5 técnicas simples para unable to use or get consistent benefit from Continuous Positive Airway Pressure (CPAP)
5 técnicas simples para unable to use or get consistent benefit from Continuous Positive Airway Pressure (CPAP)
Blog Article
The first few nights on CPAP may be difficult, while patients acclimate. Many patients at first find the mask uncomfortable, claustrophobic or embarrassing.
Several new devices have been developed to treat obstructive sleep apnea without the need for CPAP. While these therapies are not recommended as first-line treatments, they offer promise to those who don’t find relief with standard approaches.
Before considering an alternative to CPAP therapy, it’s important to discuss any concerns or challenges about this treatment with your doctor.
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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.
Eric Goldstein says: June nove, 2019 at 2:08 pm I read these articles because I have a CPAP machine and feel worse good mornings after I manage to keep my machine on the recommended time. I felt compelled to reply to you because you come off extremely arrogant because you are an MD. My wife has had medical issues for over 14 years and I have dealt with specialists from neurosurgeons to anesthesiologist that specialize in pain management and every other specialists in between you can think of. There are so many of these so-called experts that I end up correcting and have saved my wife’s life on more than one occasion keeping a doctor from making a huge mistake because he didn’t take the time to read through her file or even just her chart.
CPAP cannot be used in individuals who are not spontaneously breathing. Patients more info with poor respiratory drive need invasive ventilation or non-invasive ventilation with CPAP plus additional pressure support and a backup rate (BiPAP).
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 (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.
Doctors often recommend changes in behavior for people living with OSA. Rather than an alternative to CPAP, behavioral changes are often recommended in addition to CPAP and other treatments.
Your doctor may choose to adjust your pressure, or try to help you pinpoint exactly your struggle is.
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.
As the use of any sedative or anxiolytic agent can lead to decrease in consciousness and decrease in respiratory drive these patients should be monitored very closely. If adequate minute ventilation and or oxygenation cannot be achieved, then management should include escalation to BiPAP or intubation with mechanical ventilation following the code status and goals of care.
Make sure you have your machine checked regularly by an expert from the company that makes the device.