PAP Terminology

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Across
  1. 3. This acts as a pneumatic splint to hold the airway open during sleep as a method to treat sleep apnea.
  2. 4. This is the pressure delivered by a BiPAP device during inspiration. It is intended to modify a person's ventilation by helping them take a bigger breath.
  3. 5. This is measured in centimeters of water pressure and abbreviated cmH2O.
  4. 7. This is a mode of ventilation used to treat complex sleep disordered breathing such as obesity hypoventilation, Overlap syndrome (COPD/OSA) and complex sleep apnea (treatment emergent OSA). This mode delivers varying levels of pressure support to make sure the amount of air entering and leaving the body is adequate.
  5. 8. This is the process of increasing the pressure of the PAP device while the patient is asleep until all obstructive respiratory events have been eliminated.
  6. 10. This is a drug used to treat hypoxia, AFTER positive pressure has treated obstrucive apneas, hypopneas and snoring.
  7. 11. This is the pressure delivered by a BiPAP device during expiration. It is intended to maintain an open airway to prevent obstructions of the airway during sleep.
  8. 12. This refers to the stresses a patient experiences the first time they sleep in the sleep center. It typically causes a prolonged sleep latency and increased wakefulness after sleep when in the sleep center.
  9. 15. This is recommended to be used with PAP devices to prevent airway dryness during sleep.
  10. 17. This is the condition of being open or unobstructed, which is what we are trying to achieve when we apply positive pressure to a person's airway during their sleep.
  11. 19. This is the term for elevated CO2 levels in the blood.
  12. 20. This is what drives people with COPD to breathe; It is the stimulus for breathing due to low levels of oxygen. In people who have COPD (chronic obstructive pulmonary diseases) they breathe based on their bodies need for oxygen (unlike healthy individuals who breathe off of CO2 levels).
Down
  1. 1. This provides two different levels of positive pressure during sleep to treat sleep disordered breathing, including central apneas and hypoventilation.
  2. 2. Lower than normal carbon dioxide levels in the body. The CO2 level is too low to stimulate the need to breathe.
  3. 6. This is when CPAP or BIPAP is started after the patient has been asleep for 2 hours of a sleep study because they had serious respiratory disordered breathing.
  4. 7. This is the term used to describe the number of apneas and hyopneas that occur per hour of sleep during a sleep study.
  5. 9. This is a mode of ventilation which can be used to treat central apnea types of sleep disordered breathing. This mode automatically adjusts how much pressure is delivered on a breath-by-breath basis to the patient with the goal of optimizing the patient's breathing pattern.
  6. 13. This is the term used to describe all of the respiratory events per hour of sleep during a person's sleep (including RERAs).
  7. 14. This is the abbreviation for the companies which provide CPAP supplies to patients.
  8. 16. This is the use of techniques to help patients acclimate to wearing the positive pressure device. It includes having the patient wear the interface device, then adding a low pressure and increasing pressure while the patient is awake. Once the person can tolerate 8 cmH2O for 15 minutes, the patient is considered to have been successfully desensitized (or acclimated).
  9. 18. This is the term for the type of appliance the patient wears for delivery of positive pressure during sleep. New options are always in development and include nasal masks, full face masks and nasal pillows.