PMID: 9441125Jun 1, 1997Paper

Nasal mask continuous positive airway pressure in the treatment of chronic nocturnal cough in a young child

Respirology : Official Journal of the Asian Pacific Society of Respirology
A Y Teng, C E Sullivan

Abstract

The objective of this case report was to define the effects of nasal mask continuous positive airway pressure (CPAP) on the respiratory and sleep characteristics of a 3 year-old boy with a 2 year history of snoring and 1 year history of chronic nocturnal cough. The method employed was all-night polysomnography before and during treatment with CPAP after the identification of partial upper airway obstruction in association with cough. The results indicated that the child had evidence of mild upper airways obstruction on initial all-night sleep study. Nasal mask CPAP was instituted. On a subsequent sleep study 4 weeks later, this was documented to prevent the upper airway obstruction at a pressure of 5.2 cm of water. In addition, nasal mask CPAP markedly reduced the nocturnal coughing, the total number of coughs decreasing from 92 to one. The rate of cough per h of study (cough disturbance index) decreased from 9.8-0.1. Sleep efficiency (total sleep time as a percentage of study duration) improved on CPAP from 87 to 99%. This study suggests that chronic nocturnal cough can result from upper airway obstruction in sleep in children and is an important initial observation.

References

Nov 1, 1978·Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology·C E SullivanE A Phillipson
Apr 1, 1990·Journal of Applied Physiology·L PlowmanC E Sullivan
Jun 1, 1988·The American Review of Respiratory Disease·C S ChanC E Sullivan
Mar 1, 1986·The Laryngoscope·L D Holinger
Apr 1, 1983·American Journal of Public Health·B K Cypress
Aug 1, 1995·American Journal of Respiratory and Critical Care Medicine·K A WatersC E Sullivan
Jun 1, 1994·Archives of Disease in Childhood·H M Lewis
Jan 1, 1994·Archives of Disease in Childhood·S McKenzie
Jan 1, 1994·American Journal of Respiratory and Critical Care Medicine·A J IngA B Breslin
Aug 1, 1993·Archives of Disease in Childhood·K A WatersC E Sullivan

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Citations

May 10, 2005·Respiratory Physiology & Neurobiology·John Widdicombe, Vijay Singh
Jul 4, 2007·Cough·Surinder S BirringIan D Pavord
Oct 26, 2005·Neurologic Clinics·Mark W Mahowald, Carlos H Schenck
Jun 25, 2017·Chest·Anne B ChangUNKNOWN CHEST Expert Cough Panel
Apr 15, 2011·The Cochrane Database of Systematic Reviews·Laurel TeohAnne B Chang

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