Trans Nasal Insuflation for the Treatment of Snoring (TNI)
Recruitment status was Active, not recruiting
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Purpose
This research is being done to examine if a nasal cannula can be used to keep the throat open during sleep, thereby treating sleep apnea.
People with sleep apnea and people who snore without sleep apnea may take part in this study. Sleep apnea is a disorder caused by pauses in breathing due to repetitive closure of the throat. The most common form of treatment for sleep apnea is continuous positive airway pressure (CPAP) therapy. While CPAP therapy remains the simplest and most effective treatment for snoring and sleep apnea, patients have to wear a nasal mask throughout the night. For this reason, patients often have difficulty sticking to therapy.
Participants enrolled in this study will spend 3-nights in a sleep laboratory. In all nights, the investigators will monitor your sleep and your breathing throughout the night. The investigators will apply several electrodes (sensors) to your scalp and face to monitor your sleep and breathing, and other sensors to your chest, abdomen, cheek, and a finger to monitor your breathing and oxygen level.
| Condition | Intervention |
|---|---|
|
Obstructive Sleep Apnea |
Device: Trans Nasal Insuflation (TNI) [nasal canula] |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Cross-Sectional |
| Official Title: | Trans Nasal Insuflation for the Treatment of Snoring and Obstructive Sleep Apnea |
- Change in inspiratory airflow [ Time Frame: 2 nights ] [ Designated as safety issue: No ]
- Change in sleep apnea severity (AHI) [ Time Frame: 2 nights ] [ Designated as safety issue: No ]
- Change in Ratio of apnea-to-hypopnea events [ Time Frame: 2-nights ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 100 |
| Study Start Date: | July 2004 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Sleep apnea
Patients with diagnosed obstructive sleep apnea
|
Device: Trans Nasal Insuflation (TNI) [nasal canula]
Trans Nasal Insuflation, or TNI, uses air at flow rates delivered through a small nasal canula to reduce the severity and frequency of sleep apnea events. By using TNI we hope to increase the amount of air that the patient can breathe during periods of obstructive sleep disordered breathing. |
Eligibility| Ages Eligible for Study: | 21 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
People with obstructive sleep apnea are eligbile to participate in this study.
Inclusion Criteria:
- Consenting adults over the age of 21
- Diagnosed obstructive sleep apnea
Exclusion Criteria:
- Unstable cardiovascular disease;
- Uncontrolled hypertension (BP > 190/110);
- Severe intrinsic lung diseases (supplemental O2 > 2 L/min during the day);
- History of chronic renal insufficiency;
- History of hepatic insufficiency;
- Pregnancy;
- Bleeding disorders or Coumadin use;
- Sleep Disorders other than OSA;
- Tracheostomy;
- Allergy to lidocaine
Contacts and Locations
More Information
Publications:
| Responsible Party: | Hartmut Schneider, Johns Hopkins University |
| ClinicalTrials.gov Identifier: | NCT00832026 History of Changes |
| Other Study ID Numbers: | NA_00019483 |
| Study First Received: | January 27, 2009 |
| Last Updated: | January 28, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Johns Hopkins University:
|
sleep apnea snoring sleep apnea treatment |
TNI Trans nasal insuflation Open CPAP |
Additional relevant MeSH terms:
|
Apnea Sleep Apnea Syndromes Sleep Apnea, Obstructive Sleep Disorders, Intrinsic Sleep Disorders Snoring Respiration Disorders |
Respiratory Tract Diseases Signs and Symptoms, Respiratory Signs and Symptoms Dyssomnias Nervous System Diseases Respiratory Sounds |
ClinicalTrials.gov processed this record on May 23, 2013