Although additional research is needed to understand the risks and benefits of nasal EPAP, this treatment may be appropriate for people who have mild to moderate OSA and have trouble with a CPAP machine.
Continuous negative external pressure (cNEP) is an investigational treatment for OSA. Unlike many PAP devices though, cNEP machines do not use a mask and do not cover the nose or mouth.
Below is a summary of these problems and advice on how they can be controlled. Any major problems should be immediately reported to your doctor or nurse who will be able to deal with them in conjunction with a specialist at a Sleep Department.
Oral appliances position the jaw or tongue to keep the upper airway open. Although these devices are an alternative to CPAP therapy in people who cannot tolerate continuous airway pressure, some people benefit from using an oral appliance alongside CPAP therapy.
The NHLBI is the nation's leader in the prevention and treatment of heart, lung, blood and sleep disorders.
Sleep apnea surgery can be used in several different circumstances. As a first-line treatment, surgery may be recommended prior to CPAP therapy in people who have a blockage in their airway that can be fixed with a surgical procedure.
People who have maxillomandibular advancement surgery must wear orthodontic appliances before and after the procedure.
An Inspire therapy-trained doctor will also evaluate your overall health status and perform a physical examination of your airway to determine if Inspire therapy might be a suitable CPAP alternative for you.
Other complications of sleep apnea can include memory problems, mood disorders, heart attacks and heart rhythm disorders.
Surgery often alters the shape and position of the soft palate, which is the rear portion of the roof of the mouth. UPPP is the most common type of surgery used to treat OSA.
A therapist may not only help stave off the symptoms of depression but also help you maintain a more positive outlook on life, increasing the likelihood of sleep therapy compliance.
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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 website include escalation to BiPAP or intubation with mechanical ventilation following the code status and goals of care.
so ….. Food for thought while you are being lashed at now dr Whatever you can maybe reflect on said above and approach someone in a forthcoming inviting manner. I feel you are a good person under that retort , use it now to the best of your ability to help people and I apologize if I am harsh but straight..yours in humble good faith .