators. A systematic description of nocturnal respiratory events, which occur during NIV, is proposed: leaks, obstruction at different levels of the upper airway (glottis and/or pharynx), with or without decrease of respiratory drive and asynchrony.
authors.affiliation: Service de pneumologie et réanimation respiratoire, hôpital de la Pitié-Salpêtrière, groupe hospitalier Pitié-Salpêtrière, 47 et 83, boulevard de l'Hôpital, 75651 Paris cedex 13, France. Electronic address: jesus.gonzalez@psl.aphp.fr.
authors.forename: J
authors.initials: J
authors.lastname: Gonzalez-Bermejo
authors.affiliation: Service de pneumologie, centre hospitalier de Cannes, 06400 Cannes, France.
authors.forename: C
authors.initials: C
authors.lastname: Perrin
authors.affiliation: Division of Pulmonary Diseases, Geneva University Hospital, 1211 Genève 14, Suisse.
authors.forename: J-P
authors.initials: JP
authors.lastname: Janssens
authors.affiliation: Laboratoire du Sommeil, département de pneumologie, CHRU de Grenoble, 38043 Grenoble, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Pépin
authors.affiliation: Laboratoire du sommeil, hôpital Raymond-Poincaré, Assistance publique-Hôpitaux de Paris, 92380 Garches, France.
authors.forename: G
authors.initials: G
authors.lastname: Mroue
authors.affiliation: Service de pneumologie, centre hospitalier Lyon-Sud, 69000 Lyon, France.
authors.forename: P
authors.initials: P
authors.lastname: Leger
authors.affiliation: Service de réanimation, centre hospitalier d'Alès, BP 20139, 30103 Alès cedex, France.
authors.forename: B
authors.initials: B
authors.lastname: Langevin
authors.affiliation: ADEP Assistance, 92150 Suresnes, France.
authors.forename: S
authors.initials: S
authors.lastname: Rouault
authors.affiliation: Service de pneumologie et réanimation respiratoire, centre hospitalier et universitaire de Dijon, 21000 Dijon, France.
authors.forename: C
authors.initials: C
authors.lastname: Rabec
authors.affiliation: Service de pneumologie, cliniques universitaires Saint-Luc, université Catholique de Louvain, 1200 Bruxelles, Belgique.
authors.forename: D
authors.initials: D
authors.lastname: Rodenstein
keywords: Apnées centrales; Apnées obstructives; Central sleep apnea; Monitorage; Monitoring; Non-invasive ventilation; Obstructive sleep apnea; Polysomnographie; Polysomnography; Ventilation non invasive