{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:46:34Z","timestamp":1789980394849,"version":"4.0.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T00:00:00Z","timestamp":1697155200000},"content-version":"vor","delay-in-days":2021,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sleep Sci"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Sleep-related breathing disturbances are exacerbated at altitude in patients with Obstructive Sleep Apnea (OSA). The objective of this case report was to determine if a portable auto-CPAP device effectively treated sleep apnea across different altitudes. We report the severity of sleep apnea from 60 to 12,000 feet high in a man with severe OSA (Apnea Hypopnea Index at diagnosis = 60 events\/hour) during the 2017 Dakar rally over the Andes mountains. The man was equipped with a lightweight portable auto-CPAP device with a narrow window [6-8 cmH2O]. Pressures delivered and corresponding residual events were assessed at different altitudes. The 95th percentile pressure reached the maximal set pressure at the highest altitudes, and residual AHI increased from 5 events\/hour to 45 events\/hour at the highest altitudes. Potential mechanisms behind the development of central apnea, and optimal clinical management at altitude are discussed in the light of the findings.<\/jats:p>","DOI":"10.5935\/1984-0063.20180023","type":"journal-article","created":{"date-parts":[[2018,7,10]],"date-time":"2018-07-10T11:34:23Z","timestamp":1531222463000},"page":"123-126","source":"Crossref","is-referenced-by-count":6,"title":["Effectiveness of a lightweight portable auto-CPAP device for the treatment of sleep apnea during high altitude stages of the Dakar Rally: a case report"],"prefix":"10.1055","volume":"11","author":[{"given":"Marius","family":"Lebret","sequence":"additional","affiliation":[{"name":"Inserm U1042, HP2 laboratory - Grenoble - Is\u00e8re - Fran\u00e7a."},{"name":"Agir a dom., Agir a dom. - Meylan - Is\u00e8re - Fran\u00e7a."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Wuyam","sequence":"additional","affiliation":[{"name":"Inserm U1042, HP2 laboratory - Grenoble - Is\u00e8re - Fran\u00e7a."},{"name":"Thorax and vessels division Grenoble Alpes University Hospital, Sleep Laboratory and Exercise Physiology - Grenoble - Is\u00e8re - Fran\u00e7a."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Bertrand","sequence":"additional","affiliation":[{"name":"Pulmonary and Sleep clinic, Pulmonary and sleep clinic - St Ismier - is\u00e8re - Fran\u00e7a."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Chaudot","sequence":"additional","affiliation":[{"name":"Agir a dom., Agir a dom. - Meylan - Is\u00e8re - Fran\u00e7a."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Louis","family":"P\u00e9pin","sequence":"additional","affiliation":[{"name":"Inserm U1042, HP2 laboratory - Grenoble - Is\u00e8re - Fran\u00e7a."},{"name":"Thorax and vessels division Grenoble Alpes University Hospital, Sleep Laboratory and Exercise Physiology - Grenoble - Is\u00e8re - Fran\u00e7a."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Christian","family":"Borel","sequence":"additional","affiliation":[{"name":"Inserm U1042, HP2 laboratory - Grenoble - Is\u00e8re - Fran\u00e7a."},{"name":"Agir a dom., Agir a dom. - Meylan - Is\u00e8re - Fran\u00e7a."},{"name":"Thorax and vessels division Grenoble Alpes University Hospital, Sleep Laboratory and Exercise Physiology - Grenoble - Is\u00e8re - Fran\u00e7a."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,10,13]]},"container-title":["Sleep Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5935\/1984-0063.20180023.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T22:41:20Z","timestamp":1697236880000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5935\/1984-0063.20180023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,10,13]]},"published-print":{"date-parts":[[2018,4]]}},"URL":"https:\/\/doi.org\/10.5935\/1984-0063.20180023","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1984-0659","1984-0063"],"issn-type":[{"value":"1984-0659","type":"print"},{"value":"1984-0063","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4]]}}}