A home care patient diagnosed with central sleep apnea would benefit from which of the fol-lowing modes of ventilation?
a. Pressure support ventilation (PSV)
b. Noninvasive positive pressure ventilation (NIV)
c. Continuous positive airway pressure (CPAP)
d. Pressure controlled intermittent mandatory ventilation (PC-IMV)
ANS: B
Noninvasive positive pressure ventilation (NIV) is appropriate for this patient because during the periods of apnea there are no respiratory efforts. Continuous positive airway pressure (CPAP) is an accepted method used to treat obstructive sleep apnea. Pressure support ventilation (PSV) and pressure-controlled intermittent mandatory ventilation (PC-CMV) would require the patient to be intubated.
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