Oral Continuous Positive Airway Pressure for Sleep Apnea

Beecroft, Jaime M.; Zanon, Sandra Buth; Lukic, Dejan; Hanly, Patrick J.

doi:10.1378/chest.124.6.2200

Cited by 75 publications

(21 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As a first option, nasal masks are the most frequently used interface [21], [22]. Oronasal masks, that cover both the nose and mouth, are proposed as a useful alternative in response to sleep-related mouth leaks (pressurized air escaping via the mouth when a nasal mask is used) [21], [23], [24] and nasal pillows have recently provided the opportunity to reduce mask size [25]. Two recently published case-reports suggest that in subgroups of patients, CPAP may not be effective when an oronasal mask or nasal pillows are used [26], [27].…”

Section: Introductionmentioning

confidence: 99%

Type of Mask May Impact on Continuous Positive Airway Pressure Adherence in Apneic Patients

Borel¹,

et al. 2013

View full text Add to dashboard Cite

RationaleIn obstructive sleep apnea patients (OSA), continuous positive airway pressure (CPAP) adherence is crucial to improve symptoms and cardiometabolic outcomes. The choice of mask may influence CPAP adherence but this issue has never been addressed properly.ObjectiveTo evaluate the impact of nasal pillows, nasal and oronasal masks on CPAP adherence in a cohort of OSA.MethodsNewly CPAP treated OSA participating in “Observatoire Sommeil de la Fédération de Pneumologie”, a French national prospective cohort, were included between March 2009 and December 2011. Anthropometric data, medical history, OSA severity, sleepiness, depressive status, treatment modalities (auto-CPAP versus fixed pressure, pressure level, interface type, use of humidifiers) and CPAP-related side effects were included in multivariate analysis to determine independent variables associated with CPAP adherence.Results2311 OSA (age = 57(12) years, apnea+hypopnea index = 41(21)/h, 29% female) were included. Nasal masks, oronasal masks and nasal pillows were used by 62.4, 26.2 and 11.4% of the patients, respectively. In univariate analysis, oronasal masks and nasal pillows were associated with higher risk of CPAP non-adherence. CPAP non-adherence was also associated with younger age, female gender, mild OSA, gastroesophageal reflux, depression status, low effective pressure and CPAP-related side effects. In multivariate analysis, CPAP non-adherence was associated with the use of oronasal masks (OR = 2.0; 95%CI = 1.6; 2.5), depression, low effective pressure, and side effects.ConclusionAs oronasal masks negatively impact on CPAP adherence, a nasal mask should be preferred as the first option. Patients on oronasal masks should be carefully followed.

show abstract

Section: Introductionmentioning

confidence: 99%

Type of Mask May Impact on Continuous Positive Airway Pressure Adherence in Apneic Patients

Borel¹,

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Dos seis estudos descritos na Tabela 1, encontramos três randomizados e três observacionais 43,50,51 . Dois estudos randomizados eram cruzados 52,53 e um era aberto 54 .…”

Section: Lista De Figurasunclassified

“…Dois estudos randomizados eram cruzados 52,53 e um era aberto 54 . Apenas um estudo avaliou a máscara oral que é pouco utilizada na prática clínica 50 . Nos três estudos observacionais, os pacientes incluídos tinham AOS de moderada a grave.…”

Section: Lista De Figurasunclassified

See 1 more Smart Citation

Avaliação da eficácia da máscara oronasal vs nasal com uso de pressão positiva para o tratamento da apneia obstrutiva do sono

Weaver¹

View full text Add to dashboard Cite

“…O autorrelato de respiração oronasal e presença de sintomas nasais estão entre os principais fatores que influenciam a prescrição de CPAP oronasal (Prosise e Berry, 1994;Beecroft et al, 2003;BaHammanm et al, 2017). A respiração oronasal e sintomas nasais são comuns entre os pacientes com AOS Kreivi et al, 2012).…”

Section: Tratamento Da Aosunclassified

Análise da via respiratória preferencial na vigília e durante o sono em indivíduos saudáveis e com apneia obstrutiva do sono

Nascimento¹

View full text Add to dashboard Cite

Oral Continuous Positive Airway Pressure for Sleep Apnea

Cited by 75 publications

References 8 publications

Type of Mask May Impact on Continuous Positive Airway Pressure Adherence in Apneic Patients

Type of Mask May Impact on Continuous Positive Airway Pressure Adherence in Apneic Patients

Avaliação da eficácia da máscara oronasal vs nasal com uso de pressão positiva para o tratamento da apneia obstrutiva do sono

Análise da via respiratória preferencial na vigília e durante o sono em indivíduos saudáveis e com apneia obstrutiva do sono

Contact Info

Product

Resources

About