重叠综合症无创通气要领.pdf

Hindawi Publishing Corporation Case Reports in Medicine Volume 2013, Article ID 945782, 6 pages /10.1155/2013/945782 Case Report An Evaluation of a Novel Mask in Four Patients with Obstructive Sleep Apnea and Overlap Syndromes Alireza Yarahmadi,1 Nader D. Nader,2 Gino Zadeii,3 and Jahan Porhomayon4 1 Mercy North-Iowa Neurology and Sleep Laboratory, University of Iowa, Mason City, IA 50401, USA 2 VA Western New York Healthcare System, Division of Cardiothoracic Anesthesia and Pain Medicine, Department of Anesthesiology, State University of New York at Bufalo, School of Medicine and Biomedical Sciences, Bufalo, NY 14215, USA 3 University of Iowa, Mason City, IA 50401, USA 4 VA Western New York Healthcare System, Division of Critical Care and Pain Medicine, Department of Anesthesiology, State University of New York at Bufalo, School of Medicine and Biomedical Sciences, Bufalo, NY 14215, USA Correspondence should be addressed to Jahan Porhomayon; jahanpor@ Received 3 May 2013; Revised 19 June 2013; Accepted 3 July 2013 Academic Editor: Tian Po Oei Copyright © 2013 Alireza Yarahmadi et al. his is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We present four cases of adults with obstructive sleep apnea in whom positive airway pressure therapy alone failed to provide adequate oxygenation. We have previously reported the use of dual mask for ventilatory support of a patient postoperatively (Porhomayon et al., 2013) . Here, we report an evaluation of the dual mask in four patients with overlap syndromes. Application of dual mask provided adequate oxygenation with lower continuous positive airway pressure