Journal of Sleep Disorders & Therapy
Open Access
ISSN: 2167-0277
ISSN: 2167-0277
Mie Sleep Clinic, Saito Naika Kokyukika, 446 Sogo, Obata-Chyo, Ise-shi, Mie 519-0502, Japan
Method Article
Application of Telemonitoring to CPAP Titration
Author(s): Kimimasa Saito* and Yoko Takamatsu
The gold standard procedure for titration at Continuous Positive Airway Pressure (CPAP) initiation is
inpatient split-night Polysom nography (PSG). However, titration using home-based monitoring technology should
also be considered in terms of unfamiliarity of patients with CPAP and cost burden (or medical economy).
Therefore, the application of telemonitoring to CPAP titration was reviewed using previous literature and our
case study. We proposed a flowchart for CPAP titration with telemonitoring, which is currently used at our
institution, and delayed Treatment-Emergent Central Sleep Apnea (TECSA) cases are presented. The application of
telemonitoring to CPAP titration may be beneficial in real clinical world. In this case, the existence of TECSA is
problematic. However, if we understand the characteristics of TECSA and consider the influence of dynamically
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