Assessing the Role of Adaptive Servo-Ventilation in Managing Central Sleep Apnea: Perspectives from Respiratory Therapy

Background: Central Sleep Apnea (CSA) presents significant management challenges, particularly in terms of effective treatment modalities. Adaptive Servo-Ventilation (ASV) has emerged as a promising intervention for CSA, with respiratory therapists playing a crucial role in its application.
Objective: This study aims to assess the effectiveness of ASV in managing CSA from the perspective of respiratory therapists, focusing on their experiences in titrating and monitoring the treatment.
Methods: A qualitative study was conducted involving in-depth interviews with 18 respiratory therapists from a large tertiary hospital. Thematic analysis was used to explore their experiences, challenges, and strategies in managing ASV for CSA patients.
Results: The findings revealed that respiratory therapists view ASV as highly effective in improving patient outcomes, including enhanced sleep quality and reduced symptoms of CSA. Key challenges identified include the complexity of ASV settings and the need for continuous monitoring and adjustment. The study also highlighted the critical need for specialized training for respiratory therapists and emphasized the importance of interdisciplinary collaboration in optimizing patient care.
Conclusion: ASV is effective in treating CSA, but its success largely depends on the skill and knowledge of respiratory therapists. Enhancing training programs and fostering better team communication can improve the management of ASV therapy, leading to better patient outcomes.