Techniques and Procedures
Comparison of Carbon Dioxide Rebreathing During Application of Continuous Positive Airway Pressure With 3 Types of Nasal Mask
O. Mediano
, F. García-Río, C. Villasante
Corresponding author
olgamediano@hotmail.com
Correspondence: Dra. O. Mediano. Ginzo de Limia, 40, 3.° 3.a. 28029 Madrid. España
Correspondence: Dra. O. Mediano. Ginzo de Limia, 40, 3.° 3.a. 28029 Madrid. España
Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain
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Mediano, F. García-Río, C. Villasante" "autores" => array:3 [ 0 => array:5 [ "preGrado" => "Dra." "nombre" => "O." "apellidos" => "Mediano" "email" => array:1 [ 0 => "olgamediano@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "F." "apellidos" => "García-Río" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Villasante" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dra. O. Mediano. Ginzo de Limia, 40, 3.° 3.<span class="elsevierStyleSup">a</span>. 28029 Madrid. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-04-14" "fechaAceptado" => "2005-04-26" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154313" "palabras" => array:6 [ 0 => "Nasal mask" 1 => "Continuous positive airway pressure" 2 => "Sleep apnea" 3 => "Mechanical ventilation" 4 => "Rebreathing" 5 => "CO<span class="elsevierStyleInf">2</span>" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154312" "palabras" => array:6 [ 0 => "Mascarilla nasal" 1 => "CPAP" 2 => "Apneas del sueño" 3 => "Ventilación mecánica" 4 => "Reinhalación" 5 => "CO<span class="elsevierStyleInf">2</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">A comparison is made between the end-tidal fractional concentration of carbon dioxide (F<span class="elsevierStyleInf">ET</span>CO<span class="elsevierStyleInf">2</span>) obtained during application of varying levels of continuous positive airway pressure (CPAP) with a prototype mask (from Carburos Metálicos) and F<span class="elsevierStyleInf">ET</span>CO<span class="elsevierStyleInf">2</span> obtained with 2 commonly used nasal masks (Profile Lite and ComfortClassic from Respironics). The nasal F<span class="elsevierStyleInf">ET</span>CO<span class="elsevierStyleInf">2</span> was measured on 3 consecutive days in 11 healthy volunteers, 12 patients with severe obstructive sleep apnea-hypopnea syndrome, and 12 hypercapnic patients. A different mask was randomly assigned on each day and the F<span class="elsevierStyleInf">ET</span>CO<span class="elsevierStyleInf">2</span> was measured after 3 minutes of CPAP at 4, 5, 6, 8, 10, 15, and 20 cm H2O. Although in all cases a progressive reduction in F<span class="elsevierStyleInf">ET</span>CO<span class="elsevierStyleInf">2</span> was observed with increasing CPAP, the effect was greatest with the prototype mask at all pressures. In the 3 different study groups the pressures obtained with the prototype mask were similar to those generated by the CPAP machine. In conclusion, the lower concentration of nasal CO<span class="elsevierStyleInf">2</span> obtained using the prototype mask suggests that it causes less rebreathing.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Se describe la fracción end-tidal de anhídrido carbónico (F<span class="elsevierStyleInf">ET</span>CO<span class="elsevierStyleInf">2</span>) originada con una mascarilla prototipo (Carburos Metálicos) durante la aplicación de diferentes niveles de presión positiva continua en la vía aérea (CPAP) y se compara con la desarrollada por 2 mascarillas nasales de uso habitual (Profile Lite y ComfortClassic, Respironics). En 11 voluntarios sanos, 12 pacientes con síndrome de apneas-hipopneas obstructivas durante el sueño de carácter grave y 12 enfermos hipercápnicos, se midió, de forma aleatoria en 3 días sucesivos, la F<span class="elsevierStyleInf">ET</span>CO<span class="elsevierStyleInf">2</span> nasal después de 3 min de CPAP a 4, 5, 6, 8, 10, 15 y 20 cmH<span class="elsevierStyleInf">2</span>O con cada una de las mascarillas. Aunque en todos los casos se logró una reducción progresiva de la F<span class="elsevierStyleInf">ET</span>CO<span class="elsevierStyleInf">2</span> al incrementar la presión, ésta fue mayor con la mascarilla prototipo, para cualquier nivel de presión. En los 3 grupos del estudio las presiones alcanzadas en la mascarilla prototipo fueron similares a las generadas por la máquina de CPAP. En conclusión, la menor concentración de anhídrido carbónico nasal durante la aplicación de la mascarilla prototipo induce a pensar que origina una menor reinhalación.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">This study was partially funded by Carburos Metálicos.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J Durán" 1 => "S Esnaola" 2 => "R Rubio" 3 => "A Iztueta" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.163.3.2005065" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 6 | 9 |
