Detalhes, Ficção e If you struggle with CPAP

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Your healthcare provider may encourage you to breathe in steam from the bathroom or try artificial moisturizers, such as sinus sprays or nasal gels.

Despite its effectiveness in resolving sleep disordered breathing, adherence to CPAP therapy is approximately 50%. Interventions demonstrated to improve initial CPAP use include education, heated humidification and cognitive behavioral therapy added to education. Advanced technology PAP devices, such as autoPAP (APAP) and bilevel therapies, have not been shown to consistently improve adherence in patients who are CPAP naïve or in patients who have been intolerant to standard CPAP therapy.

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.

Check Your Mask Fit: Check to make sure that your mask is sealed securely and comfortably and that there are no air leaks before going to bed.

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At your fitting (which may be done at home or at a sleep center), "try masks on with the doctor-recommended air pressure settings you’ll be using to see what it really feels like when the machine is on," Dasgupta advises.

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.

Add a Heated Humidifier: A heated humidifier adds moisture to nasal passages, reducing nasal irritation. If you are already using a heated humidifier, you can also try a higher humidification setting.

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 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.

At this juncture, should the patient still not tolerate CPAP, then a surgical consultation is indicated. A thorough clinical history and examination is warranted to elicit potential therapeutic targets. A full assessment of co-morbidities and specifically body mass index is required, as the latter has been shown to correlate with surgical outcomes.

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Inspire therapy is helping more than 50,000 people with OSA sleep soundly – many for the read more first time in years, while also effectively treating their OSA. And now you, too!