The goal of this research is to better understand how different CPAP mask designs affect airflow and rebreathing of exhaled carbon dioxide (CO₂) during sleep in individuals with obstructive sleep apnea (OSA).
To understand the existence and severity of circuit rebreathing during treatment with continuous positive airway pressure (CPAP) using different sizes of the exhaust ports in individuals with obstructive sleep apnea (OSA). Flow-adjusted end-tidal oxygen (PetO2) and carbon dioxide (PetCO2) will be assessed to determine the magnitude of hypoxic load during both wakefulness and sleep. To systematically assess these conditions, the conditions were defined as follows: * 5A: 35 L/s exhaust flow with 5 cmH₂O PAP * 5B: 23 L/s exhaust flow with 5 cmH₂O PAP * 5C: 18 L/s exhaust flow with 5 cmH₂O PAP * 5D: 13 L/s exhaust flow with 5 cmH₂O PAP * 5E: 8 L/s exhaust flow with 5 cmH₂O PAP * 0P: 35 L/s exhaust flow with 0 cmH₂O PAP * 10A: 35 L/s exhaust flow with 10 cmH₂O PAP * 10B: 23 L/s exhaust flow with 10 cmH₂O PAP * 10C: 18 L/s exhaust flow with 10 cmH₂O PAP * 10D: 13 L/s exhaust flow with 10 cmH₂O PAP * 10E: 8 L/s exhaust flow with 10 cmH₂O PAP Primary endpoint is to evaluate the effect of exhaust flow on flow-adjusted average inspired oxygen fraction (FiO₂) during (1) wakefulness and (2) sleep between 5B vs. 5D.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
13
Subjects will be administered either 0, 5 or 10 cmH2O
Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s
Brigham and Women's Hospital
Boston, Massachusetts, United States
RECRUITINGChange in flow-adjusted average inspired oxygen fraction (FiO₂) during wake.
Difference in FiO2 between 23L/s vs 13L/s exhaust flow at 5 cmH2O PAP.
Time frame: through study completion, an average of 1 year
Change in flow-adjusted average inspired oxygen fraction (FiO₂) during sleep.
Difference in FiO2 between 23L/s vs 13L/s exhaust flow at 5 cmH2O PAP.
Time frame: through study completion, an average of 1 year
Impact on hypoxic burden during sleep.
Difference in hyboxic burden between 23L/s vs 13L/s exhaust flow at 5 cmH2O PAP.
Time frame: through study completion, an average of 1 year
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