| 2024 October | 24 | 56 | 80 |
| 2024 September | 32 | 19 | 51 |
| 2024 August | 32 | 37 | 69 |
| 2024 July | 24 | 18 | 42 |
| 2024 June | 35 | 21 | 56 |
| 2024 May | 31 | 24 | 55 |
| 2024 April | 13 | 25 | 38 |
| 2024 March | 22 | 20 | 42 |
| 2024 February | 17 | 19 | 36 |
| 2023 March | 1 | 3 | 4 |
| 2023 February | 13 | 16 | 29 |
| 2023 January | 14 | 30 | 44 |
| 2022 December | 18 | 20 | 38 |
| 2022 November | 16 | 14 | 30 |
| 2022 October | 18 | 31 | 49 |
| 2022 September | 15 | 26 | 41 |
| 2022 August | 18 | 33 | 51 |
| 2022 July | 19 | 37 | 56 |
| 2022 June | 15 | 25 | 40 |
| 2022 May | 17 | 26 | 43 |
| 2022 April | 13 | 26 | 39 |
| 2022 March | 16 | 33 | 49 |
| 2022 February | 21 | 30 | 51 |
| 2022 January | 16 | 28 | 44 |
| 2021 December | 23 | 47 | 70 |
| 2021 November | 18 | 46 | 64 |
| 2021 October | 21 | 56 | 77 |
| 2021 September | 17 | 49 | 66 |
| 2021 August | 8 | 23 | 31 |
| 2021 July | 41 | 28 | 69 |
| 2021 June | 38 | 39 | 77 |
| 2021 May | 43 | 25 | 68 |
| 2021 April | 61 | 54 | 115 |
| 2021 March | 35 | 22 | 57 |
| 2021 February | 19 | 11 | 30 |
| 2021 January | 9 | 14 | 23 |
| 2020 December | 11 | 18 | 29 |
| 2020 November | 9 | 14 | 23 |
| 2020 October | 7 | 10 | 17 |
| 2020 September | 4 | 6 | 10 |
| 2020 August | 10 | 15 | 25 |
| 2020 July | 11 | 22 | 33 |
| 2020 June | 14 | 9 | 23 |
| 2020 May | 17 | 20 | 37 |
| 2020 April | 19 | 17 | 36 |
| 2020 March | 18 | 10 | 28 |
| 2020 February | 20 | 26 | 46 |
| 2020 January | 16 | 28 | 44 |
| 2019 December | 9 | 25 | 34 |
| 2019 November | 10 | 14 | 24 |
| 2019 October | 11 | 17 | 28 |
| 2019 September | 15 | 30 | 45 |
| 2019 August | 19 | 20 | 39 |
| 2019 July | 11 | 28 | 39 |
| 2019 June | 8 | 31 | 39 |
| 2019 May | 18 | 27 | 45 |
| 2019 April | 46 | 32 | 78 |
| 2019 March | 12 | 31 | 43 |
| 2019 February | 6 | 32 | 38 |
| 2019 January | 3 | 29 | 32 |
| 2018 December | 9 | 40 | 49 |
| 2018 November | 13 | 48 | 61 |
| 2018 October | 18 | 36 | 54 |
| 2018 September | 11 | 60 | 71 |
| 2018 August | 2 | 0 | 2 |
| 2018 July | 1 | 0 | 1 |
| 2018 June | 1 | 0 | 1 |
| 2018 May | 7 | 0 | 7 |
| 2018 April | 6 | 7 | 13 |
| 2018 March | 6 | 2 | 8 |
| 2018 February | 5 | 7 | 12 |
| 2018 January | 8 | 11 | 19 |
| 2017 December | 5 | 7 | 12 |
| 2017 November | 9 | 16 | 25 |
| 2017 October | 5 | 16 | 21 |
| 2017 September | 6 | 19 | 25 |
| 2017 August | 6 | 17 | 23 |
| 2017 July | 3 | 11 | 14 |
| 2017 June | 7 | 30 | 37 |
| 2017 May | 6 | 10 | 16 |
| 2017 April | 6 | 24 | 30 |
| 2017 March | 4 | 23 | 27 |
| 2017 February | 4 | 15 | 19 |
| 2017 January | 1 | 5 | 6 |
| 2016 December | 15 | 12 | 27 |
| 2016 November | 21 | 14 | 35 |
| 2016 October | 30 | 21 | 51 |
| 2016 September | 8 | 20 | 28 |
| 2016 August | 10 | 9 | 19 |
| 2016 July | 10 | 6 | 16 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 115 | 16 | 131 |
| 2015 September | 132 | 14 | 146 |
| 2015 August | 89 | 10 | 99 |
| 2015 July | 115 | 17 | 132 |
| 2015 June | 88 | 8 | 96 |
| 2015 May | 98 | 20 | 118 |
| 2015 April | 102 | 13 | 115 |
| 2015 March | 113 | 12 | 125 |
| 2015 February | 85 | 10 | 95 |
| 2015 January | 95 | 7 | 102 |
| 2014 December | 93 | 9 | 102 |
| 2014 November | 110 | 10 | 120 |
| 2014 October | 125 | 16 | 141 |
| 2014 September | 103 | 17 | 120 |
| 2014 August | 103 | 15 | 118 |
| 2014 July | 80 | 11 | 91 |
| 2014 June | 109 | 18 | 127 |
| 2014 May | 141 | 21 | 162 |
| 2014 April | 102 | 17 | 119 |
| 2014 March | 113 | 17 | 130 |
| 2014 February | 82 | 13 | 95 |
| 2014 January | 71 | 14 | 85 |
| 2013 December | 68 | 15 | 83 |
| 2013 November | 63 | 14 | 77 |
| 2013 October | 58 | 19 | 77 |
| 2013 September | 67 | 14 | 81 |
| 2013 August | 54 | 14 | 68 |
| 2013 July | 69 | 23 | 92 |
| 2013 June | 56 | 18 | 74 |
| 2013 May | 49 | 16 | 65 |
| 2013 April | 31 | 11 | 42 |
| 2013 March | 8 | 4 | 12 |
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