Obstructive Sleep Apnea (OSA) may overlap with any number of pulmonary diseases, including COPD, cystic fibrosis (CF), etc. Obstructive Sleep Apnea (OSA)

Slides:

Advertisements

Similar presentations

What Causes Cor Pulmonale?

Advertisements

Survival After Single Versus Bilateral Lung Transplantation for High-Risk Patients With Pulmonary Fibrosis Eric S. Weiss, MD, MPH, Jeremiah G. Allen,

Differences in Response to Pulmonary Rehabilitation in Idiopathic Pulmonary Fibrosis and Chronic Obstructive Pulmonary Disease Respiration 2011;81:196–205.

Prevalence and outcome of lung cancer in lung transplant recipients

Residual volume (RV) to total lung capacity (TLC) ratio versus FEV1 % predicted. Residual volume (RV) to total lung capacity (TLC) ratio versus FEV1 %

Meghan E. Sise, Andrew M. Courtwright, Richard N. Channick

Lung Transplant Mortality Is Improving in Recipients With a Lung Allocation Score in the Upper Quartile Todd C. Crawford, MD, Joshua C. Grimm, MD, J.

Examples of lung-sounds analysis in 3 patients: one with pneumonia, one with interstitial pulmonary fibrosis (IPF), and one with congestive heart failure.

Kaplan–Meier survival curves of interstitial pneumonia with autoimmune features (IPAF) with usual interstitial pneumonia (UIP) pattern (on high-resolution.

Matrix used to calculate the kappa statistic.

HomeLOX liquid oxygen system, which creates oxygen from a concentrator and refrigerates the concentrator gas to a liquid state, which is stored in a small.

Flowchart showing the requirement for starting, documenting and evaluating the effect on quality of life (QoL) of interdisciplinary best supportive care.

Example of nocturnal oxygen desaturation (NOD) and its physiological consequences. Example of nocturnal oxygen desaturation (NOD) and its physiological.

Association between cardiovascular disease, cardiovascular risk factors and chronic obstructive pulmonary disease (COPD) on mortality. Association between.

3-year survival of lung cancer patients in the general population and in those with a prior diagnosis of chronic obstructive pulmonary disease (COPD).

Kaplan–Meier survival curves for outcomes among chronic obstructive pulmonary disease (COPD) patients without obstructive sleep apnoea (OSA) (COPD group),

Differences in the distribution of lung densities in a patient with ARDS on a computed tomography scan between supine position (top) and prone position.

An example of delayed cycling during pressure-support ventilation of a patient with COPD, on a Puritan Bennett 7200 ventilator, which has a flow-termination.

Example airway pressure and rib-cage impedance in a premature infant supported with the biphasic mode of SiPAP (“sigh” positive airway pressure) from the.

Morbidity and mortality benefits with statin use in observational studies on a logarithmic scale. Morbidity and mortality benefits with statin use in observational.

This schematic view of the morpho-functional unit of the lung (alveolus) depicts the main differences in cellular composition in idiopathic pulmonary fibrosis.

Diffusing capacity of the lung for carbon monoxide (DLCO) (squares) decreases with incomplete inhalations of the test gas. Diffusing capacity of the lung.

Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value, Area Under the Curve, and 95% CIs for the 0, 10, 25, 50, and 100 SatSeconds.

Representative tracings of transcutaneous CO2 (PtcCO2), Spo2, and heart rate during an apnea test designed to raise Paco2 to 100 mm Hg. At baseline, PtcCO2.

A: Machine-triggered intermittent mandatory ventilation (IMV) with inadequate patient triggering of mandatory breaths. A: Machine-triggered intermittent.

Trigger and synchronization windows.

Typical pressure-time curves during forced expiration against an occluded airway in cystic fibrosis (CF) patients and healthy controls. Typical pressure-time.

Pathophysiological interactions between chronic obstructive pulmonary disease (COPD), sleep and obstructive sleep apnoea syndrome (OSAS). Pathophysiological.

Proportion of participants with access to a, b) a radiologist and c, d) a pathologist experienced in interstitial lung diseases to discuss cases of suspected.

Serial chest x-rays of our patient.

In this tracing of 30 seconds, 4 breaths are ineffectively triggered (arrows IT) and 7 are effectively triggered. In this tracing of 30 seconds, 4 breaths.

Kaplan-Meier curves demonstrating the improved survival of men with DMD by decade of birth from the 1960s to the 1990s. Kaplan-Meier curves demonstrating.

Schematic drawing of alveolar sizes at upper (A), middle (B), and lower dependent (C) lung regions at end expiration and end inspiration. Schematic drawing.

Effect of respiratory mechanics on cycling of pressure support from inhalation to exhalation. Effect of respiratory mechanics on cycling of pressure support.

Correlation between inspiratory capacity (IC)/total lung capacity (TLC) ratio and oxygen pulse at peak exercise in chronic obstructive pulmonary disease.

Multifactorial processes involving a wide range of mechanisms of obstructive sleep apnea causing increased risk of future coronary events and poor prognosis.

