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Case Reports
. 2009 Dec 15;5(6):583-5.

Central alveolar hypoventilation and failure to wean from the ventilator

Affiliations
Case Reports

Central alveolar hypoventilation and failure to wean from the ventilator

Kannan Ramar. J Clin Sleep Med. .
No abstract available

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Figures

Figure 1
Figure 1
Presence of abnormal, symmetrical, bilateral lesions in the lateral medulla (white arrow).
Figure 2
Figure 2
(A) Compressed diagnostic portion of the polysomnogram focusing on the respiratory and electrocardiogram (ECG) channels (120-s epoch) showing repetitive short central apneas associated with bradyarrhythmias. A breathing pattern of closely grouped series of respirations followed by apneas is seen (cluster breathing). The direction of inspiration is downward. (B) Compressed titration polysomnogram with bilateral positive airway pressure-spontaneous timed (BPAP-ST) mode (with a back-up rate of 14 breaths/min) showing resolution of the sleep disordered breathing and the bradyarrhythmias. The small downward spikes in the PAPp tracing is an artifact introduced by a machine-triggered breath. The direction of inspiration is downward. O/N flow refers to oronasal thermistor; Nasal P, nasal pressure transducer; Sono, sonogram, SaO2, oxygen saturation; Sum ZRIP, summation of chest and abdominal respiratory inductance plethysmography (RIP); RC and Abd Z-RIP, chest and abdomen RIP bands; Rate, heart rate; PAPp, pressure on the bilevel positive airway pressure device in spontaneous-timed mode (BPAP-ST).

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