CPAP machines may not immediately feel comfortable for all users. Individuals should work with their providers to increase comfort and compliance, try different mask types or sizes and use add-on features like a humidifier chamber or different pressure settings.
In an out of hospital setting, at first CPAP patients should be monitored in a sleep lab where the optimal pressure is often determined by a technologist manually titrating settings to minimize apnea. A sleep doctor or pulmonologist can help find the most comfortable mask, trial a humidifier chamber in the machine, or use a different CPAP machine that allows multiple or auto-adjusting pressure settings.
If your otolaryngologist recommends CPAP, you may be scheduled for a second sleep study during which you will be fitted for a mask and CPAP device.
The HumidX system increases moisture in the air to prevent dryness and ease the breathing process. You can check your sleep data using the ResMed Mini smartphone app, which stores up to 30 day of your sleep data. The app also alerts you of any mask leaks.
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As time goes on, you will discover which sleeping positions feel most comfortable, and though getting used to your CPAP therapy may seem like a challenge at first, don’t give up: CPAP is proven to work.
It is used in hypoxic respiratory failure associated with congestive heart failure in which it augments the cardiac output and improves V/Q matching.
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Dr. Karelsky focuses on providing a personalized, targeted treatment approach to patients with OSA who do not benefit from treatment with positive airway pressure devices here (CPAP or BiPAP). After initial office consultation, patients undergo a procedure known as a sleep endoscopy in order to evaluate the cause of their OSA and determine the best treatment for them, including the Inspire device.
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The CPAP device needs to be used every night. Some patients complain of mask discomfort, nasal congestion, and nose and throat dryness when using CPAP. Others find the device to be too constrictive and cumbersome, particularly when traveling.
Physical therapy is another way to mitigate OSA by improving the tension, stiffness, and responsiveness of the tongue and the muscles controlling the mouth to prevent the collapse of the upper airway.
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Oral appliances are devices made by a dentist and customized to an individual’s mouth shape and size. There are two types of devices: mandibular repositioning mouthpieces, which hold the lower jaw in position, and tongue-retaining devices, which hold the tongue in position.