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Publicação
Complicações auditivas da utilização de CPAP
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Autores
Orientador(es)
Resumo(s)
O CPAP (Continuous Positive Airway Pressure) é uma pressão positiva de ar, que quando fornecida através de uma máscara e para as vias respiratórias, permite manter ao longo do ciclo respiratório, tanto durante a inspiração como durante a expiração, a via aérea permeável. Deste modo, tem sido muito utilizado no tratamento sintomático de síndrome de apneia do sono (SAOS).
Existem alguns efeitos secundários do tratamento com CPAP como a congestão, rinorreia, xerostomia ou epistáxis.
No entanto, ao ser enviada uma pressão positiva pela nasofaringe podemos estar também a influenciar a função da Trompa de Eustáquio e a condicionar um aumento de pressão no ouvido médio, pelo que é necessário compreender quais podem ser as complicações que podemos associar ao uso destes aparelhos.
Objetivo
Compreender quais os efeitos adversos auditivos descritos e rever quais as potenciais consequências de barotrauma no ouvido médio
Metodologia
Através de pesquisas nas bases de dados PubMed e Cochrane Library, utilizando palavra-chaves como “CPAP”, “middle ear pressure” e/ou “ear complications” identificar case reports, revisões e estudos que permitam identificar as principais consequências reportadas.
CPAP (Continuous Positive Airway Pressure) is a positive air pressure that, when delivered through a mask and into the airways, allows the airway to remain permeable throughout the respiratory cycle, both during inspiration and expiration. It has therefore been widely used in the symptomatic treatment of sleep apnea syndrome (OSAS). There are some side effects of CPAP treatment, such as congestion, rhinorrhea, xerostomia and epistaxis. However, by sending positive pressure through the nasopharynx, we may also be influencing the function of the Eustachian tube and causing an increase in pressure in the middle ear, so it is necessary to understand what complications may be associated with the use of these devices. Objective To understand the adverse auditory effects described and to review the potential consequences of barotrauma in the middle ear. Methodology Through searches in the PubMed and Cochrane Library databases, using keywords such as “CPAP”, “middle ear pressure” and/or “ear complications”, we identified case reports, reviews and studies that would allow us to identify the main consequences reported.
CPAP (Continuous Positive Airway Pressure) is a positive air pressure that, when delivered through a mask and into the airways, allows the airway to remain permeable throughout the respiratory cycle, both during inspiration and expiration. It has therefore been widely used in the symptomatic treatment of sleep apnea syndrome (OSAS). There are some side effects of CPAP treatment, such as congestion, rhinorrhea, xerostomia and epistaxis. However, by sending positive pressure through the nasopharynx, we may also be influencing the function of the Eustachian tube and causing an increase in pressure in the middle ear, so it is necessary to understand what complications may be associated with the use of these devices. Objective To understand the adverse auditory effects described and to review the potential consequences of barotrauma in the middle ear. Methodology Through searches in the PubMed and Cochrane Library databases, using keywords such as “CPAP”, “middle ear pressure” and/or “ear complications”, we identified case reports, reviews and studies that would allow us to identify the main consequences reported.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2024
Palavras-chave
Continuous positive airway pressure (CPAP) Barotrauma Ouvido Síndrome de apneia do sono (SAOS) Pressão