title: Home ventilation therapy in obstructive sleep apnea-hypopnea syndrome.
abstract: Obstructive sleep apnea-hypopnea is a highly prevalent disease that is often underdiagnosed at present. It has a significant economic and social welfare impact, accounting for a large part of the resources assigned to home respiratory therapies. As part of the 2014 SEPAR Year of the Chronic Patient and Domiciliary Respiratory Care sponsored by the Spanish Society of Pulmonology and Thoracic Surgery, this article reviews the most recent publications on the indications and controversial issues in the treatment of sleep apnea, the latest evidence for indication of various positive pressure devices, and adjustment modes, ranging from the use of empirical formulae or mathematical estimations to modern auto-CPAP equipment, while not forgetting the gold standard of manual titration. Emphasis is placed on the need for monitoring required by patients to ensure treatment adherence and compliance. Finally, other therapies that are not the object of this article are briefly reviewed.
authors: Sección de Neumología, Unidad Multidisciplinar de Sueño,, Grupo Español de Sueño, Respiratory Research Group-Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Investigación Sanitaria-Fundación Jiménez Díaz, Madrid, España. Electronic address: ngonzalez@fjd.es.
authors: Nicolás
authors: N
authors: González Mangado
authors: Sección de Neumología, Unidad Multidisciplinar de Sueño,, Grupo Español de Sueño, Respiratory Research Group-Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Investigación Sanitaria-Fundación Jiménez Díaz, Madrid, España.
authors: María Fernanda
authors: MF
authors: Troncoso Acevedo
authors: Sección de Neumología, Unidad Multidisciplinar de Sueño,, Grupo Español de Sueño, Respiratory Research Group-Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Investigación Sanitaria-Fundación Jiménez Díaz, Madrid, España.
authors: Teresa
authors: T
authors: Gómez García
mesh_terms: D000233:Adenoidectomy; D000328:Adult; D000367:Age Factors; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control; D002648:Child; D003131:Combined Modality Therapy; D045422:Continuous Positive Airway Pressure / Q000379:methods; D020920:Dyssomnias / Q000150:complications; D004867:Equipment Design; D005260:Female; D006699:Home Care Services; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation; D008297:Male; D010349:Patient Compliance; D017286:Polysomnography; D012737:Sex Factors; D020182:Sleep Apnea, Central / Q000503:physiopathology / Q000628:therapy; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000601:surgery / Q000628:therapy*; D014068:Tonsillectomy; D016896:Treatment Outcome
keywords: Apnea del sueño; Continuous positive airway pressure; Presión positiva continua en la vía aérea; Sleep apnea; Sleep apnea-hypopnea syndrome; Síndrome de apnea-hipopnea del sueño; Terapias ventilatorias; Ventilatory therapies