five-minute awake snoring test for determining cpap pressures (five-minute cpap test): a pilot study
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2016
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Abstract
Objective. To develop a quick, simple, bedside test for determining continuous positive airway pressures (CPAP) for obstructive sleep apnea (OSA) patients. Study Design. Prospective case series at a tertiary medical center. Methods. The Five-Minute Awake Snoring Test for Determining CPAP (Five-Minute CPAP Test) was developed and tested. Patients wear a soft-gel nasal triangle mask while holding a tongue depressor with the wide section (1.75 cm) between the teeth. Fixed pressure nasal CPAP is applied while the patient simulates snoring at 4 centimeters of water pressure. The pressure is incrementally titrated up and then down to determine the lowest pressure at which the patient cannot snore (Quiet Pressure). Results. Overall, thirty-eight patients participated. All could simulate snoring. Correlation coefficients were statistically significant between Quiet Pressures and body mass index (rs=0.60 [strong positive relationship], p=0.0088), apnea-hypopnea index (rs=0.49 [moderate positive relationship], p=0.039), lowest oxygen saturation (rs=-0.47 [moderate negative relationship], p=0.048), and oxygen desaturation index (rs=0.62 [strong positive relationship], p=0.0057). Conclusion. This pilot study introduces a new concept, which is the final product of over one year of exploration, development, and testing. Five-Minute CPAP Test is a quick, inexpensive, and safe bedside test based on supine awake simulated snoring with nasal CPAP.
| Reference Key |
camacho2016sleepfive-minute
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| Authors | ;Macario Camacho;Chad M. Ruoff;Makoto Kawai;Rahul Modi;Jabri Arbee;Anahid Hekmat;Matthew Robertson;Soroush Zaghi;Victor Certal;Robson Capasso;Clete A. Kushida |
| Journal | Cyberpsychology, behavior and social networking |
| Year | 2016 |
| DOI |
10.1155/2016/7380874
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