Continuous positive airway pressure (CPAP) and Autotitration (APAP) Therapy

 

How does CPAP work?

CPAP splints the upper airway, preventing soft tissues of the upper airway from narrowing and collapsing.

Pressurised air is sent to the upper airway from a flow generator to a mask on the face via tubing.

CPAP is often the first line of treatment for sleep disordered breathing.

 

How does APAP work?

APAP works the same as CPAP and also decreases pressure when the airway is stable and increases pressure in response to events such as:

    • Apneas
    • Hypopneas
    • Flow limitation
    • Snoring

     

APAP is used for

    • patients who are non-compliant with standard CPAP therapy
    • REM-related sleep apnea
    • Positional sleep apnea

 

What are some of the side effects patients may experience?

  • drying of the nose, mouth, or throat
  • bloating
  • ear or sinus discomfort
  • eye irritation
  • skin irritation

 

How can these side effects be minimised?

AutoSet or Bilevel therapy may be an alternative to CPAP therapy

Use of a heated humidifier

Appropriate mask selection and fitting

Clean the mask according to instructions

 

Why is mask fitting an important consideration for treatment success?

A suboptimal fitting mask is more likely to form air leaks, leading to patient discomfort.

Overtightening of headgear may lead to pressure sores.

 

The solution to these situations is proper mask selection and fit.

 

 

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