The Need for Titration With Polysomnography of Noninvasive Positive Pressure Ventilation in a Patient With Hypoventilation Syndrome With Kyphoscoliosis

다국어 초록 (Multilingual Abstract)

Attended noninvasive positive airway pressure (PAP) with polysomnography (PSG) is recommended for determining the level of ventilatory support and bilevel PAP required for patients with chronic alveolar hypoventilation syndromes. We present a case of a 24-year-old male with kyphoscoliosis who presented with dyspnea. The patient was diagnosed with chronic alveolar hypoventilation and had bilevel PAP titrated by referring to tidal volume and arterial gas analysis during the day. After further titration with PSG there was stable ventilation during non-rapid eye movement sleep but unstable on entering rapid eye movement sleep.

참고문헌 (Reference)

1 Sawicka EH, "Respiration during sleep in kyphoscoliosis" 42 : 801-808, 1987

2 Gonzalez C, "Kyphoscoliotic ventilatory insufficiency : effects of long-term intermittent positivepressure ventilation" 124 : 857-862, 2003

3 Lisboa C, "Inspiratory muscle function in patients with severe kyphoscoliosis" 132 : 48-52, 1985

4 Douglas NJ, "Hypoxic ventilatory response decreases during sleep in normal men" 125 : 286-289, 1982

5 Berry RB, "Best clinical practices for the sleep center adjustment of noninvasive positive pressure ventilation(NPPV)in stable chronic alveolar hypoventilation syndromes" 6 : 491-509, 2010