Case 7 involved an 8-year-old girl with a diagnosis of ventricular septal defect. She presented to the ICU as intubated after ventricular septal defect (VSD) closure. She was on 7.4mcg/kg/min dopamine, 8mcg/kg/hr dobutamine, and 0.08mcg/kg/min adrenalin support postoperatively. She received a 1mg/hr midazolam infusion for 14 hours and a 0.15mg/kg/hr tramadol infusion for 23 hours. After 24 hours, her pupils were dilated and an epidural hemorrhage and shift were detected in her cranial computational tomography (CT) scan, after which the epidural hemorrhage was extracted. Despite the lack of sedative administration for the first 96 postoperative hours, she was sedated and the conditions of her pupils did not change. A reverse flow was detected in her carotid Doppler scan but no intracerebral hemorrhage was detected in her cerebral angiogram. At 98 postoperative hours, she performed the standard apnea test and her ApneaLink™ recordings were made simultaneously. Due to the desaturation occurring at the end of the apnea test that lasted 4 minutes and 38 seconds, continuous positive airway pressure (CPAP) treatment was applied. Her PaCO2 value increased from 45 to 75mmHg and the ApneaLink™ showed that there was no respiratory effort present. This demonstrated that the presence of apnea can be seen and recorded by ApneaLink™ during the apnea test.
Case 4 involved a 26-year-old man with no known medical history and a BMI of 19.5kg/m2. He was transferred to the ICU unconsciously, with a Glasgow Coma Score (GCS) score of 6 and tracheostomy due to head assault-related trauma. He stayed in the ICU for 26 days and was separated from mechanical ventilation support after 6 days. Twelve days after admission, he performed an apnea test between 00:00 and 06:00 am in the room air, which yielded the following results: AHI: 2/hr, AI: 2/hr, HI: 0/hr, ODI: 0/hr, min. SpO2 95%, and max. HR: 109/min. It was decided he should be scheduled to be discharged as tracheostomized, and with spontaneous respiration under nurse supervision (Table ).