Assessment of the Performance of Nasal Pillows at High CPAP Pressures

Zhu, Xueling; Wimms, Alison; Benjafield, Adam

doi:10.5664/jcsm.2984

Cited by 22 publications

(26 citation statements)

References 19 publications

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“…Clifford et al [33] suggested that nasal pillows provide a better tolerance and fewer side effects compared to the use the nasal masks. Zhu et al [34] found that nasal pillows have the same effectiveness as nasal masks even at a high CPAP pressure. Enhanced comfort and lower facial-pressure due to the use of nasal pillows have been reported by De Araujo et al [35].…”

Section: Nasal Masks and Nasal Pillows Main Features And Utilitymentioning

confidence: 99%

Mask interface for continuous positive airway pressure therapy: selection and design considerations

Drinnan

Hyde

et al. 2018

Expert Review of Medical Devices

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Continuous positive airway pressure (CPAP) therapy is a clinical treatment for moderate or severe obstructive sleep apnea (OSA). Commercial CPAP mask designs normally come in standard sizes and the configuration is not commonly tailored to the patients' characteristics such as face topology, skin sensitivity, and severity of OSA syndrome; however, an optimal mask/interface selection is a key factor influencing the compliance and effectiveness of CPAP treatment. Areas covered: This review investigates the conventional CPAP mask design, its effect on OSA treatment, and the related risk factors that can lead to skin damage after long-term repeated use. Through a literature search on common databases, Scopus, PubMed, and Google Scholar, we identified reported facts on the influence of the mask interface and current trends toward customized devices. Expert commentary: There is potential for optimizing the CPAP mask fit by adapting the interface to the patients' individual characteristics. This holds particularly true for users with abnormal features or simply outside conventional industry sizing standards. Enabling technologies for undertaking this adaptation include reverse engineering, computational modeling, and additive manufacturing. There is to date no integrated system that integrates those elements into a standard solution, but several studies have shown its effectiveness for specific cohorts.

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Section: Nasal Masks and Nasal Pillows Main Features And Utilitymentioning

confidence: 99%

Mask interface for continuous positive airway pressure therapy: selection and design considerations

Drinnan

Hyde

et al. 2018

Expert Review of Medical Devices

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“…A recent study showed that nasal pillows can be used even at pressures ≥ 12 cmH 2 O. ( 45 ) Oral masks appear to be effective in the treatment of OSA because they hold the tongue in place with a tongue guide; however, they are rarely used in clinical practice because their level of acceptance is low. Several theoretical and experimental studies have shown that oronasal masks can affect the efficacy of and adherence to OSA treatment with CPAP.…”

Section: Final Considerationsmentioning

confidence: 99%

Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea

et al. 2014

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Continuous positive airway pressure (CPAP) is the gold standard for the treatment of obstructive sleep apnea (OSA). Although CPAP was originally applied with a nasal mask, various interfaces are currently available. This study reviews theoretical concepts and questions the premise that all types of interfaces produce similar results. We revised the evidence in the literature about the impact that the type of CPAP interface has on the effectiveness of and adherence to OSA treatment. We searched the PubMed database using the search terms "CPAP", "mask", and "obstructive sleep apnea". Although we identified 91 studies, only 12 described the impact of the type of CPAP interface on treatment effectiveness (n = 6) or adherence (n = 6). Despite conflicting results, we found no consistent evidence that nasal pillows and oral masks alter OSA treatment effectiveness or adherence. In contrast, most studies showed that oronasal masks are less effective and are more often associated with lower adherence and higher CPAP abandonment than are nasal masks. We concluded that oronasal masks can compromise CPAP OSA treatment adherence and effectiveness. Further studies are needed in order to understand the exact mechanisms involved in this effect.

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“…It is commonly thought that NPMs may have inadequate fit, seal, and effectiveness and may increase the occurrence of side effects. However, studies have shown that there is no increase in side effects for new or experienced patients using NPM, even at high CPAP pressures (≥12 cm H 2 O) [ 19 , 20 ], and actually NPMs may have advantages, such as reduced pressure on the face, less obtrusiveness, and less claustrophobia, which may be preferable for new users [ 19 , 20 ]. This program shows that NPMs may be a better choice for new patients, resulting in better compliance and fewer mask changes.…”

Section: Discussionmentioning

confidence: 99%

“…NPMs have also been associated with significantly better compliance (expressed as the percentage of days of CPAP use) [18]. Furthermore, it has been noted that the design of NPMs may mean that users report less air leak into their eyes [20]. A Cochrane review of available data suggested that NPMs may be a useful alternative for patients unable to tolerate conventional nasal masks but recommended that further trials be conducted [17].…”

Section: Introductionmentioning

confidence: 99%

Impact of a New Nasal Pillows Mask on Patients’ Acceptance, Compliance, and Willingness to Remain on CPAP Therapy

et al. 2016

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Aim. Continuous positive airway pressure (CPAP) masks are a key factor in patient compliance. This program assessed the performance of a new nasal pillows mask (NPM) on a variety of new and established obstructive sleep apnea (OSA) patients using CPAP therapy. Methods. Five programs were developed to assess the new NPM [AirFit P10, ResMed] on naïve patients; patients established on another NPM; patients using a nasal mask; patients with low CPAP compliance; and patients who wished to stop using CPAP therapy. Results. A total of 212 patients were included. In naïve patients, CPAP usage after 3 months was 5.9 ± 1.7 hours/night, compared with the control group at 4.6 ± 2.4 hours/night (p < 0.05). In patients established on another NPM, usage improved to 7.4 ± 1.1 hours/night versus 6.7 ± 1.4 (p = 0.001). 78% of nasal mask users wished to continue using the new NPM. Low compliance patients improved with an average of 0.87 hours/night (p = 0.001) when using the new NPM. In patients at the point of quitting CPAP, 60% continued with therapy using the new NPM. Conclusion. The new NPM mask performed well in a variety of clinical groups of OSA patients receiving CPAP therapy and shows that technical advances in CPAP masks can improve patient compliance.

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Assessment of the Performance of Nasal Pillows at High CPAP Pressures

Cited by 22 publications

References 19 publications

Mask interface for continuous positive airway pressure therapy: selection and design considerations

Mask interface for continuous positive airway pressure therapy: selection and design considerations

Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea

Impact of a New Nasal Pillows Mask on Patients’ Acceptance, Compliance, and Willingness to Remain on CPAP Therapy

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