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Chest news briefs: CPAP may cause facial changes
Date:10/4/2010

USE OF NASAL CPAP MAY CAUSE CRANIOFACIAL CHANGES

The use of a nasal continuous positive airway pressure (nCPAP) machine for more than 2 years may cause craniofacial changes in adults with obstructive sleep apnea (OSA). Researchers from The University of British Columbia, Vancouver, BC, Canada, analyzed baseline and follow-up radiographs from 46 Japanese patients with OSA who had used nCPAP for a minimum of 2 years. Changes in craniofacial structures were assessed. nCPAP use was associated with change in the craniofacial form by reducing maxillary and mandibular prominence and/or by altering the relationship between the two dental arches. There were no significant correlations between mean age, BMI, apnea-hypopnea index, or the average duration of nCPAP use (35.06.7 months) and the craniofacial changes. No patients reported any permanent craniofacial changes. Researchers conclude that the side effects of nCPAP use warrant more detailed studies over longer time periods, considering that nCPAP is often prescribed for long-term use. The article is published in the October issue of CHEST, the peer-reviewed journal of the American College of Chest Physicians: CHEST 2010; 138(4):870�.

INCREASED RISK FOR PICC DVT LINKED TO LARGER CATHETER SIZE

Larger catheter size, prior DVT, and having a prior surgery lasting longer than 1 hour are associated with an increased risk for peripherally inserted central catheter (PICC)-associated DVT. PICCs are often used to provide long-term IV antibiotic therapy, chemotherapy, and total parenteral nutrition. Researchers from the University of Utah and Intermountain Healthcare analyzed a total of 2,014 PICCs inserted at a level 1 trauma center in order to understand risk factors for PICC-associated DVT. Factors that best predicted DVT included patients who had a prior DVT, those who underwent prior surgery of duration greater than 1 hour, and the use of double lumen-5 French or triple lumen 6
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Contact: Jennifer Stawarz
jstawarz@chestnet.org
847-498-8306
American College of Chest Physicians
Source:Eurekalert

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