Bench study of auto-CPAP devices using a collapsible upper airway model with upstream resistance

Respir Physiol Neurobiol. 2008 Jun 30;162(1):48-54. doi: 10.1016/j.resp.2008.03.014. Epub 2008 Apr 8.

Abstract

The aim of this study was to investigate the response of auto-CPAP devices to respiratory events (apnea, hypopnea, flow-limitation and snoring) on the same condition using a physiological upper airway model. The hypothesis of this study is that collapsibility of the flow-limiting collapsible segment of the airway is influenced by the upstream airway resistance. Five auto-CPAP devices, AutoSet T, AutoSet Spirit, Goodnight 420E, PV10i and REMstar Auto were evaluated. Apnea: all the devices increased the auto-CPAP level, while AutoSet T and AutoSet Spirit did not respond to apnea for 30s. Hypopnea: all the devices except the AutoSet T and Goodnight 420E increased pressure. Flow-limitation: all the devices except the PV10i and REMstar Auto increased pressure. Snoring: the snoring sounds disappeared when REMstar Auto and PV10i were used, and the Goodnight 420E lowered the level of snoring. In conclusion, the response of auto-CPAP devices to respiratory events differed. Collapsible upper airway model with upstream resistance is useful for the first-step assessment of auto-CPAP devices.

MeSH terms

  • Airway Resistance / physiology*
  • Automation
  • Computer Simulation
  • Continuous Positive Airway Pressure / instrumentation*
  • Continuous Positive Airway Pressure / methods*
  • Humans
  • Models, Biological*
  • Respiration Disorders / classification
  • Respiration Disorders / physiopathology
  • Sleep / physiology