[Value of monitoring of tracheal respiratory sounds in the diagnosis of nocturnal respiratory dysrhythmias]. / Intérêt du suivi des bruits respiratoires trachéaux dans le diagnostic de dysrythmies respiratoires nocturnes.

ABSTRACT

Twenty-six patients underwent a polysomnigraphic study allowing sleep staging and respiratory events scoring with the use of the oronasal flow, abdominal, thoracic and total displacement (Respitracet), and ear oximetry. Moreover the patients were also equipped with a tracheal microphone giving a power rectified envelope (sonospirogram). Eleven patients showed abnormal respiratory events that were scored by visual lecture using all respiratory parameters (excluding the sonospirogram) and were classified as obstructive central and mixed apneas-hypopneas. Periodic breathing was also appreciated. Detection of the same events was tried with the sonospirogram alone. The sonospirogram could accurately detect snoring and periodic breathing and finally central obstructive mixed apnea (the apneic index being well correlated p less than 0.001 as well as the mean apnea duration p less than 0.005). In contrast hypopneic events related to snoring could not be accurately appreciated. We conclude that a sonospirogram may be useful for the detection of abnormal respiratory events when used alone (screening) as when added to other respiratory signals.