Treatment-emergent central sleep apnoea after surgery for obstructive sleep apnoea

Giacomo Della Marca, Emanuele Scarano, Elisa Testani, Eugenio De Corso, Antonella Fiorita, Catello Vollono

Risultato della ricerca: Contributo in rivistaArticolo in rivista

1 Citazioni (Scopus)

Abstract

Central sleep apnoea (CSA) is a lack of drive to breathe during sleep, which can occur in physiologic as well as in pathologic conditions. A particular type of CSA, defined treatment-emergent CSA (TECSA), may occur after the treatment of obstructive sleep apnoea syndrome (OSAS), either with CPAP or surgery. TECSA is transitory and seems to be related to the severity of OSAS. We describe a 51-year-old man affected by severe OSAS who developed severe, transient CSA immediately after upper airways surgery. We believe that CSA was triggered by the sudden variation in nocturnal arterial PCO 2 , which decreased from 52.3 mmHg before surgery to 42.0 mmHg after surgery. It is conceivable that, due to long-lasting severe OSAS, our patient lowered his chemosensitivity to PCO 2 . Consequently, the resolution of obstructive apnoeas and the restoration of normal nocturnal values of PCO 2 may have reduced the nocturnal PCO 2 to the point of being inadequate to stimulate ventilation.
Lingua originaleEnglish
pagine (da-a)476-479
Numero di pagine4
RivistaActa Otorhinolaryngologica Italica
Volume38
DOI
Stato di pubblicazionePubblicato - 2019

Keywords

  • 2
  • CSA
  • Complex sleep apnoea
  • Humans
  • Male
  • Middle Aged
  • OSA
  • PCO
  • Postoperative Complications
  • Severity of Illness Index
  • Sleep Apnea, Central
  • Sleep Apnea, Obstructive
  • Time Factors
  • Treatment emergent central sleep apnoea
  • UPPP

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