Humidifying the air from your positive airway pressure device involves connecting a specially designed humidifier to your therapy system. This moistens the air and improves your comfort.
Humidification isn't necessary for all patients but adding a humidifier to your system may resolve symptoms such as:
- Nasal congestion, dryness, or tenderness
- Mouth breathing (commonly referred to as "mouth leak")
- Dry throat
Resolving these symptoms can improve the comfort and quality of your therapy.
Click on the questions below to expand and reveal more information...
How does the body's natural humidification process work?
The human body has its own humidification process that protects the respiratory system.
Every time you take a breath, your nose and other airways humidify – add moisture to – the air so that it enters your lungs with the necessary humidity.
Your nose is responsible for about two-thirds of this process. As the air passes further into your airway, it becomes warmer and more humid. By the time air reaches your lungs it is at the ideal temperature and humidity. When you exhale your nose conserves water by recovering about a third of the moisture present in each exhaled breath. That moisture is then used to assist in the humidification of your next breath.
Do environmental factors impact on how the body's own humidification process works?
Environmental factors can increase demands on your body's humidification process. If you travel to an extremely dry climate, you may experience a sore throat, nasal congestion, or irritated sinuses. You may also experience these symptoms in extremely cold climates-cold air tends to be less humid. In both cases, the lower humidity puts an extra burden on your body's normal balance.
Some people adjust quickly enough that the change in humidity doesn't affect them; some people may experience only temporary discomfort; however, some people may feel as if they can't adjust to the new climate.
How does positive airway pressure (PAP) therapy impact on the body's own humidification process?
Just as some people have difficulty adapting to less humid climates, some people have difficulty adapting to positive airway pressure.
This therapy creates a new climate for your nose and upper airway because airflow is greater than what your body is accustomed to humidifying – and the greater your treatment pressure the more difficult this task becomes. Your nose may become tender or dry, or it may respond to the new environment by creating more mucus to protect its sensitive tissues.
A humidifier can prevent and even reverse these symptoms by treating the air before it even reaches your nose.
Does mouth breathing impact on the body's own humidification process?
If you breathe through your mouth, you may develop a dry throat. By breathing through your mouth, you bypass your nose, which is responsible for two-thirds of humidification. This means that you've tripled the humidification workload of your upper airway. If you add positive airway pressure on top of that you may start to experience stronger symptoms. Even if you're only exhaling through your mouth, you are still losing valuable moisture because you aren't allowing your nose to recover the moisture your body invested in the air as you "inhaled" it.
A 1997 study found that nasal symptoms cause mouth breathing and that mouth breathing causes nasal symptoms. Because one symptom causes another, a vicious cycle can develop. For example, some congestion leads to mild mouth breathing that can worsen the congestion that causes more severe mouth breathing.
Does it help to use a humidifier with my positive airway pressure (PAP) therapy?
Humidification can resolve and prevent all of the symptoms mentioned above, but not all systems supply the same amount of humidification.
How does a ResMed heated humidifier work?
- The humidifier connected to your system has a hot plate and temperature control
- You set the temperature, and the hot plate heats the water, creating water vapor
- The pressurised air is now humid, so your nose and upper airway have very little work to do
- Can create a lot of water vapor, soothing extreme nasal dryness and irritation
Heated humidifiers