{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:12:02Z","timestamp":1747174322318,"version":"3.40.5"},"reference-count":40,"publisher":"Hogrefe Publishing Group","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>Zusammenfassung. Bei der Treatment-Emergent Central Sleep Apnea (TECSA) entwickeln betroffene Personen mit obstruktiver Schlafapnoe unter Therapie mit einer \u00dcberdruckventilation neu eine zentrale Schlafapnoe (AHI zentral \u22655\/h), die nicht durch andere Ursachen erkl\u00e4rt werden kann. Die Pathophysiologie der TECSA ist unvollst\u00e4ndig gekl\u00e4rt. Eine zentrale Rolle scheint das PaCO2 und die damit verbundene Apnoeschwelle einzunehmen. Die H\u00e4ufigkeit der TECSA variiert (1,8\u201320%), in etwa 2\/3 der F\u00e4lle ist es unter Fortf\u00fchrung der Therapie selbstlimitierend. Bei Persistenz oder neuem Auftreten im sp\u00e4teren Verlauf der \u00dcberdrucktherapie sind weitere Abkl\u00e4rungen (z.B. Echokardiografie, neurologische Untersuchung, Medikamentenanamnese) angezeigt. Effektive Therapiem\u00f6glichkeiten beinhalten unter anderem eine Umstellung der Beatmungstherapie (adaptive Servoventilation oder Bilevel-Ventilation mit Back-up-Frequenz) oder eine zus\u00e4tzliche n\u00e4chtliche Sauerstoffsupplementation; dies sind meist Einzelfallentscheidungen.<\/jats:p>","DOI":"10.1024\/1661-8157\/a003848","type":"journal-article","created":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T07:01:42Z","timestamp":1654671702000},"page":"436-443","source":"Crossref","is-referenced-by-count":2,"title":["Treatment-emergent zentrale Schlafapnoe erkennen und behandeln"],"prefix":"10.1024","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2791-0357","authenticated-orcid":true,"given":"Tabea","family":"Hutter","sequence":"first","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Pneumologie, Inselspital, Universit\u00e4tsspital Bern, Universit\u00e4t Bern, Bern, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Horvath","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Pneumologie, Inselspital, Universit\u00e4tsspital Bern, Universit\u00e4t Bern, Bern, Schweiz"},{"name":"Sleep Research Laboratories of the University Health Network Toronto Rehabilitation Institute (KITE) and Toronto General Hospital and Department of Medicine of the University of Toronto, Toronto, Kanada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline Pichler","family":"Hefti","sequence":"additional","affiliation":[{"name":"Swiss Sportclinic, Bern, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6724-8794","authenticated-orcid":true,"given":"Anne-Kathrin","family":"Brill","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Pneumologie, Inselspital, Universit\u00e4tsspital Bern, Universit\u00e4t Bern, Bern, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"doi-asserted-by":"publisher","key":"c1","DOI":"10.1016\/S2213-2600(15)00043-0"},{"doi-asserted-by":"publisher","key":"c2","DOI":"10.1016\/S0140-6736(13)60734-5"},{"key":"c3","doi-asserted-by":"crossref","DOI":"10.1183\/16000617.0030-2019","volume":"28","author":"Bonsignore MR","year":"2019","journal-title":"Eur Respir Rev"},{"doi-asserted-by":"publisher","key":"c4","DOI":"10.1001\/jama.2012.3418"},{"doi-asserted-by":"publisher","key":"c5","DOI":"10.5664\/jcsm.27662"},{"doi-asserted-by":"publisher","key":"c6","DOI":"10.5665\/sleep.5834"},{"doi-asserted-by":"publisher","key":"c7","DOI":"10.1038\/hr.2014.80"},{"key":"c8","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1093\/sleep\/31.5.593","volume":"31","author":"Young T","year":"2008","journal-title":"Sleep"},{"key":"c9","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1093\/sleep\/31.6.824","volume":"31","author":"Marshall NS","year":"2008","journal-title":"Sleep"},{"unstructured":"American Academy of Sleep Medicine. 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