Continuous positive airway pressure, or CPAP, is a treatment for those with chronic airway obstruction. It involves using a machine that compresses a stream of air through a mask. The mask is worn by the patient during sleep. That stream of air increases pressure in the user's throat which keeps the airway open. The collapsing airway leads to inadequate oxygen levels which can augment other health problems such as coronary artery disease. The therapy effect also affords better sleep for the patient, as his or her body is not being continually aroused from a state of sleep due to the closure of the airway.
Research shows continuous positive airway pressure treatment is the most effective non-surgical treatment for sleep apnea. Research shows it is most effective in treating patients with moderate to severe cases of obstructive sleep apnea. That research shows a decrease in daytime sleepiness, lower blood pressure. Other research also supports lesser chance of heart attacks for sleep apnea patients using
CPAP therapy.
Continuous positive airway pressure therapy carries some side effects. However, research indicates most are minor and the positive outcomes from the therapy far outweigh any negative side effects.
Some patients have problems with the comfort of CPAP masks. Many times this is due to an improper fitting of the mask. There are a variety of styles and different materials that should be tried with any patients as he or she begins therapy. At times, the CPAP masks can cause allergic reactions and skin irritation.
The air flow can also dry the mouth out of some patients. If dry mouth persists, patients can be fitted with a mask that has a chin strap to help keep the mouth closed during sleep. Some machines provide a heated, humidified air stream. The same type of machine can also be effective in addressing nasal congestion and possible nosebleed.
Some users also have difficulty with the air pressure at first. It can lead to a feeling of "choking" or swallowing of air which can lead to burping. Machines can be set to gradually increase the air pressure levels, allowing a patient to adjust to the change in pressure over a period of time.
Other issues with the
CPAP masks and equipment itself may be bothersome, but easily remedied by replacing equipment or adding
CPAP accessories. Patients report leaking masks. That reduces the effect of the therapy and can result in the continuous positive airway pressure system making unpleasant sounds. The normal sound of the machine can also lead to some complaints. Although most are fairly quiet, the constant rhythmic sound of the machine can be enough to keep a patient or their bed partner awake.
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