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In addition, standardized data capture alongside with agreed definitions of success and outcomes (which are likely to be a combination of patient scoring systems and objective polysomnography outcomes) are essential.
After the procedure, patients can expect some discomfort and swelling for a few days, but can resume more strenuous activities within a few weeks.
Rash. Some CPAP users report redness, itching, or rash where the mask touches the skin. According to the AAST, an allergic reaction to a CPAP mask is rare and such skin problems are almost always related to improper mask hygiene.
Avoid using petroleum jelly-based products while wearing your CPAP mask, as this ingredient can degrade your CPAP mask.
Your Pressure Needs Adjusting: If you have addressed all the other potential causes of shortness of breath and are still struggling, it may be a sign that your CPAP pressure is too high.
28. Smith I, Lasserson TJ. Pressure modification for improving usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea.
Computed tomography images of two obstructive sleep apnoea (OSA) patients requiring continuous positive airway pressure (CPAP) with nasal pathology. (A,B) Coronal and axial slices of the first patient demonstrating a left sided polyp occluding part of the post nasal space, maxillary sinus disease and a slightly deviated septum to the left; (C,D) coronal and axial images of a second patient demonstrating extensive sinonasal polyposis, which ultimately failed medical management and required endoscopic sinus surgery.
Individual risks vary, and this may not be the right treatment for everyone. Speak with your doctor when considering the risks and benefits of the Inspire sleep apnea treatment.
Summary: When click here patients with OSA are unwilling or unable to tolerate CPAP therapy, the following options should be considered:
Another major difference between both treatments is how they function. CPAP is a machine that uses continuous air pressure to keep the upper airways open during sleep. In contrast, the Inspire sleep apnea treatment uses nerve stimulation to keep the airway muscles open during sleep.
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.
The Inspire sleep apnea device is covered by most major insurance companies, including Medicare. If Inspire isn’t specifically covered, it may be approved based on medical necessity on an individual basis. Inspire sleep apnea therapy is also available to veterans through the Federal Supply Schedule.
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.