Long‐term nasopharyngeal intubation in obstructive sleep apnea

Karlson, Karl H.; Chaudhary, Bashir A.; Porubsky, Edward S.

doi:10.1002/ppul.1950030612

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…The frequency of OA was unchanged after the removal of the MII‐pH probe. In fact, according to previous studies, the presence of a nasal probe may actually decrease the risk of OA in adults and infants (28–33) by opposing mucosal adhesion forces, decreasing the collapsibility of the pharynx, separating the tongue from the posterior pharyngeal wall, or increasing swallowing frequency resulting in a higher tone of the pharynx‐dilating muscles. To address the potential risk of nasal obstruction, we also removed the feeding tube after each feeding.…”

Section: Discussionmentioning

confidence: 94%

Temporal Association of Polysomnographic Cardiorespiratory Events With GER Detected by MII‐pH Probe in the Premature Infant at Term

Nunez

Cristofalo

McGinley

et al. 2011

J. pediatr. gastroenterol. nutr.

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Section: Discussionmentioning

confidence: 94%

Temporal Association of Polysomnographic Cardiorespiratory Events With GER Detected by MII‐pH Probe in the Premature Infant at Term

Nunez

Cristofalo

McGinley

et al. 2011

J. pediatr. gastroenterol. nutr.

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“…The presence of the probe could, however, modify the polysomnographic findings. In adults, naso‐pharyngeal tubes reduce the frequency of obstructive sleep apnoeas ( Karlson et al . 1987 ; Aubert 1992).…”

Section: Introductionmentioning

confidence: 99%

Naso‐oesophageal probes decrease the frequency of sleep apnoeas in infants

Groswasser

Scaillon

Rebuffat

et al. 2000

Journal of Sleep Research

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The objective of the study was to determine whether a naso-oesophageal probe modifies sleep and cardiorespiratory patterns in infants with repeated obstructive apnoeas. Two polygraphic recording sessions were conducted in random order for 2 nights on 35 infants suspected to have repeated obstructive sleep apnoeas. One sleep study was performed with a pH probe inserted through the nasal passage down to the distal portion of the oesophagus. The other session was conducted without any naso-oesophageal probe (the baseline study). For the 25 infants who presented repeated obstructive apnoeas during baseline studies, the presence of the probe was associated with a small, but significant, decrease in the number of central apnoeas (median frequency of 18.5 apnoeas per hour without a probe; 16.1 per hour with the probe; P=0.040), and obstructive apnoeas (median of 1.9 apnoeas per hour without a probe; 0.6 per hour with the probe; P=0.016). The presence of the probe was also associated with a small increase in percentage non-rapid eye movement (NREM) sleep frequency. The changes were statistically significant only for infants who had no obstructive apnoea during baseline studies (29 vs. 31%). The presence of a naso-oesophageal probe significantly modifies the infants' respiratory characteristics during sleep. These findings should be considered when reporting and interpreting sleep studies in infants.

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