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the protocol is too complex and we are not able to recruit appropriate patients
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Static hyperinflation is frequent in Chronic obstructive pulmonary disease (COPD) , resulting in increased end expiratory lung volume and positive end expiratory pressure (PEEPi) at the end of a normal expiration.
Static hyperinflation worsens the work of breathing is increases patient's dyspnea.
The application of a continuous positive airway pressure (CPAP) has been shown to improve static hyperinflation and to decrease the work of breathing.
Sleep is deteriorated in COPD patients, and causal factors includes static hyperinflation. The purpose of our study is to assess the effect of nocturnal CPAP on sleep quality and functional respiratory parameters.
Chronic obstructive pulmonary disease (COPD) is characterized by an airflow obstruction, inducing a flow limitation. As a consequence, we observe in these patients an increased end expiratory lung volume and a positive end expiratory pressure (PEEPi) at the end of a normal expiration.
Patients are breathing at higher pulmonary volumes: this is the concept of static hyperinflation.
This worsens the breathing pattern because in this situation, the work of breathing is increased such that dyspnea increases.
The application of a continuous positive airway pressure (CPAP) has been shown to improve static hyperinflation and to decrease the work of breathing.
Sleep is deteriorated in COPD patients, and causal factors includes static hyperinflation, cough, depression. Moreover, normal physiological changes occuring during sleep in COPD patients are leading to deterioration of gaseous exchanges. The purpose of our study is to assess the effect of nocturnal CPAP on sleep quality and functional respiratory parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sham CPAP | Placebo Comparator | Sham continuous positive airway pressure is a CPAP given at too low pressure to have any physiological effect on upper airways patency and on lung volumes |
|
| Efficace CPAP | Active Comparator | Continuous positive airway pressure is a CPAP given at effective pressure to decrease the work of breathing in COPD patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| continuous positive airway pressure | Device | positive airway pressure given by a medical device through a nasal mask |
|
| Measure | Description | Time Frame |
|---|---|---|
| sleep quality | sleep efficiency, total sleep time, sleep architecture measured by polysomnography | day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| static hyperinflation | measure of static hyperinflation by lung function test after the night spent with CPAP | day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| ID | Term |
|---|---|
| D045422 | Continuous Positive Airway Pressure |
| ID | Term |
|---|---|
| D011175 | Positive-Pressure Respiration |
| D012121 | Respiration, Artificial |
| D058109 | Airway Management |
| D013812 | Therapeutics |
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| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012138 |
| Respiratory Therapy |