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KMID : 0900220200270020073
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대한비과학회지
2020 Volume.27 No. 2 p.73 ~ p.82
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Positive Airway Pressure Prescription and Management for Patients with Obstructive Sleep Apnea
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Choi Ji-Ho
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Abstract
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Obstructive sleep apnea (OSA) is characterized by repeated events of complete or partial upper airway obstruction during sleep and is a chronic sleep disorder that requires long-term comprehensive management. Positive airway pressure (PAP) is recommended for treatment of OSA in adults with excessive daytime sleepiness, decreased sleep-related quality of life, and comorbid hypertension. During PAP therapy, regular follow-up is continuously necessary to evaluate side effects or complications, compliance, and treatment effects such as OSA-related symptoms, quality of life, and consequences. This review provides knowledge about PAP-related background information, indications for PAP prescription including the Korean National Health Insurance criteria, optimal pressure, PAP modes, patient education and support, short-term and long-term management, interpretation of PAP uses, and alternative therapies.
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KEYWORD
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Obstructive sleep apnea, Positive airway pressure, Prescription, Management, Compliance
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