{"id":4760,"date":"2018-04-02T18:11:24","date_gmt":"2018-04-02T18:11:24","guid":{"rendered":"https:\/\/vitalaireshare.com\/guiasono\/?page_id=4760"},"modified":"2023-11-07T17:07:25","modified_gmt":"2023-11-07T17:07:25","slug":"guiasono","status":"publish","type":"page","link":"https:\/\/vitalaireshare.com\/guiasono\/","title":{"rendered":"Guia do Sono"},"content":{"rendered":"

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Website exclusivo a Profissionais de Sa\u00fade.<\/p>\n

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A VitalAire agradece \u00e0 Sociedade Portuguesa de Pneumologia, Comiss\u00e3o de Trabalho de Patologia Repirat\u00f3ria do Sono e Associa\u00e7\u00e3o Portuguesa de Sono a revis\u00e3o deste conte\u00fado.<\/p>\n

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A S\u00edndrome de Apneia do Sono (SAS)<\/strong> deve-se a interrup\u00e7\u00f5es moment\u00e2neas, frequentemente c\u00edclicas, do ritmo respirat\u00f3rio (apneias) ou redu\u00e7\u00f5es moment\u00e2neas ou sustentadas na amplitude da respira\u00e7\u00e3o (hipopneias), podendo causar hipoxemia arterial significativa e hipercapnia.<\/p>\n

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Estas apneias e hipopneias s\u00e3o espec\u00edficas para o estado de sono e acompanham-se de uma via a\u00e9rea extrator\u00e1cica comprometida (evento \u201cobstrutivo\u201d<\/strong>); a uma redu\u00e7\u00e3o ou cessa\u00e7\u00e3o acentuada da produ\u00e7\u00e3o motora respirat\u00f3ria pelo sistema nervoso central (evento \u201ccentral\u201d<\/strong>); ou a uma combina\u00e7\u00e3o de eventos centrais e obstrutivos.<\/p>\n

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Estas altera\u00e7\u00f5es ventilat\u00f3rias e a hipoxemia intermitente que, muitas vezes as acompanha, s\u00e3o a causa de despertares transit\u00f3rios\/fragmenta\u00e7\u00e3o do estado do sono e condicionam respostas compensat\u00f3rias do sistema nervoso aut\u00f3nomo.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ module_id=”eventosrespiratorios” _builder_version=”4.16″ background_color=”#f7f7f7″ custom_padding=”100px|0px|50px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”0px|0px||0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta title=”EVENTOS RESPIRAT\u00d3RIOS” admin_label=”VOLUME CORRENTE GARANTIDO” _builder_version=”4.16″ header_font=”Roboto|300|||||||” header_text_color=”#f7941d” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” text_orientation_tablet=”” text_orientation_phone=”center” text_orientation_last_edited=”on|phone” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_cta][et_pb_text _builder_version=”4.16″ custom_margin=”||0px|||” custom_padding=”20px||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

A respira\u00e7\u00e3o \u00e9 controlada pelo sistema nervoso central, normalmente autom\u00e1tica e regulada ao n\u00edvel do tronco cerebral (ponte e bulbo raquidiano), enquanto que a respira\u00e7\u00e3o volunt\u00e1ria est\u00e1 dependente do cort\u00e9x cerebral.
Durante o sono a respira\u00e7\u00e3o continua de forma autom\u00e1tica, sendo que na SAS podem coexistir diferentes eventos respirat\u00f3rios condicionantes da limita\u00e7\u00e3o total ou parcial da passagem do fluxo a\u00e9reo.<\/p>\n

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RESPIRA\u00c7\u00c3O NORMAL<\/strong>
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Passagem do ar atrav\u00e9s das vias a\u00e9reas superiores sem limita\u00e7\u00e3o do fluxo e\/ou sem altera\u00e7\u00e3o significativa da oxihemoglobina.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”|20px|0px|20px|false|false” custom_padding=”10px|20px|10px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

FLUXO RESPIRAT\u00d3RIO REGULAR<\/p>\n

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Via respirat\u00f3ria aberta n\u00e3o obstru\u00edda<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_fluxo_respiratorio_regular_02.jpg” title_text=”VIT_guia_sono_home_fluxo_respiratorio_regular_02″ _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||1px|||” custom_padding=”|20px||20px|false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Curva de fluxo\/tempo inspirat\u00f3rio n\u00e3o obstru\u00eddo (arredondada)<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto|1px|auto||” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”VENTILA\u00c7\u00c3O ESPONT\u00c2NEA” _builder_version=”4.16″ header_font=”Roboto|300|||||||” header_text_align=”left” header_text_color=”#f7941d” body_font=”Roboto|300|||||||” body_text_align=”left” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||-1px|||” custom_padding=”|20px|0px|20px|false|false” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|desktop” body_text_align_tablet=”left” body_text_align_phone=”center” body_text_align_last_edited=”on|phone” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

HIPOPNEIA<\/strong>
<\/span><\/p>\n

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Definida como a redu\u00e7\u00e3o parcial do fluxo na via a\u00e9rea superior em mais de 30%, por mais de 10 segundos, com diminui\u00e7\u00e3o simult\u00e2nea na satura\u00e7\u00e3o de oxihemoglobina em, pelo menos, 3% e\/ou na presen\u00e7a de um microdespertar. N\u00e3o obrigat\u00f3ria a presen\u00e7a de um microdespertar se a dessatura\u00e7\u00e3o for de, pelo menos, 4% em rela\u00e7\u00e3o ao valor anterior do evento.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”|20px|0px|20px|false|false” custom_padding=”10px|20px|10px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

LIMITA\u00c7\u00c3O DE FLUXO<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto||auto|false|false” custom_padding=”||80px||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_limitacao_fluxo_01.jpg” title_text=”VIT_guia_sono_home_limitacao_fluxo_01″ _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||1px|||” custom_padding=”|20px||20px|false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Obstru\u00e7\u00e3o parcial e silenciosa das vias respirat\u00f3rias<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_limitacao_fluxo_02.jpg” title_text=”VIT_guia_sono_home_limitacao_fluxo_02″ _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||1px|||” custom_padding=”|20px||20px|false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Curva de fluxo\/tempo inspirat\u00f3rio achatada (indicando uma obstru\u00e7\u00e3o parcial)<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto|1px|auto||” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”|20px|0px|20px|false|false” custom_padding=”10px|20px|10px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

LIMITA\u00c7\u00c3O DE FLUXO COM RONCO<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto||auto|false|false” custom_padding=”||80px||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_limitacao_fluxo_ronco_01.jpg” title_text=”VIT_guia_sono_home_limitacao_fluxo_ronco_01″ _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||1px|||” custom_padding=”|20px||20px|false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Obstru\u00e7\u00e3o parcial e ruidosa das vias respirat\u00f3rias<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_limitacao_fluxo_ronco_02.jpg” title_text=”VIT_guia_sono_home_limitacao_fluxo_ronco_02″ _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||1px|||” custom_padding=”|20px||20px|false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Ronco sobreposto \u00e0 curva de fluxo\/tempo inspirat\u00f3rio<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto|1px|auto||” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”VENTILA\u00c7\u00c3O ESPONT\u00c2NEA” _builder_version=”4.16″ header_font=”Roboto|300|||||||” header_text_align=”left” header_text_color=”#f7941d” body_font=”Roboto|300|||||||” body_text_align=”left” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||-1px|||” custom_padding=”|20px|0px|20px|false|false” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|desktop” body_text_align_tablet=”left” body_text_align_phone=”center” body_text_align_last_edited=”on|phone” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

APNEIA OBSTRUTIVA<\/strong>
<\/span><\/p>\n

[\/et_pb_cta][et_pb_text _builder_version=”4.16″ custom_margin=”||20px||false|false” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Definida como cessa\u00e7\u00e3o quase completa (>90%) no d\u00e9bito a\u00e9reo por mais de 10 segundos, na presen\u00e7a de esfor\u00e7o ventilat\u00f3rio. A apneia obstrutiva do sono ocorre na presen\u00e7a do encerramento quase total da via a\u00e9rea superior, mantendo-se o esfor\u00e7o respirat\u00f3rio.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”|20px|0px|20px|false|false” custom_padding=”10px|20px|10px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

FLUXO RESPIRAT\u00d3RIO OBSTRUTIVO<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto||auto|false|false” custom_padding=”||80px||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_fluxo_respiratorio_obstrutivo_01.jpg” title_text=”VIT_guia_sono_home_fluxo_respiratorio_obstrutivo_01″ _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||1px|||” custom_padding=”|20px||20px|false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Obstru\u00e7\u00e3o completa das vias respirat\u00f3rias<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_fluxo_respiratorio_obstrutivo_02.jpg” title_text=”VIT_guia_sono_home_fluxo_respiratorio_obstrutivo_02″ _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||1px|||” custom_padding=”|20px||20px|false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Curva de fluxo\/tempo inspirat\u00f3rio<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto|1px|auto||” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”VENTILA\u00c7\u00c3O ESPONT\u00c2NEA” _builder_version=”4.16″ header_font=”Roboto|300|||||||” header_text_align=”left” header_text_color=”#f7941d” body_font=”Roboto|300|||||||” body_text_align=”left” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||-1px|||” custom_padding=”|20px|0px|20px|false|false” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|desktop” body_text_align_tablet=”left” body_text_align_phone=”center” body_text_align_last_edited=”on|phone” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

APNEIA CENTRAL<\/strong>
<\/span><\/p>\n

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Definida como cessa\u00e7\u00e3o quase completa (>90%) no d\u00e9bito a\u00e9reo por mais de 10 segundos, na aus\u00eancia de esfor\u00e7o ventilat\u00f3rio, podendo n\u00e3o existir dessatura\u00e7\u00e3o concomitante. A Apneia Central ocorre quando as vias respirat\u00f3rias se mant\u00eam abertas, mas o esfor\u00e7o respirat\u00f3rio cessa devido a uma diminui\u00e7\u00e3o da for\u00e7a respirat\u00f3ria, tratando-se de uma disfun\u00e7\u00e3o do sistema nervoso central.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”|20px|0px|20px|false|false” custom_padding=”10px|20px|10px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

FLUXO RESPIRAT\u00d3RIO CENTRAL<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto||auto|false|false” custom_padding=”||80px||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_fluxo_respiratorio_central_01.jpg” title_text=”VIT_guia_sono_home_fluxo_respiratorio_central_01″ _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||1px|||” custom_padding=”|20px||20px|false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Via respirat\u00f3ria aberta n\u00e3o obstru\u00edda<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_fluxo_respiratorio_central_02.jpg” title_text=”VIT_guia_sono_home_fluxo_respiratorio_central_02″ _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||1px|||” custom_padding=”|20px||20px|false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Curva de fluxo\/tempo inspirat\u00f3rio<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto|1px|auto||” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”VENTILA\u00c7\u00c3O ESPONT\u00c2NEA” _builder_version=”4.16″ header_font=”Roboto|300|||||||” header_text_align=”left” header_text_color=”#f7941d” body_font=”Roboto|300|||||||” body_text_align=”left” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||-1px|||” custom_padding=”||0px|20px|false|false” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|desktop” body_text_align_tablet=”left” body_text_align_phone=”center” body_text_align_last_edited=”on|phone” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

APNEIA MISTA<\/strong>
<\/span><\/p>\n

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Coexistem os dois componentes. O in\u00edcio do evento respirat\u00f3rio corresponde a uma apneia central, seguindo-se o aparecimento de esfor\u00e7o respirat\u00f3rio na aus\u00eancia ou diminui\u00e7\u00e3o do d\u00e9bito a\u00e9reo em pelo menos 90% do evento<\/span>; n\u00e3o obrigat\u00f3rio a concomit\u00e2ncia com dessatura\u00e7\u00e3o.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ module_id=”diagnostico” _builder_version=”4.22.1″ background_color=”#f7f7f7″ custom_padding=”100px|0px|50px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” locked=”off” global_colors_info=”{}”][et_pb_row module_id=”diagnostico” _builder_version=”4.22.1″ module_alignment=”center” custom_padding=”0px|0px||0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta title=”DIAGN\u00d3STICO” admin_label=”VOLUME CORRENTE GARANTIDO” _builder_version=”4.21.2″ header_font=”Roboto|300|||||||” header_text_color=”#f7941d” body_font=”||||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||-4px||false|false” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” text_orientation_tablet=”” text_orientation_phone=”” text_orientation_last_edited=”on|desktop” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

Dever\u00e1 ser considerado em indiv\u00edduos com um quadro cl\u00ednico muito sugestivo – obesos; diminui\u00e7\u00e3o da pat\u00eancia da orofaringe; roncadores com hipersonol\u00eancia; fadiga diurna; sensa\u00e7\u00e3o de sono n\u00e3o reparador. Poder\u00e3o tamb\u00e9m ser considerados indiv\u00edduos com alguma sintomatologia sugestiva, se apresentarem conjuntamente patologia reconhecida como de risco aumentado para SAS – insufici\u00eancia card\u00edaca; hipertens\u00e3o arterial refract\u00e1ria \u00e0 terap\u00eautica; disritmias; acidente vascular cerebral; hipotiroidismo.<\/p>\n

[\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ custom_padding=”100px|0px|0|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto|5px|auto||” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.21.2″ custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

O n\u00famero de apneias e hipopneias por hora de sono \u00e9 denominado por \u00cdndice de Apneia-Hipopneia (IAH) permitindo categorizar a gravidade IAH:<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_3,1_3,1_3″ _builder_version=”4.16″ background_enable_color=”off” module_alignment=”center” custom_margin=”|auto|1px|auto||” custom_padding=”30px||20px||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”5 – 14,9″ _builder_version=”4.21.2″ header_font=”|300|||||||” header_text_align=”center” header_text_color=”#e09900″ header_font_size=”75px” body_font=”|700|||||||” body_text_align=”center” body_font_size=”17px” body_line_height=”3em” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

LIGEIRO<\/p>\n

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”15 – 29,9″ _builder_version=”4.21.2″ header_font=”|300|||||||” header_text_align=”center” header_text_color=”#e09900″ header_font_size=”75px” body_font=”|700|||||||” body_text_align=”center” body_font_size=”17px” body_line_height=”3em” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

MODERADO<\/p>\n

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”\u2265 30″ _builder_version=”4.22.1″ header_font=”|300|||||||” header_text_align=”center” header_text_color=”#e09900″ header_font_size=”75px” body_font=”|700|||||||” body_text_align=”center” body_font_size=”17px” body_line_height=”3em” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

SEVERO<\/p>\n

[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ background_enable_color=”off” custom_padding=”0px|0px|0|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”|auto|25px|auto||” custom_padding=”0||11px||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ custom_margin=”||80px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

O diagn\u00f3stico cl\u00ednico \u00e9 confirmado por Polissonografia ou Poligrafia do sono.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ module_id=”tratamento” _builder_version=”4.16″ background_color=”#f7f7f7″ custom_padding=”100px|0px|50px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” locked=”off” global_colors_info=”{}”][et_pb_row module_id=”tratamento” _builder_version=”4.22.1″ module_alignment=”center” custom_padding=”0px|0px||0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta title=”TRATAMENTO” admin_label=”VOLUME CORRENTE GARANTIDO” _builder_version=”4.16″ header_font=”Roboto|300|||||||” header_text_color=”#f7941d” body_font=”||||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||-4px||false|false” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” text_orientation_tablet=”” text_orientation_phone=”” text_orientation_last_edited=”on|desktop” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

Os dispositivos por press\u00e3o positiva cont\u00ednua (CPAP\/APAP) constituem o tratamento de elei\u00e7\u00e3o da S\u00edndrome da Apneia do Sono (SAS).<\/p>\n

[\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.22.1″ custom_padding=”50px|0px|0|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”||100px|” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.22.1″ background_color=”#f7f7f7″ custom_margin=”||0px|||” custom_padding=”20px|20px|10px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Em casos excecionais, poder\u00e1 ser indicada a terap\u00eautica com ventila\u00e7\u00e3o por press\u00e3o positiva Bin\u00edvel quando:<\/p>\n

– Terapia com CPAP\/APAP \u00e9 ineficaz ou n\u00e3o tolerada pelo doente;<\/p>\n

– Nos doentes com SAS e obesidade m\u00f3rbida – s\u00edndrome de obesidade\/hipoventila\u00e7\u00e3o e SAS com obstru\u00e7\u00e3o das vias a\u00e9reas inferiores associada – s\u00edndrome de sobreposi\u00e7\u00e3o.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.22.1″ custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

A ventiloterapia por press\u00e3o cont\u00ednua fixa (CPAP) ou vari\u00e1vel (APAP) est\u00e1 indicada em adultos com SAS que, ap\u00f3s a realiza\u00e7\u00e3o do estudo do sono, apresentam os seguintes crit\u00e9rios:<\/p>\n

– IAH ou RDI \u2265 5, se estiver associado a hipersonol\u00eancia diurna e\/ou a patologia cardiovascular;<\/p>\n

– IAH ou RDI \u2265 15 eventos\/hora, independentemente da exist\u00eancia de sintomatologia e\/ou patologia coexistente.<\/p>\n

\n

Na s\u00edndrome de Apneia do Sono complexa, o aparecimento de apneias centrais depois de atingido o n\u00edvel de press\u00e3o eficaz para corrigir os eventos obstrutivos, pode ocorrer e tende a desaparecer com a utiliza\u00e7\u00e3o do tratamento com CPAP. Em casos excecionais, em que as apneias centrais persistem, a servoventila\u00e7\u00e3o autoadaptativa est\u00e1 indicada.<\/p>\n

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A s\u00edndrome de apneia central do sono \u00e9 caracterizada por um \u00edndice de apneia\/hipopneia (IAH) \u2265 5, no qual 50% ou mais dos eventos s\u00e3o centrais.<\/p>\n

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Considera-se que a causa mais frequente seja respira\u00e7\u00e3o de Cheyne-Stokes associada \u00e0 insufici\u00eancia card\u00edaca, documentada em estudo poligr\u00e1fico do sono e devendo ser tratada com servoventila\u00e7\u00e3o autoadaptativa.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ module_id=”adesao” _builder_version=”4.22.1″ background_color=”#f7f7f7″ custom_padding=”70px|0px|50px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” locked=”off” global_colors_info=”{}”][et_pb_row module_id=”adesao” _builder_version=”4.22.1″ module_alignment=”center” custom_margin=”||0px||false|false” custom_padding=”0px|0px|0px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta title=”ADES\u00c3O \u00c0 TERAPIA” admin_label=”VOLUME CORRENTE GARANTIDO” _builder_version=”4.22.1″ header_font=”Roboto|300|||||||” header_text_color=”#f7941d” body_font=”||||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||0px||false|false” animation_style=”zoom” hover_enabled=”0″ header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” text_orientation_tablet=”” text_orientation_phone=”” text_orientation_last_edited=”on|desktop” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” sticky_enabled=”0″]<\/p>\n

ALGUMAS CONSIDERA\u00c7\u00d5ES<\/strong><\/p>\n

Os benef\u00edcios da aplica\u00e7\u00e3o de press\u00e3o positiva nas vias a\u00e9reas na apneia do sono dependem da ades\u00e3o do doente \u00e0 terapia.<\/p>\n

Alguns estudos referem uma ades\u00e3o inferior a 50% ap\u00f3s um ano de tratamento e que um n\u00famero significativo de doentes desiste do tratamento precocemente (23% ao final do primeiro ano).<\/p>\n

\u00c9 consensual que, para um doente ser considerado aderente ao tratamento, deve cumprir no m\u00edni-mo 4 horas de utiliza\u00e7\u00e3o em 70% das noites, num per\u00edodo de 30 dias. No entanto, tem-se vindo a considerar que uma maior efetividade do tratamento poder\u00e1 passar pela utiliza\u00e7\u00e3o da terapia idealmente durante todo o per\u00edodo de sono.<\/b><\/p>\n

[\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.22.1″ custom_padding=”50px|0px|0|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”||100px|” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.21.2″ background_color=”#f7f7f7″ custom_margin=”||0px|||” custom_padding=”20px|20px|10px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Estudos demonstram que existe uma tend\u00eancia para a sobrevaloriza\u00e7\u00e3o da ades\u00e3o por parte dos doentes, pelo que deve ser dada prefer\u00eancia \u00e0 an\u00e1lise objetiva da ades\u00e3o atrav\u00e9s dos dados do equipamento, incluindo a telemonitoriza\u00e7\u00e3o.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.22.1″ custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

No tratamento de uma doen\u00e7a cr\u00f3nica espera-se que o impacto de eventuais efeitos acess\u00f3rios n\u00e3o seja superior aos benef\u00edcios expect\u00e1veis na sintomatologia e comorbilidades.<\/p>\n

No que concerne \u00e0 avalia\u00e7\u00e3o da experi\u00eancia reportada pelos doentes<\/b> (patient reported experience\u00a0 <\/span>measurements – PREM\u2019s<\/i><\/b>) com impacto em pior ades\u00e3o, s\u00e3o referidas comumente queixas como: fugas n\u00e3o intencionais, secura da boca, resist\u00eancia e congest\u00e3o nasal, sensa\u00e7\u00e3o de asfixia e inc\u00f3modo com o tratamento. A identifica\u00e7\u00e3o e controlo destes efeitos acess\u00f3rios deve ser feita precocemente. <\/b><\/p>\n

Se uma adequada ades\u00e3o e titula\u00e7\u00e3o se reflete na melhoria ou normaliza\u00e7\u00e3o dos dist\u00farbios respirat\u00f3rios (\u00cdndice Apneia Hipopneia), na avalia\u00e7\u00e3o do benef\u00edcio do tratamento<\/b> tem-se vindo a considerar, igualmente, relevante conhecer e monitorizar<\/b>, durante todo o processo de presta\u00e7\u00e3o de cuidados, os resultados que mais importam ao doente <\/b>(patient reported outcomes measures <\/b>– PROM\u2019s<\/b><\/em>) no que diz respeito \u00e0 melhoria do seu bem estar f\u00edsico, emocional e funcional.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.21.2″ background_color=”#f7f7f7″ custom_margin=”||0px|||” custom_padding=”20px|20px|10px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Tem-se vindo a admitir que estas avalia\u00e7\u00f5es possam conduzir a uma maior personaliza\u00e7\u00e3o na presta\u00e7\u00e3o de cuidados<\/b>, assim como pode vir a ser, tamb\u00e9m, uma forma de avaliar a qualidade do tratamento e a atua\u00e7\u00e3o dos prestadores<\/b>.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.22.1″ custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

A intera\u00e7\u00e3o multidisciplinar<\/b> entre o especialista do sono, a equipa t\u00e9cnica e de enfermagem e o prestador de cuidados domicili\u00e1rios \u00e9 determinante para o sucesso da ades\u00e3o do doente com apneia do sono.<\/b><\/p>\n

<\/b><\/p>\n

O acompanhamento do tratamento da apneia do sono poder\u00e1 beneficiar de um modelo mais centrado no doente<\/b>, que tem por base a educa\u00e7\u00e3o e interven\u00e7\u00f5es de suporte, podendo ainda considerar, em determinados doentes, o recurso a t\u00e9cnicas de interven\u00e7\u00e3o comportamental<\/b>.<\/span><\/p>\n

No \u00e2mbito das interven\u00e7\u00f5es de suporte incluem-se: a telemonitoriza\u00e7\u00e3o, os contactos telef\u00f3nicos, as mensagens telef\u00f3nicas (SMS) e as aplica\u00e7\u00f5es de apoio (APP\u2019s). As APP\u2019s, funcionam como ferramentas de apoio \u00e0 ades\u00e3o atrav\u00e9s do apoio educacional e motivacional<\/b> do doente, podendo ainda dar feedback sobre a sua terapia atrav\u00e9s da telemonitoriza\u00e7\u00e3o.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.22.1″ background_color=”#f7f7f7″ custom_margin=”||0px|||” custom_padding=”20px|20px|10px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

A telemonitoriza\u00e7\u00e3o<\/b> permite ainda aos profissionais de sa\u00fade a monitoriza\u00e7\u00e3o do tratamento, possibilitando a identifica\u00e7\u00e3o precoce de doentes com perfil de baixa ades\u00e3o<\/b>, sobretudo duran-te a fase inicial de adapta\u00e7\u00e3o \u00e0 terapia.<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ module_id=”opcoesescolha” _builder_version=”4.16″ background_color=”#f2f2f2″ custom_padding=”0px|0px|0|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ _builder_version=”4.16″ width=”100%” max_width=”100%” module_alignment=”center” custom_margin=”||100px|” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/04\/vit-guiasono-footer_00.jpg” title_text=”vit-guiasono-footer_00″ align=”center” force_fullwidth=”on” _builder_version=”4.16″ animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta title=”OP\u00c7\u00d5ES DE ESCOLHA” admin_label=”VENTILA\u00c7\u00c3O ESPONT\u00c2NEA” _builder_version=”4.16″ header_font=”Roboto|700|||||||” header_text_color=”#f7941d” header_font_size=”40px” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” background_layout=”light” module_alignment=”center” custom_margin=”|||” 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row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/VIT_guia_sono_home_opcoes_de_escolha.jpg” title_text=”VIT_guia_sono_home_opcoes_de_escolha” _builder_version=”4.16″ animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ module_id=”opcoesprogramacao” _builder_version=”4.16″ background_color=”#f7f7f7″ custom_padding=”100px|0px|50px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row 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button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ custom_padding=”100px|0px|0|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_margin=”||100px|” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_toggle title=”Smart Start\/Smart Stop\/ Auto-Start\/ Ligar\/Desl Autom\u00e1tico*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.21.2″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

A terapia \u00e9 ativada automaticamente quando a m\u00e1scara \u00e9 colocada, parando automaticamente quando \u00e9 retirada.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”Rampa, soft Start*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.21.2″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

O tempo de Rampa<\/em> define o per\u00edodo de tempo durante o qual a press\u00e3o ir\u00e1 aumentar, gradualmente, de uma press\u00e3o inicial mais baixa e confort\u00e1vel at\u00e9 \u00e0 press\u00e3o de tratamento m\u00ednima.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”SmartRamp, I Ramp ou Auto-Ramp*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.22.1″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

In\u00edcio semelhante \u00e0 Rampa<\/em>, mas se durante o tempo de rampa definido for detetado o in\u00edcio do sono com presen\u00e7a de eventos respirat\u00f3rios, como apneias obstrutivas, hipopneias, roncos ou respira\u00e7\u00e3o est\u00e1vel e constante indicativa de in\u00edcio de sono, a rampa termina e a press\u00e3o inicial sobe at\u00e9 \u00e0 press\u00e3o de tratamento m\u00ednima.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”Flex, APE, CC+, softPAP*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.22.1″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Al\u00edvio da press\u00e3o durante a fase expirat\u00f3ria. Concebida para tornar a terapia mais confort\u00e1vel, mantendo um tratamento \u00f3timo para o doente durante a inspira\u00e7\u00e3o, mas reduzindo a press\u00e3o durante a expira\u00e7\u00e3o, per\u00edodo em que a faringe j\u00e1 est\u00e1 aberta.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”Resposta suave*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.21.2″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Define a taxa de aumento da press\u00e3o em resposta aos eventos durante a terapia. Para os doentes que s\u00e3o sens\u00edveis a altera\u00e7\u00f5es mais r\u00e1pidas da press\u00e3o durante a terapia, a Resposta<\/em> pode ser definida como Standard<\/em> ou Suave<\/em>. Se for definida como Suave<\/em>, ser\u00e3o administrados aumentos de press\u00e3o mais suaves ao doente durante a terapia.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”Resposta standard ou din\u00e2mica*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.22.1″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

O objetivo da resposta \u201cStandard\u201d \u00e9 maximizar a aceita\u00e7\u00e3o do doente atrav\u00e9s da entrega de press\u00f5es o mais baixas poss\u00edvel. Atua de forma normal \u00e0s apneias e hipopneias, respondendo mais lentamente ao ronco.<\/p>\n

O objetivo da resposta \u201cDin\u00e2mica\u201d \u00e9 tratar as obstru\u00e7\u00f5es parciais com maior sensibilidade e mais proativamente, antes que estas se tornem mais graves,\u00a0 <\/span>respondendo assim mais rapidamente ao ronco.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”Trigger (Inspirat\u00f3rio) e Ciclo* (Trigger Expirat\u00f3rio)*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.22.1″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Trigger<\/em> (Inspirat\u00f3rio) – Sensibilidade do ventilador para detetar o esfor\u00e7o inspirat\u00f3rio do doente.<\/p>\n

Ciclo (Trigger<\/em> Expirat\u00f3rio) – Sensibilidade do ventilador para detetar o esfor\u00e7o expirat\u00f3rio do doente.<\/p>\n

Nota: Alguns equipamentos possuem Trigger\u2019s<\/em> autom\u00e1ticos.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”AutoSet for Her*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.16″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Algoritmo semelhante ao APAP Standard<\/em> mas com uma taxa reduzida de incrementos de press\u00e3o projetada para ajudar a evitar o despertar; diminui\u00e7\u00e3o mais lenta da press\u00e3o e uma press\u00e3o m\u00ednima que se ajusta de acordo com a frequ\u00eancia de apneias – Se duas apneias ocorrerem em menos de dois minutos, a press\u00e3o atingida em resposta \u00e0 segunda apneia tornar-se-\u00e1 na nova press\u00e3o m\u00ednima de tratamento at\u00e9 \u00e0 pr\u00f3xima sess\u00e3o de tratamento.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”CPAP-Check*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.21.2″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

A cada 30 horas de utiliza\u00e7\u00e3o, o modo CPAP-check<\/em> analisa os eventos detetados e ajusta a press\u00e3o de acordo com as necessidades e limites estabelecidos, podendo aumentar 1cmH2<\/sub>O<\/i> a cada 30 horas.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”EZ – Start*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.21.2″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Em CPAP\/CPAP Check – reduz para 50% a Press\u00e3o programada na 1\u00aa noite de tratamento. Em cada sess\u00e3o >4h a press\u00e3o aumenta 1cmH2<\/sub>O<\/i>. Em APAP – reduz a press\u00e3o m\u00e1x. na primeira noite de tratamento [Pm\u00e1x = Pmin+1]. Em cada sess\u00e3o >4h a Pm\u00e1x aumenta 1cmH2O.
Se ap\u00f3s 30 dias a Press\u00e3o programada ou Pm\u00e1x n\u00e3o tiver sido alcan\u00e7ada, a press\u00e3o ir\u00e1 aumentar 1cmH2<\/sub>O<\/i> por cada noite de tratamento, independentemente da sua dura\u00e7\u00e3o at\u00e9 chegar \u00e0 Press\u00e3o Programada (CPAP), ou aos valores de Pmin – Pm\u00e1x (APAP).<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”OptiStart*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.16″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Esta funcionalidade inicia uma sess\u00e3o terap\u00eautica Auto-CPAP com uma press\u00e3o inicial pr\u00f3xima de 90% da press\u00e3o da sess\u00e3o anterior, de modo a reduzir a probabilidade de quaisquer eventos residuais no in\u00edcio da nova sess\u00e3o terap\u00eautica. Pode-se ativar ou desativar esta funcionalidade.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”Auto-Trial*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.16″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

Modo de titula\u00e7\u00e3o autom\u00e1tica quando se pretende um tratamento de CPAP. Funciona por um per\u00edodo de 3 a 30 dias durante o qual o equipamento funciona como APAP. No final do tempo determinado, passa para o modo CPAP ou CPAP-Check com a press\u00e3o P90% identificada na titula\u00e7\u00e3o.<\/p>\n

[\/et_pb_toggle][et_pb_toggle title=”Easy-Breathe*” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.16″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

A forma de curva Easy-Breathe<\/em> recria inteligentemente o padr\u00e3o respirat\u00f3rio individual de um doente, para que a respira\u00e7\u00e3o seja mais natural e a terapia mais confort\u00e1vel.<\/p>\n

[\/et_pb_toggle][et_pb_text _builder_version=”4.16″ text_font_size=”10px” text_line_height=”1.4em” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

* Dependendo da marca, respetivo algoritmo e modelo do equipamento. O uso do equipamento n\u00e3o dispensa a consulta do manual.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ module_id=”lotes” _builder_version=”4.16″ background_color=”#f2f2f2″ custom_padding=”0px|0px|0|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ _builder_version=”4.16″ width=”100%” max_width=”100%” module_alignment=”center” custom_margin=”||100px|” custom_padding=”0||0||false|false” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/04\/img_prin_ventilacao_.jpg” title_text=”img_prin_ventilacao_” align=”center” force_fullwidth=”on” _builder_version=”4.16″ animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta title=”MODALIDADES DE TRATAMENTO” admin_label=”VENTILA\u00c7\u00c3O ESPONT\u00c2NEA” _builder_version=”4.16″ header_font=”Roboto|700|||||||” header_text_color=”#f7941d” header_font_size=”40px” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” background_layout=”light” module_alignment=”center” custom_margin=”|||” custom_padding=”|150px||150px|false|false” custom_padding_tablet=”40px|50px||50px|false|false” custom_padding_phone=”|40px||40px|false|false” custom_padding_last_edited=”on|phone” animation_style=”zoom” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_cta][et_pb_button button_url=”https:\/\/vitalaireshare.com\/guiasono\/#inicio” button_text=”Voltar ao in\u00edcio” button_alignment=”center” _builder_version=”4.16″ custom_button=”on” button_icon=”6||divi||400″ custom_margin=”||40px||false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”cpap” _builder_version=”4.16″ custom_padding=”0px|0px|16px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” 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button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

Os equipamentos que constam neste documento podem n\u00e3o constituir a totalidade dos equipamentos aprovados no \u00e2mbito do CP2017\/100 dos SPMS para cuidados respirat\u00f3rios domicili\u00e1rios.<\/span><\/p>\n

[\/et_pb_cta][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|700|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

TRATAMENTO COM CPAP<\/h2>\n

[\/et_pb_cta][et_pb_text _builder_version=”4.16″ custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

Caracteriza-se pela aplica\u00e7\u00e3o de uma press\u00e3o constante e igual na via a\u00e9rea durante todo o ciclo respirat\u00f3rio do doente (inspira\u00e7\u00e3o\/expira\u00e7\u00e3o), independentemente da exist\u00eancia de altera\u00e7\u00f5es no padr\u00e3o ventilat\u00f3rio do doente (eventos respirat\u00f3rios).<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”||40px||false|false” custom_padding=”20px|20px|10px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

    \n
  • Uma vez definida a press\u00e3o de tratamento, o equipamento ir\u00e1 fornec\u00ea-la durante todo o per\u00edodo de utiliza\u00e7\u00e3o.<\/li>\n<\/ul>\n

    [\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

    Exemplo de Algoritmo de Ventila\u00e7\u00e3o CPAP<\/p>\n

    [\/et_pb_text][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/vit-guiasono-graphic-cpap_01.jpg” title_text=”vit-guiasono-graphic-cpap_01″ show_in_lightbox=”on” _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||100px|||” animation_style=”zoom” locked=”off” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”CPAP” _builder_version=”4.16″ custom_padding=”0px|0px|30px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”0px|0px|40px|0px|false|false” module_alignment_tablet=”center” module_alignment_phone=”center” module_alignment_last_edited=”on|tablet” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|300|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

    EQUIPAMENTOS PARA TRATAMENTO COM CPAP<\/h2>\n

    [\/et_pb_cta][et_pb_blog fullwidth=”off” include_categories=”23″ show_author=”off” show_date=”off” _builder_version=”4.16″ header_line_height=”1.3em” meta_font=”||||||||” meta_text_color=”rgba(0,0,0,0)” text_orientation=”center” module_alignment=”center” animation_style=”zoom” text_orientation_tablet=”” text_orientation_phone=”center” text_orientation_last_edited=”on|desktop” module_alignment_tablet=”center” module_alignment_phone=”center” module_alignment_last_edited=”on|phone” border_width_all=”0px” global_colors_info=”{}”] [\/et_pb_blog][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”apap” _builder_version=”4.16″ custom_padding=”0px|0px|30px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”1px|0px|63px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|700|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” locked=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

    TRATAMENTO COM APAP<\/h2>\n

    [\/et_pb_cta][et_pb_text _builder_version=”4.16″ custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

    Caracteriza-se por fornecer o d\u00e9bito de ar necess\u00e1rio, por forma a condicionar altera\u00e7\u00f5es na press\u00e3o, mediante a dete\u00e7\u00e3o de eventos respirat\u00f3rios que possam ocorrer durante o sono.<\/p>\n

    S\u00e3o definidas duas press\u00f5es de tratamento: Press\u00e3o m\u00ednima e press\u00e3o m\u00e1xima. O equipamento usa algoritmos para determinar varia\u00e7\u00f5es no grau de obstru\u00e7\u00e3o a cada ciclo respirat\u00f3rio, ajustando dentro do intervalo de press\u00f5es definido, o n\u00edvel de press\u00e3o para repor o padr\u00e3o respirat\u00f3rio normal.<\/p>\n

    \u00c9 recomend\u00e1vel que o intervalo entre as press\u00f5es m\u00ednimas e m\u00e1ximas seja curto.<\/p>\n

    [\/et_pb_text][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”||20px||false|false” custom_padding=”20px|20px|10px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

      \n
    • A press\u00e3o de tratamento pode variar devido a altera\u00e7\u00f5es do estado do sono, da posi\u00e7\u00e3o do corpo e da resist\u00eancia das vias a\u00e9reas.<\/li>\n<\/ul>\n

      [\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

      Exemplo de Algoritmo de Ventila\u00e7\u00e3o APAP<\/p>\n

      [\/et_pb_text][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/vit-guiasono-graphic-apap_01.jpg” title_text=”vit-guiasono-graphic-apap_01″ show_in_lightbox=”on” _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_margin=”||9px|||” animation_style=”zoom” locked=”off” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”APAP” _builder_version=”4.16″ custom_padding=”0px|0px|100px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”0px|0px|40px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|300|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” locked=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

      EQUIPAMENTOS PARA TRATAMENTO COM APAP<\/h2>\n

      [\/et_pb_cta][et_pb_blog fullwidth=”off” include_categories=”24″ show_author=”off” show_date=”off” _builder_version=”4.16″ header_line_height=”1.3em” meta_font=”||||||||” meta_text_color=”rgba(0,0,0,0)” text_orientation=”center” animation_style=”zoom” text_orientation_tablet=”” text_orientation_phone=”center” text_orientation_last_edited=”on|desktop” border_width_all=”0px” global_colors_info=”{}”] [\/et_pb_blog][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”binivel” _builder_version=”4.16″ custom_padding=”0px|0px|30px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”0px|0px|40px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|700|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” locked=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

      VENTILA\u00c7\u00c3O BIN\u00cdVEL<\/h2>\n

      [\/et_pb_cta][et_pb_text _builder_version=”4.16″ custom_margin=”||20px||false|false” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

      Caracteriza-se pela entrega de duas press\u00f5es distintas durante o ciclo respirat\u00f3rio do doente (press\u00e3o inspirat\u00f3ria – IPAP\/press\u00e3o expirat\u00f3ria – EPAP).<\/p>\n

      O diferencial entre estas duas press\u00f5es \u00e9 o suporte ventilat\u00f3rio adicional (PS – Press\u00e3o de Suporte) que contribui para aumentar a ventila\u00e7\u00e3o do doente, enquanto que a press\u00e3o expirat\u00f3ria contribui para a elimina\u00e7\u00e3o do ar exalado, ajudando em simult\u00e2neo a manter a via a\u00e9rea superior aberta.<\/p>\n

      [\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

      Exemplo de Algoritmo de Ventila\u00e7\u00e3o Bin\u00edvel<\/p>\n

      [\/et_pb_text][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/vit-guiasono-graphic-binivel_01.jpg” title_text=”vit-guiasono-graphic-binivel_01″ show_in_lightbox=”on” _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_padding=”||25px|||” animation_style=”zoom” locked=”off” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”BINIVEL” _builder_version=”4.16″ custom_padding=”0px|0px|100px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”0px|0px|40px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|300|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” locked=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

      EQUIPAMENTOS PARA VENTILA\u00c7\u00c3O BIN\u00cdVEL<\/h2>\n

      [\/et_pb_cta][et_pb_blog fullwidth=”off” include_categories=”25″ show_author=”off” show_date=”off” _builder_version=”4.16″ header_line_height=”1.3em” meta_font=”||||||||” meta_text_color=”rgba(0,0,0,0)” text_orientation=”center” animation_style=”zoom” text_orientation_tablet=”” text_orientation_phone=”center” text_orientation_last_edited=”on|desktop” border_width_all=”0px” global_colors_info=”{}”] [\/et_pb_blog][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”autobinivel” _builder_version=”4.16″ custom_padding=”0px|0px|0px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”0px|0px|40px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|700|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” locked=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

      VENTILA\u00c7\u00c3O AUTO BIN\u00cdVEL<\/h2>\n

      [\/et_pb_cta][et_pb_text _builder_version=”4.16″ custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

      Caracteriza-se pela varia\u00e7\u00e3o autom\u00e1tica do n\u00edvel da press\u00e3o expirat\u00f3ria (EPAP) e da press\u00e3o inspirat\u00f3ria (IPAP), como resposta \u00e0 dete\u00e7\u00e3o de eventos obstrutivos. Assim sendo, admite-se que poder\u00e1 responder melhor \u00e0s necessidades do doente:<\/p>\n

      [\/et_pb_text][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”||0px|||” custom_padding=”20px|20px|10px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

        \n
      • Apneias e roncos \u2013 ajuste do EPAP;<\/li>\n
      • Hipopneias – ajuste do IPAP.<\/li>\n<\/ul>\n

        [\/et_pb_text][et_pb_text _builder_version=”4.16″ custom_margin=”||20px||false|false” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

        Os algoritmos de resposta, bem como a parametriza\u00e7\u00e3o, variam entre os equipamentos podendo ter implica\u00e7\u00e3o na defini\u00e7\u00e3o de EPAP m\u00ednimo, IPAP m\u00e1ximo, PS fixa ou PS m\u00ednima e m\u00e1xima.<\/p>\n

        [\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

        Exemplo de dois tipos de Algoritmos de Ventila\u00e7\u00e3o Auto Bin\u00edvel<\/p>\n

        [\/et_pb_text][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/vit-guiasono-graphic-autobinivel-a_01.jpg” title_text=”vit-guiasono-graphic-autobinivel-a_01″ show_in_lightbox=”on” _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_padding=”||0px|||” animation_style=”zoom” locked=”off” global_colors_info=”{}”][\/et_pb_image][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/vit-guiasono-graphic-autobinivel-b_01.jpg” title_text=”vit-guiasono-graphic-autobinivel-b_01″ show_in_lightbox=”on” _builder_version=”4.16″ width=”70%” module_alignment=”center” custom_padding=”||70px|||” animation_style=”zoom” locked=”off” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”AUTOBINIVEL” _builder_version=”4.16″ custom_padding=”0px|0px|100px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”0px|0px|40px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|300|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” locked=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

        EQUIPAMENTOS PARA VENTILA\u00c7\u00c3O AUTO BIN\u00cdVEL<\/h2>\n

        [\/et_pb_cta][et_pb_blog fullwidth=”off” include_categories=”26″ show_author=”off” show_date=”off” _builder_version=”4.16″ header_line_height=”1.3em” meta_font=”||||||||” meta_text_color=”rgba(0,0,0,0)” text_orientation=”center” animation_style=”zoom” text_orientation_tablet=”” text_orientation_phone=”center” text_orientation_last_edited=”on|desktop” border_width_all=”0px” global_colors_info=”{}”] [\/et_pb_blog][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”servoventilacao” _builder_version=”4.16″ custom_padding=”0px|0px|11px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”1px|0px|77px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|700|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” locked=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

        SERVOVENTILA\u00c7\u00c3O AUTOADAPTATIVA<\/h2>\n

        [\/et_pb_cta][et_pb_text _builder_version=”4.16″ custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

        A Servoventila\u00e7\u00e3o Autoadaptativa funciona com base num algoritmo que tem em conta a ventila\u00e7\u00e3o minuto (VM) ou o d\u00e9bito expirat\u00f3rio de pico (Peak Flow), conforme os equipamentos e o padr\u00e3o respirat\u00f3rio an\u00f3malo do doente.<\/p>\n

        O algoritmo deteta a redu\u00e7\u00e3o ou pausas na respira\u00e7\u00e3o sem obstru\u00e7\u00e3o da via a\u00e9rea superior, calcula o fluxo-alvo para o doente e ajusta automaticamente a press\u00e3o de suporte, dentro dos limites programados, cujo objetivo \u00e9 estabilizar o padr\u00e3o ventilat\u00f3rio do doente.<\/p>\n

        [\/et_pb_text][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”||0px|||” custom_padding=”20px|20px|10px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

          \n
        • Se o doente alcan\u00e7ar o fluxo-alvo, o dispositivo n\u00e3o oferecer\u00e1 nenhum suporte de press\u00e3o adicional;\n<\/li>\n
        • Se o doente n\u00e3o alcan\u00e7ar o fluxo-alvo, o dispositivo ir\u00e1 automaticamente alterar o suporte de press\u00e3o respira\u00e7\u00e3o a respira\u00e7\u00e3o.<\/li>\n<\/ul>\n

          [\/et_pb_text][et_pb_text _builder_version=”4.16″ custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

          Alguns equipamentos, para al\u00e9m de terem em conta a VM t\u00eam tamb\u00e9m um algoritmo que se destina a manter as vias a\u00e9reas superiores abertas, detetando eventos obstrutivos e respondendo aos mesmos com um ajuste autom\u00e1tico da EPAP.<\/p>\n

          [\/et_pb_text][et_pb_text _builder_version=”4.16″ background_color=”#f7f7f7″ custom_margin=”||0px|||” custom_padding=”20px|20px|10px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

            \n
          • Na insufici\u00eancia card\u00edaca com respira\u00e7\u00e3o de Cheyne-Stokes<\/span> a press\u00e3o de suporte m\u00ednima deve ser idealmente 0, de forma a evitar alcalose respirat\u00f3ria e hipocaliemia.<\/li>\n<\/ul>\n

            [\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font_size=”11px” text_orientation=”center” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” locked=”off” global_colors_info=”{}”]<\/p>\n

            Exemplo de Algoritmo de Servoventila\u00e7\u00e3o Autoadaptativa<\/p>\n

            [\/et_pb_text][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2020\/05\/vit-guiasono-graphic-servoventilacao_00.jpg” title_text=”vit-guiasono-graphic-servoventilacao_00″ show_in_lightbox=”on” _builder_version=”4.16″ width=”80%” module_alignment=”center” custom_padding=”||16px|||” animation_style=”zoom” locked=”off” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” module_id=”SERVOVENTILACAO” _builder_version=”4.16″ custom_padding=”0px|0px|100px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ module_alignment=”center” custom_padding=”0px|0px|40px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta admin_label=”BI-N\u00cdVEIS STANDARD” _builder_version=”4.16″ header_level=”h4″ header_font=”Roboto|300|||||||” header_text_align=”left” header_text_color=”#f7941d” header_line_height=”1.4em” body_font=”Roboto|300|||||||” body_text_color=”#6d6d6d” use_background_color=”off” text_orientation=”left” background_layout=”light” custom_margin=”||1px|||” animation_style=”zoom” header_text_align_tablet=”” header_text_align_phone=”center” header_text_align_last_edited=”on|phone” locked=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”]<\/p>\n

            EQUIPAMENTOS PARA SERVOVENTILA\u00c7\u00c3O AUTOADAPTATIVA<\/h2>\n

            [\/et_pb_cta][et_pb_blog fullwidth=”off” include_categories=”27″ show_author=”off” show_date=”off” show_excerpt=”off” _builder_version=”4.22.1″ header_line_height=”1.3em” meta_font=”||||||||” meta_text_color=”rgba(0,0,0,0)” text_orientation=”center” animation_style=”zoom” text_orientation_tablet=”” text_orientation_phone=”center” text_orientation_last_edited=”on|desktop” border_width_all=”0px” global_colors_info=”{}”] [\/et_pb_blog][et_pb_toggle title=”BIBLIOGRAFIA CONSULTADA” open_toggle_text_color=”#f7941d” closed_toggle_background_color=”#ffffff” icon_color=”#e09900″ open_icon_color=”#e09900″ _builder_version=”4.21.2″ title_font=”|700|||||||” custom_margin=”||20px||false|false” animation_style=”zoom” global_colors_info=”{}”]\u2013 Dempsey JA et al. Pathophysiology of Sleep Apnea. Physiol Rev 2010;90:47\u2013112. doi.org\/10.1152\/physrev.00043.2008<\/p>\n

            \u2013 Berry RB et al. Rules for Scoring Respiratory Events in Sleep: Update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. J Clin Sleep Med 2012;8(5):597-619. doi.org\/10.5664\/jcsm.2172<\/p>\n

            \u2013 Malhotra RK et al. Polysomnography for Obstructive Sleep Apnea Should Include Arousal- Based Scoring: An American Academy of Sleep Medicine Position Statement. J Clin Sleep Med 2018;14(7):1245-1247. doi.org\/10.5664\/jcsm.7234<\/p>\n

            \u2013 Veasey SC, Rosen IM. Obstructive Sleep Apnea in Adults. N Engl J Med 2019;380:1442-1449. doi.org\/10.1056\/NEJMcp1816152<\/p>\n

            \u2013 Baratta F et al. Long-term prediction of adherence to continuous positive air pressure therapy for the treatment of moderate\/severe obstructive sleep apnea syndrome. Sleep Med. 2018; 43:66\u201370. doi.org\/10.1016\/j.sleep.2017.09.032<\/p>\n

            \u2013 P\u00e9pin J-L et al. CPAP Therapy Termination Rates by OSA Phenotype: A French Nationwide Database Analysis. J. Clin. Med.\u00a02021;\u00a010(5), 936. doi.org\/10.3390\/jcm10050936<\/p>\n

            \u2013 Weaver TE, Maislin G, Dinges DF et al. Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning. Sleep. 2007;30(6):711-719. doi.org\/10.1093\/sleep\/30.6.711<\/p>\n

            \u2013 Chang JL et al. International Consensus Statement on Obstructive Sleep Apnea. doi.org\/10.1002\/alr.23079<\/p>\n

            \u2013 Genta PR et al. The Importance of Mask Selection on Continuous Positive Airway Pressure Outcomes for Obstructive Sleep Apnea. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc 2020; 17(10):1177-1185. doi.org\/10.1513\/AnnalsATS.202007-864ST<\/p>\n

            \u2013 Schiza S, L\u00e9vy P, Martinez-Garcia MA et al. The search for realistic evidence on the outcomes of obstructive sleep apnoea. Eur Respir J 2021; 58: 2101963. doi.org\/10.1183\/13993003.01963-2021<\/p>\n

            \u2013 Abma IL et al. The development of a patient-reported outcome measure for patients with obstructive sleep apnea: the Patient-Reported Apnea Questionnaire (PRAQ). Journal of Patient Reported Outcomes 2017; 1:14. doi.org\/10.1186\/s41687-017-0021-6<\/p>\n

            \u2013 Mediano O et al., Documento internacional de consenso sobre apnea obstructiva del sueno. Arch Bronconeumol. 2022;58:52\u201368. doi.org\/10.1016\/j.arbres.2021.03.017[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ background_color=”#f7f7f7″ custom_padding=”80px|0px|50px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ width=”90%” max_width=”90%” module_alignment=”center” custom_padding=”0px|0px|0px|0px” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font_size=”12px” custom_margin=”||0px|||” custom_padding=”20px|20px|20px|20px|false|false” animation_style=”zoom” global_colors_info=”{}”]<\/p>\n

            A Air Liquide, l\u00edder europeu em cuidados de sa\u00fade no domic\u00edlio, presta estes servi\u00e7os mediante prescri\u00e7\u00e3o m\u00e9dica para os pacientes que sofrem de doen\u00e7as cr\u00f3nicas como a DPOC (doen\u00e7a pulmonar obstrutiva cr\u00f3nica), apneia do sono, entre outras. Os cuidados de sa\u00fade ao domic\u00edlio foram desenvolvidos como complemento aos cuidados de sa\u00fade realizados no hospital, permitindo que os pacientes desfrutem de uma melhor qualidade de vida, reduzindo os custos dos sistemas de sa\u00fade nacionais. Este documento e as imagens, textos e marcas nele contidos s\u00e3o propriedade da VitalAire, S.A., uma empresa do Grupo Air Liquide. N\u00e3o s\u00e3o permitidas reprodu\u00e7\u00f5es ou c\u00f3pias, totais ou parciais, deste documento. Qualquer diagn\u00f3stico, prescri\u00e7\u00e3o e terapia deve ser realizado exclusivamente por profissional qualificado. Este guia destina-se exclusivamente a profissionais de sa\u00fade.<\/p>\n

            [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ background_color=”#f7f7f7″ custom_padding=”80px|0px|99px|0px|false|false” top_divider_color=”#ffffff” top_divider_height=”46px” top_divider_arrangement=”above_content” bottom_divider_color=”#ffffff” bottom_divider_height=”22px” bottom_divider_flip=”horizontal|vertical” bottom_divider_arrangement=”above_content” global_colors_info=”{}”][et_pb_row column_structure=”1_5,1_5,1_5,1_5,1_5″ _builder_version=”4.16″ max_width=”2086px” module_alignment=”center” custom_padding=”||||false|false” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_5″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2023\/08\/vit_geral.png” title_text=”vit_geral” align=”center” force_fullwidth=”on” _builder_version=”4.21.2″ custom_margin=”-18px||33px||false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.22.1″ _module_preset=”default” text_font=”|700|||||||” text_text_color=”#419BCC” text_font_size=”12px” text_line_height=”1.3em” custom_margin=”||4px|||” custom_padding=”||||false|false” global_colors_info=”{}”]VitalAire | Continente<\/p>\n

            VitalAire | Ponta Delgada[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_5″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2023\/08\/vit-guia-sono-contactos_06-02-3.png” title_text=”vit-guia-sono-contactos_06-02″ align=”center” force_fullwidth=”on” _builder_version=”4.21.2″ custom_margin=”||33px||false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”|700|||||||” text_text_color=”#419BCC” text_font_size=”12px” text_line_height=”1.3em” custom_margin=”||4px|||” custom_padding=”||||false|false” global_colors_info=”{}”]<\/p>\n

            Delega\u00e7\u00e3o VitalAire | Angra do Hero\u00edsmo<\/p>\n

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            Ilhas da Terceira, Faial, Pico, S. Jorge, Graciosa, Flores e Corvo<\/p>\n

            [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_5″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2021\/04\/vit-guia-sono-contactos_06-04.png” title_text=”vit-guia-sono-contactos_06-04″ align=”center” force_fullwidth=”on” _builder_version=”4.21.2″ custom_margin=”||33px||false|false” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”|700|||||||” text_text_color=”#419BCC” text_font_size=”12px” text_line_height=”1.3em” custom_margin=”||4px|||” custom_padding=”||||false|false” global_colors_info=”{}”]<\/p>\n

            Delega\u00e7\u00e3o VitalAire | Funchal<\/p>\n

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            Ilhas da Madeira e Porto Santo<\/span><\/p>\n

            [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_5″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”1_5″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/vitalaireshare.com\/guiasono\/wp-content\/uploads\/2021\/04\/logo.png” title_text=”logo” url=”https:\/\/www.vitalaire.pt\/” url_new_window=”on” _builder_version=”4.16″ width=”100%” max_width=”100%” module_alignment=”center” max_height=”1000px” animation_style=”zoom” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ width=”90%” max_width=”90%” module_alignment=”center” custom_padding=”0px|0px|0px|0px” custom_css_main_element=” display: -webkit-box;|| display: -ms-flexbox;|| display: flex;|| -webkit-box-align: center;|| -ms-flex-align: center;|| align-items: center;|| -webkit-box-orient: horizontal;|| -webkit-box-direction: normal;|| -ms-flex-direction: row;|| flex-direction: row;|| -ms-flex-wrap: wrap;|| flex-wrap: wrap;” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ background_position=”top_left” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text content_tablet=”<\/p>\n

            CMR-D-68\/1
            Mar\u00e7o de 2020<\/p>\n

            ” content_phone=”<\/p>\n

            CMR-D-68\/1
            Mar\u00e7o de 2020<\/p>\n

            ” content_last_edited=”on|phone” _builder_version=”4.22.1″ text_font_size=”10px” text_line_height=”1.4em” custom_margin=”|||10px|false|false” custom_padding=”66px||20px|10px|false|false” animation_style=”zoom” text_orientation_tablet=”center” text_orientation_phone=”” text_orientation_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n

            CMR-D-68\/2\u00a0 |\u00a0 <\/span>Outubro 2023<\/span><\/p>\n

            [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

            Website exclusivo a Profissionais de Sa\u00fade.A VitalAire agradece \u00e0 Sociedade Portuguesa de Pneumologia, Comiss\u00e3o de Trabalho de Patologia Repirat\u00f3ria do Sono e Associa\u00e7\u00e3o Portuguesa de Sono a revis\u00e3o deste conte\u00fado. A S\u00edndrome de Apneia do Sono (SAS) deve-se a interrup\u00e7\u00f5es moment\u00e2neas, frequentemente c\u00edclicas, do ritmo respirat\u00f3rio (apneias) ou redu\u00e7\u00f5es moment\u00e2neas ou sustentadas na amplitude da […]<\/p>\n","protected":false},"author":3,"featured_media":8768,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"

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