Open AccessCase of postural complex sleep apnea: effect of gravitational forces
Author(s) -
Kamender Singh Pawar,
Abhishek Goyal,
Alkesh Kumar Khurana,
Sandeep Kumar,
Amit Sen
Publication year - 2017
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/lungindia.lungindia_374_16
Subject(s) - supine position , medicine , continuous positive airway pressure , positive airway pressure , anesthesia , body position , obstructive sleep apnea , sleep apnea , apnea , airway , ventilation (architecture) , positive pressure , physical medicine and rehabilitation , mechanical engineering , engineering
We report a case of an elderly male with predominant obstructive sleep apnea and who developed or complex sleep apnea (CxSA) at the start of continuous positive airway pressure (CPAP) titration. This CxSA was more prominent in supine position, and he was not settling with either CPAP/bilevel positive airway pressure (PAP) in supine position. He finally settled with CPAP along with position therapy. This case highlights the importance of treating CxSA with basic PAP modes like CPAP along with positional therapy before switching to costlier therapies such as adaptive servo-ventilation.