Navigation Links
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-French catheters. Researchers conclude that rates of PICC-associated DVT may be reduced by an improved selection of patients and catheter size. This article is published in the October issue of CHEST, the peer-reviewed journal of the American College of Chest Physicians: CHEST 2010; 138(4):803�.

NEW CPAP ADHERENCE CRITERIA MAY YIELD NEGATIVE EFFECTS

The application of new local coverage determination (LCD) adherence criterion for continued reimbursement of continuous positive airway pressure (CPAP) may have potential negative effects on patients with obstructive sleep apnea (OSA) and their clinical care. Researchers from National Jewish Health in Denver, Colorado, retrospectively examined a database of 150 patients who received neuropsychological testing prior to CPAP treatment and 3 to 6 months posttreatment. Patients were categorized using the new LCD criteria, and comparisons were made between adherent and nonadherent groups on neuropsychological variables. Fifty-five patients (37 percent) failed to meet the new criterion. Of the 63 patients who did not receive any special adherence intervention, 29 (46 percent) met the new criterion. Researchers conclude that controlled trials are needed to better understand the effect of the new guidelines on adherence and treatment outcomes. This article is published in the October issue of CHEST, the peer-reviewed journal of the American College of Chest Physicians: CHEST 2010; 138(4):875�.


'/>"/>

Contact: Jennifer Stawarz
jstawarz@chestnet.org
847-498-8306
American College of Chest Physicians
Source:Eurekalert

Related medicine news :

1. Quick Chest Pain Test Simplifies Discharge Decision
2. Concentra, American Showa to Open Associates Health Center in Blanchester, Ohio
3. Kids Tai Chi Workout Premieres in Westchester, New York, March 2, 2010
4. News briefs from the March issue of Chest
5. Chest X-rays Can Help Predict Which H1N1 Patients Are at Greatest Risk
6. Chest X-rays can help predict which H1N1 patients are at greatest risk
7. News briefs from the April issue of Chest
8. Outcomes of patients dismissed from the hospital with non-cardiac chest pain
9. Researchers successfully lower radiation dose associated with pediatric chest CT scans
10. Noncardiac Chest Pain May Warrant More Management: Study
11. News briefs from the May issue of Chest
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/13/2016)... ... February 13, 2016 , ... ... Society (INS) states that vein visualization technology should be used to ensure patient ... around the world, the INS Standards mandate the use of vein visualization technology ...
(Date:2/13/2016)... ... 13, 2016 , ... When an Au Pair comes all the way around the ... in for and they are often worried things won’t go well. More often than not, ... year’s Au Pair of the Year winner’s all commented how their Au Pairs have become ...
(Date:2/13/2016)... ... February 13, 2016 , ... DDi ... Management Solution Providers list for its expertise in eClinical Solutions. DDi has built ... serve the technology needs of global clients. DDi provides smarter technology for Clinical ...
(Date:2/12/2016)... , ... February 12, 2016 , ... Mystic Buddha Publishing ... in Blue SKies Buddha, the biography of Rama - Dr. Frederick Lenz. ... story, the love of a Buddhist teacher for teaching and helping others. Valentine’s ...
(Date:2/12/2016)... ... February 12, 2016 , ... ... initiative—the Siemens Foundation-PATH Ingenuity Fellowships—to develop the advanced skills needed to introduce ... from U.S. universities who will draw from Siemens’ deep knowledge of product ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... , Maharashtra, February 12, 2016 ... Market research report titled Chronic Inflammation Global Clinical ... a snapshot of the global clinical trials landscape ... clinical trials by Region, Country (G7 & E7), ... point status and reviews top companies involved and ...
(Date:2/11/2016)... Feb. 11, 2016 Stem cells are primitive ... by self-renewal and the capacity to differentiate into mature ... discovery, as the first mouse embryonic stem cells were ... until 1995 that the first culturing of embryonic stem ... were not produced until 2006 As a result of ...
(Date:2/11/2016)... SAN FRANCISCO , Feb. 11, 2016  Kindred ... focused on saving and improving the lives of pets, ... Technical Section of the New Animal Drug Application (NADA) ... the pivotal field study (KB0120) of Zimeta for the ... by the Company. --> ...
Breaking Medicine Technology: