Most recently added articles listed first
Comment by Dr Mark Lavercombe:
This pilot study explores the use of a ketogenic diet in the management of patients with suspected obesity hypoventilation syndrome (OHS). Two weeks of high-fat, low-carbohydrate diet was associated with a reduction in PvCO2 of 3 mmHg; those with PvCO2 > 50 mmHg at baseline achieved a reduction in PvCO2 of 6.4 mmHg. The researchers intend further research using arterial blood gas sampling and a more robust diagnosis of OHS in order to further evaluate a possible role for a ketogenic diet in OHS management.
Comment by Dr Mark Lavercombe:
In this randomised controlled trial of a forty-minute behavioural intervention once weekly for eight weeks in stable adult asthma patients, the authors report significant improvement in both asthma- and sleep-related outcomes. The intervention group achieved a substantial increase in their activity levels when compared with controls, with increases in daily step counts and the amount of moderate to vigorous physical activity per week, and reduction in sedentary time. Sleep efficiency and asthma control also improved. exposure to inhaled PM2.5 particles and lung adenocarcinoma is demonstrated, with increased levels of exposure associated with increased malignancy risk. Given the low rate of smoking in adult women in Taiwan (<5%), this data suggests another possible contributor to the development of adenocarcinoma in non-smoking women.
Comment by Dr Mark Lavercombe:
The association between obstructive sleep apnoea and cardiovascular disease is well recognised. In this paper, the authors explore the role of comorbid elevation of the periodic limb movements in sleep index in a cohort of of patients with obstructive sleep apnoea, and demonstrate a significant elevation in systolic blood pressure, even after accounting for the degree of OSA with multivariate analysis. Further studies - including those utilising 24h BP monitoring - are recommended.
Comment by Dr Mark Lavercombe:
This paper describes the experience of managing a very rare complication of endotracheal intubation or tracheostomy, including the nature and anatomical distribution of the injuries. Finally, outcomes using different treatment approaches is discussed.
Usefulness of transcutaneous PCO2 to assess nocturnal hypoventilation in restrictive lung disorders. Georges et al.
onlinelibrary.wiley.com/doi/10.1111/resp.12812/full (May 2016)
(Editorial: onlinelibrary.wiley.com/doi/10.1111/resp.12871/abstract)
Association of sleep apnoea with chronic kidney disease in a large cohort from Taiwan. Chu et al.
onlinelibrary.wiley.com/doi/10.1111/resp.12739/abstract (Jan 2016)
(FREE access: Editor's Choice; Editorial: onlinelibrary.wiley.com/doi/10.1111/resp.12796/abstract)
Impact of effective versus sham continuous positive airway pressure on liver injury in obstructive sleep apnoea: Data from randomized trials. Jullian-Desayes et al.
onlinelibrary.wiley.com/doi/10.1111/resp.12672/abstract (Nov 2015)
(Editorial: onlinelibrary.wiley.com/doi/10.1111/resp.12720/abstract)