central apnea

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cessation of breathing, especially during sleep. The most common type is adult sleep apnea. Central apnea in which there is failure of the central nervous system drive to respiration sometimes occurs in infants younger than 40 weeks after the date of conception.
adult sleep apnea frequent and prolonged episodes in which breathing stops during sleep. Diagnosis is confirmed by monitoring the subject during sleep for periods of apnea and lowered blood oxygen levels. Sleep apnea is divided into three categories: (1) obstructive, resulting from obstruction of the upper airways; (2) central, caused by some pathology in the brain's respiratory control center; and (3) mixed, a combination of the two (see above).
Treatment. Obstructive and mixed types are amenable to therapy. Since many sleep apnea patients are overweight, weight loss improves the symptoms. Central sleep apnea is the most difficult to control. Medications to stimulate breathing have not proven beneficial. Mechanical ventilation or administration of oxygen during the night may help some patients.

The most common treatment for obstructive sleep apnea is nasal continuous positive airway pressure, which the patient uses during sleep; the positive pressure exerted prevents the airway from obstructing. Another method that may be tried is a dental appliance to move the jaw forward during sleep. In the most refractory cases, such as when an anatomical airway obstruction can be demonstrated, surgery to remove it may be performed after consultation with a surgeon experienced in evaluating and treating such obstructions. Another treatment that is occasionally used is insertion of a special type of tracheostomy tube that can be plugged during the day for normal use of the upper airway and opened at night to bypass upper airway obstruction
central apnea (central sleep apnea) see adult sleep apnea.
deglutition apnea a temporary arrest of the activity of the respiratory nerve center during an act of swallowing.
initial apnea a condition in which a newborn fails to establish sustained respiration within two minutes of delivery.
late apnea cessation of respiration in a newborn for more than 45 seconds after spontaneous breathing has been established and sustained.
mixed apnea see adult sleep apnea.
obstructive apnea (obstructive sleep apnea) see adult sleep apnea.
primary apnea cessation of breathing resulting when a fetus or newborn infant is deprived of oxygen; exposure to oxygen and stimulation usually restore respiration.
prolonged infantile apnea sudden infant death syndrome.
secondary apnea a period of time following primary apnea during which continued asphyxia of the fetus or newborn, with a fall in blood pressure and heart rate, necessitates artificial ventilation for resuscitation and reestablishment of ventilation.
sleep apnea transient periods when breathing stops during sleep; see adult sleep apnea.

cen·tral ap·ne·a

apnea as the result of medullary depression that inhibits respiratory movement.

cen·tral ap·ne·a

(sen'trăl ap'nē-ă)
Apnea as the result of medullary depression, which inhibits respiratory movement.

cen·tral ap·ne·a

(sen'trăl ap'nē-ă)
Apnea due to medullary depression that inhibits respiratory movement.
References in periodicals archive ?
The length of the pause serves to define and distinguish it from a central apnea.
Central apneas generally last 10-30 seconds followed by a 10-60 second crescendo hyperventilation.
Mixed apnea C a combination of central apnea and OSA; may result after longstanding OSA and the consequent development of central apnea
So every time one of our patients falls asleep they have a short central apnea or hypopnea to let the CO2 build up and every time they arouse, they breathe faster to get rid of the CO 2.
Hyperventilation causes central apnea, because you overshoot your carbon dioxide, and you stop breathing to restore it.
This type is called central apnea because it is related to the function of the central nervous system.
Episodes of central apnea, obstructive apnea with hypopnea, as well as disturbances in the sleep/wake cycle, are most common.
In mixed apnea, a period of central apnea is followed by a period of obstructive apnea before regular breathing resumes.
Preterm infants with bronchopulmonary dysplasia (BPD) had more central apneas, but fewer obstructive apneas in the prone, compared with supine position, however, there was little evidence of an interaction between the effect of sleep position and BPD status.
Observational studies indicate an increased prevalence of both obstructive and central apneas in HF patients and many patients may exhibit both OSA and central sleep apnea (CSA).
found that, in a relatively small study, 10 of 28 patients with TBI had sleep apnea and that the majority of these events were central apneas rather than obstructive apneas [87].
Most of the available literature on the development of sleep apnea following radiation has focused on obstructive sleep apnea, (11-13) but it should be kept in mind that central sleep apnea may also occur, as Udwadia et al noted in a report detailing radiation necrosis of the medulla with resultant central apneas.

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