uyGs I have noeahtr tu.hhgto
iigGnv htreo chesioc ear aotub sih troeh naomrbal esluav (idnreeacs tnaeeicr, os,cluge ricu )d,iac I uessg the siuoeqnt is testing su hihwc of eshte ulavse llwi moveirp if shi AOS is oidvmpre yb P.CPA
niceS AOS si eno fo teh omst timotrpan usecsa of poiaidtich itsr,ehepnyno it dulohs eomc ot su atht enco ish SAO is dtrta,ee shi ioshynepetrn ilwl rpviemo no.os
So eesdeac"rd B"P dnaites fo toehr ablrnmoa uasle.v
kha(Tns to ym endrfis rof tnhgiin me bouat !)isth
PCPA rssnaiece tlpneailaurr rseeprus as eht taedveel aiwary rrupeess si dmnteaistrt ot hrote sginht in the iyatvc u(gln hessup on ulperla /iatvcpcayse cihwh can tenh suhp no other tscru.tur)es sThi nac lead ot imosceprosn fo ,snvei ndcugnlii hte neav vaac t&g-; deedceras nuoves nuerrt -&;gt srdecdaee pb mr(fo dreeescda pdleo).ar iTsh is aiilsmr ot athw ppnhsea grnuid vsvlaaal iexr(neto aehps)s uhtohg eth ptiovise eeprrsus si prvdeoid by a iehncam upmp aendtsi fo maalbdion imugeah.salpsrcd/m I htikn thear reta klyeil ssirnecea dtnieas fo edrsecae sa a prcsaemotoyn pee.osnsr
Hres’e neo etis ttah ixenapsl it well eth( “”rfee nectton si eoghun nda yrobpalb yredlaa csxdeee the thpde eno hgmit dene to )nowk ncre:hsventaieft-/e.arxeitrytl/mfa-altc-ofnhao/oitmipccnkpucylaomh/-eocst
Guys don’t forget that in OSA, periods of apnea results in increased sympathetic tone, hypoxia causing pulmonary hypoxia vasoconstriction, thoracic movement without inspiration increasing negative intrathoracic pressure ==> all these factors leads to hypertension in OSA.
To remove all this we give CPAP, which results in decrease in BP over long period. (It is not only about increasing intrathoracic pressure and reducing BP)
Atlhhgou sti’ aoubt VP,P hsti eshrneiacgr pedlhe me ustndednra absci hs,py I eoph hist lshep yereonev ni osme aw.y
:Tawaaeyk ugniDr P,VP nosveu uetrrn ra,esdecse aarcidc upuott seeaescr,d dna ertha prresusse rdeescae ni eht htrgi dies of eth rathe.
hyW odes PPV resaedce svnueo nrutre?
asueCs ofr cderedesa ltfe utarevclrin potuut gdruin litaeivnn:to
arlmoN mcapersytono nsmehimsca rfo naniingtaim OC and BP dguirn P?VP
eOtrh shgciioloyP rp:nesoess
I ednadutsrn lesep naeap wdlou uaecs hpyoaix dna aenicrse in SSN .aivyitct So mrtteaent douwl redceu PB nad Hater .Reat I wsa tukcs tnbewee hte owt tisnoop. Why asw hte arensw olbod respuers nad otn RH? I gdelogo nuador a itb dna unfod sseutdi tath whos rpod ni tbho RH adn .BP I ssgue BP opdrs omr?e Can osenmoe espeal xpnail.e
aCn osmenoe rerotcc my nniosrgea ee:hr
I saw hitknnig ieiotvps yaiawr erpsrseu iwll ircaesen eloalavr ielnattonvi dna esdacere oypixha dienudc molrynuap ion.ticctvasronso ,usTh VR raetf olad ldouw arseedce g=;&t orme apodler ot VL and oemr cdriaca toputu. enhT ouwd'nlt BP sredeeca?
ynA elph si pedceta.pira hTn.ksa
rsnadceeI aiarltinancr rusrsepe tath ulsesrt in iuhn'Cssg tdria fo needacsir doobl spusree,r irerguarl eai,tbrngh nad aa.bdyacdrri Tsh,u high CO2 edcusni ihncusg drait nad fi ouy vieg PP hent ti wlil ecddeur ,2OC dan then odnw uelagter het hysettmcpai tn.ovicosciotrans aiygrlliOn hte arinb ahd os uhcm 2CO ahtt ti zzdpeas tuo dna etdir ot rceaisen eth PB in droer ot shpu erom ayoxeetdng bdloo ot hte na.bir
w3p.msegro.mSiphte-Asc//b.igCJl:dtkA/jfK5tapUsgqa:Zm/
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