A computed tomographic scan of the chest shows diffuse bilateral patchy pulmonary infiltrates predominant in the peripheries, with surrounding ground-glass.

The curved Macintosh blade and straight Miller blade in standard adult sizes (Macintosh size 3, Miller size 2), with different handle choices available.

Change in mean pulmonary arterial pressure after a 5-min inhalation of the Rho kinase inhibitor Y in rats with hypoxic pulmonary hypertension, with.

Kaplan-Meier survival curves for outcomes among COPD patients, overlap patients on CPAP, and overlap patients not on CPAP. CPAP treatment was not randomly.

Control circuit for set-point or dual targeting schemes.

A: Optimal cutoff point (circled) at which visual analog scale score categorizes subjects with versus those without bronchial obstruction. A: Optimal cutoff.

Bland-Altman plots for agreements between arterial blood gas analysis and pulse oximeter measurements in subjects with COPD (A), subjects with chronic.

The concept of using pulmonary function tests to place subjects into physiologic “buckets” using the interpretation algorithm of the American Thoracic.

Gamma camera scans showing posterior lung images of 4 adult patients with cystic fibrosis following inhalation of an aerosol containing the radioisotope.

Assembly used to convert a standard ventilator to an intermittent mandatory ventilation circuit. Assembly used to convert a standard ventilator to an intermittent.

Screen shot of test acceptability and reproducibility for spirometry (upper panel) and diffusion capacity of the lung for carbon monoxide (DLCO) (lower.

A: Changes in percent of predicted following bronchodilator for spirometric and lung volumes variables. A: Changes in percent of predicted following bronchodilator.

This figure is an example of a 14-year-old child with obstructive lung disease due to cystic fibrosis. This figure is an example of a 14-year-old child.

Mortality rate according to our integrated index that combines DH and exercise capacity. Mortality rate according to our integrated index that combines.

Graphical representation of the locations where spontaneous breaths may occur during the airway pressure (Paw) release ventilation ventilatory cycle. Graphical.

Mean inspiratory work of breathing during assisted breaths and spontaneous breaths across the spectrum of ventilatory support continuous mandatory ventilation.

Flow, airway pressure, and transversus abdominis electromyogram (EMG) waveforms from a mechanically ventilated patient with COPD receiving pressure-support.

Schematic of mechanisms behind the better recruitment of alveoli with spontaneous breathing. Schematic of mechanisms behind the better recruitment of alveoli.

Pulmonary vascular resistance (PVR; dyn/s/cm) at baseline and after exposure to inhaled nitric oxide (INO; 20 ppm) for 10 min, inhaled epoprostenol (EPO;

Spirometry test quality, reported as a grade point average, for the pulmonary function technicians, in the first 40 months of the Lung Health Study. Spirometry.

Airway pressure and flow graphics illustrate delayed cycling.

Choosing inhaler therapy for patients with stable COPD based on the Global Initiative for Chronic Obstructive Lung Disease grouping. Choosing inhaler therapy.

A: Tracheostomy timing in Project IMPACT surgical ICUs

The Global Initiative for Chronic Obstructive Lung Disease (GOLD) ABCD scheme for classifying patients with COPD with separate appraisal of air-flow limitation.

Survival among subjects with COPD, under age 65 and with similar pulmonary function impairment, in the Nocturnal Oxygen Therapy Trial (NOTT)58 and Intermittent.

Sequence plot visualizing the development of symptom frequency for the cohort at the individual level between 2006 and Sequence plot visualizing.

Representative tidal volume (VT) and breathing frequency (f) patterns of subjects with COPD and normal subjects during cardiopulmonary exercise testing.

Relationship between the ΔP0. 1/end-tidal CO2 (ΔP0

Impedance data from patients with asthma (left) and COPD (right) according to severity of underlying disease. Impedance data from patients with asthma.

A: Comparison of pediatric lung transplant survival between different age groups. A: Comparison of pediatric lung transplant survival between different.

Average drug doses in the peripheral lung, central lung, and extrathoracic airway; residual drug left in the device; and residual drug that was exhaled.

Fentenyl and lorazepam use for the first 5 d of ventilatory support are presented. Fentenyl and lorazepam use for the first 5 d of ventilatory support.

Time taken to perform the Glittre activities of daily living (Glittre ADL) test by severity of COPD obstruction according to Global Initiative for Chronic.

The natural history of chronic obstructive pulmonary disease (COPD) is a mixture of the natural history of the various phenotypes making up the umbrella.

Presentation transcript:

Obstructive Sleep Apnea (OSA) may overlap with any number of pulmonary diseases, including COPD, cystic fibrosis (CF), etc. Obstructive Sleep Apnea (OSA) may overlap with any number of pulmonary diseases, including COPD, cystic fibrosis (CF), etc. This overlap will lead to greater and more prolonged NOD, and may contribute to increased morbidity and mortality than either of the constitutive diseases. IPF = interstitial pulmonary fibrosis. (From Reference 60, with permission.)‏ Robert L Owens Respir Care 2013;58:32-47 (c) 2012 by Daedalus Enterprises, Inc.