Um Imparcial View of CPAP alternative

Um Imparcial View of CPAP alternative

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Keep Your Mouth Closed: Many people who use CPAP with a nasal mask use mouth tape or a chinstrap to keep their mouths shut and prevent air loss during nasal CPAP therapy.

The Inspire sleep apnea device is surgically implanted into the body, and CPAP treatment is administered through a mask that is worn while sleeping. CPAP equipment requires daily cleaning and regular maintenance.

Weight: People with a BMI of 32 or higher may not be ideal candidates for Inspire sleep apnea treatment due to the effect obesity can have in reducing the effectiveness of upper airway stimulation.

Sores are usually indicative of your headgear straps being over-tightened. You may be tightening your headgear too much to reduce or eliminate an air leak, but over-tightening your headgear can cause soreness—and it usually means your mask is too large, too old, or not the best style for your needs.

You may notice acne or pimples along the area where your mask is worn—especially if your skin is prone to breakouts—due to your facial oils building up under your mask.

The Inspire sleep apnea device is surgically implanted by a trained surgeon. Before the operation, you may undergo a sleep study, medical and surgical consultation, or endoscopy to screen for surgical eligibility.

Moderate to severe OSA is treated with CPAP but patient tolerance and compliance can be poor. These patients require alternative options and should be managed in the multidisciplinary team.

Oral appliances can be an excellent adjunct in carefully selected patients, as outlined by Giles et al.

Summary: When patients with OSA are unwilling or unable to tolerate CPAP therapy, the following options should be considered:

Weight loss: OSA is associated with obesity and an elevated body mass index (BMI) is an independent risk factor for OSA in patients under the age of get more info 60. Several studies have demonstrated that dietary weight loss is associated with significant improvements in OSA as measured by reductions in the apnea-hypopnea index (AHI)1. Unfortunately, as would be expected, most studies show that patients typically achieve only modest reductions in weight with diet and behavioral counseling with clinically significant residual OSA persisting in most patients.

The oral appliance adjusts the position of the jaw or tongue during sleep, keeping everything forward so that it’s less likely that the soft tissues at the back of the throat will interfere with the airway opening. In contrast, a CPAP mask forces air into the airway in order to keep it open.

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EPAP stands for expiratory positive airway pressure. An EPAP is a small nasal device2 consisting of valves that sit in each nostril, creating a seal.