RESUMO
Objective to report a myotonic dystrophy type 1 (MD1) subject with obstructive sleep apnea syndrome treated with oral appliance. Methods A review of individual's history and records, associated with a photographic register of all diagnostic methods and literature research about the topic were done. Final Statements This case depicts the therapeutical choices disposable to treat subjects with obstructive sleep apnea and DM1. Although considered an uncommon treatment, the oral appliances, if well indicated in adequately selected cases, can satisfactorily improve respiratory parameters, symptoms and quality of life.
RESUMO
UNLABELLED: Transcutaneous capnography is a noninvasive method useful for analysis of the behavioral tendency of transcutaneous CO2pressure (PtcCO2) in patients undergoing polysomnography, to evaluate respiratory sleep disorders. OBJECTIVE: Determine normative PtcCO2values in normal patients undergoing polysomnography. METHOD: One hundred seventy-nine patients who underwent polysomnography with simultaneous PtcCO2measurement were assessed by means of a transcutaneous capnograph (TCM4 series from Radiomiter). RESULTS: The group classified as normal (N=53) presented a apnea/hypopnea index (AHI) <5 events/per hour of sleep and their age groups varied between 7 and 76 years of age. CONCLUSION: Global mean values of PtcCO2in the normal group had a Gaussian distribution that varied between 33.1 and 50.0 mmHg (SD 4,363). Such findings allowed the establishment of normative PtcCO2values for normal individuals.
Assuntos
Monitorização Transcutânea dos Gases Sanguíneos/métodos , Capnografia/métodos , Polissonografia/métodos , Adolescente , Adulto , Idoso , Análise de Variância , Dióxido de Carbono/sangue , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valores de Referência , Estatísticas não Paramétricas , Fatores de Tempo , Adulto JovemRESUMO
Transcutaneous capnography is a noninvasive method useful for analysis of the behavioral tendency of transcutaneous CO2 pressure (PtcCO2) in patients undergoing polysomnography, to evaluate respiratory sleep disorders. Objective Determine normative PtcCO2 values in normal patients undergoing polysomnography. Method One hundred seventy-nine patients who underwent polysomnography with simultaneous PtcCO2 measurement were assessed by means of a transcutaneous capnograph (TCM4 series from Radiomiter). Results The group classified as normal (N=53) presented a apnea/hypopnea index (AHI) <5 events/per hour of sleep and their age groups varied between 7 and 76 years of age. Conclusion Global mean values of PtcCO2 in the normal group had a Gaussian distribution that varied between 33.1 and 50.0 mmHg (SD 4,363). Such findings allowed the establishment of normative PtcCO2 values for normal individuals. .
A capnografia transcutânea é um método não invasivo útil para análise da tendência comportamental da pressão de CO2 transcutânea (PtcCO2)1,2,3 em pacientes submetidos à polissonografia para análise de transtornos respiratórios do sono. Objetivo Determinar valores normativos da PtcCO2 em pacientes normais submetidos à polissonografia. Método Foram analisados 179 pacientes submetidos à polissonografia com medida concomitante da PtcCO2 através de um capnógrafo transcutâneo. Resultados O grupo classificado como normal (N=53) apresentou índice de apnéia/hipopnéia (AIH) <5 eventos/hora de sono e faixa etária variando de 7 a 76 anos. Conclusão Os valores da média global da PtcCO2 no grupo normal apresentaram distribuição gaussiana variando de 33,1 a 50,0 mmHg (DP 4.363). Tais achados permitiram a criação de valores normativos da PtcCO2 para indivíduos normais. .