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| Name | Class |
|---|---|
| ResMed | INDUSTRY |
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Patients with OHS are efficiently managed with long term home-based nocturnal noninvasive positive pressure ventilation (NIPPV). Several NIPPV devices offer the feature of automatically adjusting pressure support (and/or respiratory back-up rate) on the basis of a pre-determined "ideal tidal volume" or "ideal ventilation". However algorithms used to achieve these ideal targets are different among different commercialized devices and the relative efficacy from an algorithm compared to another remains unknown. The main objective is this study is to compare two commercialized NIPPV that have this option
RESMED Stellar-150 (IVAPS mode)versus PHILIPS-RESPIRONICS A30 (AVAPS-mode).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AVAPS | Active Comparator | AVAPS mode(BIPAP-A30-PHILIPS-RESPIRONICS)1 night |
|
| IVAPS | Active Comparator | IVAPS mode(STELAR 150-RESMED)1 night |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IVAPS | Device | IVAPS mode (RESMED Stelar 150) during 1 night |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Nocturnal transcutaneous CO2 pressure (Mean nocturnal PtCO2) | transcutaneous CO2 pressure is measured overnight. It is a reliable estimation of arterial PaCO2 to monitor nocturnal ventilation in adults with chronic respiratory failure. | 1 night |
| Measure | Description | Time Frame |
|---|---|---|
| Mean transcutaneous CO2 pressure during REM Sleep | 1 Night | |
| Mean nocturnal SpO2 | 1 night | |
| Awake arterial PaCO2 after 1 hour of NIPPV withdrawal |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean Louis Pepin, MD PHD | CHU Grenoble France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sleep Laboratory, Grenoble Univeristy Hospital | Grenoble | 38900 | France |
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| ID | Term |
|---|---|
| D010845 | Obesity Hypoventilation Syndrome |
| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| D012891 | Sleep Apnea Syndromes |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
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| AVAPS |
| Device |
AVAPS mode (PHILIPS-RESPIRONICS-A30) during 1 night |
|
| After 1 night |
| Micro-arousals/hour of sleep | 1 night |
| Sleep Quality assess by Visual analogic scale (100mm) | 1 night |
| Respiratory residual events detected by NIPPV built-in softwares | 1 Night |
| D012140 |
| Respiratory Tract Diseases |
| D007040 | Hypoventilation |
| D012131 | Respiratory Insufficiency |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |