nocturnal oxygen does not treat root cause of OSA


  • nocturnal oxygen is often prescribed for nocturnal hypoxemia
  • oxygen does not improve obstructive events
  • patients can still have downstream effects of OSA: sympathetic activation (am HTN), microarousals, sleep fragmentation, large changes in intrathoracic pressure
  • recent data have shown 5L O2 compared to 2-3L may have improvement in am BP elevation
  • nocturnal oxygen can be used as an adjunct after fixing underlying obstruction with CPAP1

Footnotes

  1. Murray and Nadel Ch 122 Sleep Disordered Breathing Treatment