Sanders M H, Moore S E, Eveslage J
Chest. 1983 Jan;83(1):144-5. doi: 10.1378/chest.83.1.144.
A 38-year-old man had incapacitating hypersomnolence and severe occlusive sleep apnea. Baseline polysomnography revealed 92.9 apneic episodes per hour of sleep. Application of nasal continuous positive airway pressure through a modified nasal nitrous mask using a ball-valve resistor resulted in reduction of occlusive apnea to 1.17 episodes per hour of sleep and marked improvement in the quality of sleep.