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Won - Figure 7

Another pattern of Op-CSA may be Biot’s or ataxic breathing

FIG. 7: Other patterns seen in Op-CSA can be Biot’s or ataxic breathing.  The distinction between Biot’s and ataxic breathing is not clear. In some cases Biot’s breathing is defined simply as a breathing pattern of irregular frequency, whereas ataxic breathing refers specifically to breathing that is irregular in frequency but also in tidal volumes.  The Op-CSA literature does not always differentiate between these terms, and so the following Figures will use the terms Biot’s and ataxic breathing interchangeably. 

In response to Biot’s/ataxic breathing there may be changes in the brainstem’s ability to respond to changes in PCO2 or PO2 that result in a disorganized pattern of breathing that intersperses apneas and tachypneas. 

Won C. Chest 2016;00.

References

[1]

Correa D, Farney RJ, Chung F, et al. Chronic opioid use and central sleep apnea: a review of the prevalence, mechanisms, and perioperative considerations. Anesth Analg. 2015;120:1273–1285.