Sleep Related Breathing Disorders (SRBDs), Patients with the indication for first-time initiation of BiLevel therapy. G47.3
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosis of obstructive, mixed or complex sleep apnea; indication for first-time initiation of BiLevel therapy within clinical routine, time to first time diagnosis = 6 months; Age = 18 years; signed informed consent
Exclusion criteria
Exclusion criteria: Missing signed informed consent form; Concurrent participation in another study that influences the initiation of BiLevel therapy by specifications of device settings or titration procedure; Acute cardiac decompensation; Severe arrhythmia; Severe hypotension, particularly in combination with intravascular volume depletion; Severe epistaxis; High risk of barotrauma; Severe chronic/decompensated pulmonary conditions; Pneumothorax or pneumomediastinum; Pneumocephalus; Cranial trauma; Status following brain surgery or surgical intervention on the pituitary gland or the middle/inner ear; Acute sinus infection (sinusitis), middle ear infection (otitis media) or perforated eardrum; Dehydration; In each case the decision whether to use this therapy device lies with the doctor in charge.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome parameters for the evaluation of therapeutic efficacy of the auto-Bi-/TriLevel therapy night are the apnea-hypopnea index (AHI) and the percentage of total sleep time (TST) with an oxygen Saturation < 90% (SpO2<90% in %TST). | — |
Secondary
| Measure | Time frame |
|---|---|
| Outcome parameters of the split-night comparison of the Bi- and TriLevel pressure profile are the obstructive apnea index (oAI) and the percentage of total sleep time (TST) with an oxygen saturation < 90% (SpO2<90% in %TST). In addition the following outcome parameters are of relevance for the comparison: tidal volume, breaths per minute (bpm), pressure parameters (IPAP, EEPAP, EPAP), leakage and relative inspiration time (Ti/T). The outcome parameters and laboratory reports regarding evtl. manual changes of therapeutic parameters will provide information regarding the comparison of the Bi- and TriLevel pressure profile. | — |
Countries
Germany
Contacts
Pneumologisches InstitutHELIOS Klinik Hagen