Negative Expiratory Pressure Technique: An Awake Test to Measure Upper Airway Collapsibility in Adolescents
Author(s) -
Helena Larramona Carrera,
Carole L. Marcus,
Joseph M. McDonough,
Joan Carles Oliva Morera,
Jingtao Huang,
Ramón Farré,
Josep M. Montserrat
Publication year - 2015
Publication title -
sleep
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.222
H-Index - 207
eISSN - 1550-9109
pISSN - 0161-8105
DOI - 10.5665/sleep.5164
Subject(s) - supine position , medicine , anesthesia , obstructive sleep apnea , expiration , airway , positive pressure , wakefulness , tidal volume , breathing , ventilation (architecture) , cardiology , respiratory system , mechanical engineering , electroencephalography , psychiatry , engineering
Upper airway (UA) collapsibility is a major pathophysiologic feature of the obstructive sleep apnea syndrome (OSAS). In adolescents, it is measured by obtaining the slope of pressure-flow relationship (SPF) while applying negative nasal pressure during sleep. An easier technique to assess UA collapsibility, consisting of application of negative expiratory pressure (NEP) during wakefulness, has demonstrated differences between control and OSAS subjects. We hypothesized that the NEP technique would correlate with SPF as a measurement of UA collapsibility in adolescents.
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