Airway obstruction can be defined by the complete absence of a transmitted cardiac airflow oscillation in the flow tracing during an apnea. It may be further classified as overt or silent depending on the presence or absence of breathing efforts against the obstruction. Many patients manifest both types of obstructive apnea during an apnea study. We hypothesized that the presence or absence of a breathing effort response to obstruction is reflected in differences in oxygenation and/or ventilation in the minute prior to the apnea. To test this, we examined 3056 apneas of ≥ 3 s duration in 24 infants [birth weight 2100±190 g (mean±SE), study weight 2765±220 g, gestational age 33±1 wk, postnatal age 35±5 d] studied on 27 occasions, yielding 51 overt and 45 silent obstructive apneas. Although there was a significant difference in apnea duration between overt and silent types (13.0±1.25 vs 7.2±0.55s, p < 0.005), we detected no differences in oxygen saturation (97±0.7 vs 91±4.8), minute ventilation (0.249±0.011 vs 0.240±0.017 L·min-1·kg-1), respiratory rate (35±2 vs 37±2 breaths per minute), tidal volume (7.3±0.4 vs 6.6±0.4 ml·kg-1) and PACO2 (38±4 vs 35±1 Torr) in the minute preceding the apneas. These findings suggest that 1). The presence or absence of breathing efforts which defines overt and silent obstructive apnea respectively, is not attributable to differences in either oxygenation or ventilation in the minute prior to the apnea; and 2). the observed difference in apnea length between silent and overt obstructions, and the fact that no apneas have ever contained elements of both obstruction types, supports the idea that overt and silent obstructions have different underlying pathophysiologic mechanisms. Supported by the Canadian Lung Association, & Children's Hospital of Winnipeg Research Foundation.