Practical Aspects of Interface Application in CPAP Treatment

Bachour, Adel; Avellan-Hietanen, Heidi; Palotie, Tuula; Virkkula, Paula

doi:10.1155/2019/7215258

Cited by 8 publications

(6 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many CPAP devices report air leak graphically, which may help to distinguish between mouth and mask leak. It has been suggested that a sawtooth pattern is indicative of mouth leak ( 39 ). In addition, several devices allow the download of breath-by-breath airflow tracings from the previous nights.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, several devices allow the download of breath-by-breath airflow tracings from the previous nights. Expiratory leak associated with palatal prolapse during nasal CPAP ( Figure 2B ) can be detected through the analysis of airflow and is characterized by the abrupt reduction of expiratory flow ( 36 , 39 ). A greater understanding of the mechanisms of mouth opening is needed before appropriate responses can be mounted.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Importance of Mask Selection on Continuous Positive Airway Pressure Outcomes for Obstructive Sleep Apnea. An Official American Thoracic Society Workshop Report

Genta¹,

Kamińska²,

Edwards³

et al. 2020

Annals ATS

View full text Add to dashboard Cite

Continuous positive airway pressure (CPAP) remains the major treatment option for obstructive sleep apnea (OSA). The American Thoracic Society organized a workshop to discuss the importance of mask selection for OSA treatment with CPAP. In this workshop report, we summarize available evidence about the breathing route during nasal and oronasal CPAP and the importance of nasal symptoms for CPAP outcomes. We explore the mechanisms of air leaks during CPAP treatment and possible alternatives for leak control. The impact of nasal and oronasal CPAP on adherence, residual apnea–hypopnea index, unintentional leaks, and pressure requirements are also compared. Finally, recommendations for patient and partner involvement in mask selection are presented, and future directions to promote personalized mask selection are discussed.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Importance of Mask Selection on Continuous Positive Airway Pressure Outcomes for Obstructive Sleep Apnea. An Official American Thoracic Society Workshop Report

Genta¹,

Kamińska²,

Edwards³

et al. 2020

Annals ATS

View full text Add to dashboard Cite

show abstract

“…NPPV is a noninvasive ventilation that uses some form of an interface to ventilate the lungs. These interfaces include nasal pillow masks that fit into the nostrils, nasal masks that cover the nose, oral masks that fit into the mouth, oronasal or full-face masks that fit into both the nose and mouth, and helmet masks that cover the entire face [ 1 ]. CPAP and BPAP (bilevel positive airway pressure) are the two most commonly used types of NPPV.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Pneumothorax with CPAP Therapy for Obstructive Sleep Apnea

Rajdev

Idiculla

Sharma

et al. 2020

Case Reports in Pulmonology

View full text Add to dashboard Cite

Pulmonary barotrauma such as pneumothorax (PTX) is a known complication of invasive mechanical ventilation. However, it is uncommonly reported with the use of noninvasive positive pressure ventilation (NPPV) and CPAP (continuous positive airway pressure) therapy. We present a case of a 66-year-old female who presented with chronic dyspnea on exertion secondary to right-sided diaphragmatic hernia. The patient also underwent a home sleep study which suggested obstructive sleep apnea (OSA) for which she was initiated on CPAP. She then underwent surgical repair of her right diaphragmatic hernia. The patient developed pneumothorax three times over the course of the following several months, once on the right side and twice on the left side. The patient’s incidences of PTX had a temporal association with the CPAP initiation. Her CPAP therapy was discontinued permanently after the third occurrence of PTX. With this case report, we highlight the risk of barotrauma with the use of CPAP for OSA. There are very few reported cases of PTX in association with NPPV therapy for OSA. The lung-protective ventilation strategies and limiting the positive airway pressures can help reduce the risk of pulmonary barotrauma with CPAP.

show abstract

“…This implies that the increase of lung volume to enable its capacity to be blown. After that, the gap between the alveolar and the blood vessels would be decreased to enhance gaseous exchange [9]. The Initial CPAP settings in severe COVID-19 cases recommended by [6] are 10 cmH2O and 60% oxygen.…”

Section: Introductionmentioning

confidence: 99%

“…CPAP device includes a pump that blows air into the patient's mouth, nose or one of them during sleep to keep the airway open and to avoid obstructions. A hose and mask are attached to patient's face so as to connect the pump to the patient's face [9] .The CPAP system consists of (i) microcontroller such as microprocessor and Arduino, (ii) sensors for pressure and temperature measurements, (iii) motor controller, (iv) tube and mask, (v) motors that are integrated with blower. The brushless DC or the permanent magnet motors are some examples of the CPAP motors [10]- [13].…”

Section: Introductionmentioning

confidence: 99%

CPAP Hardware/Simulation and Control Design for Respiratory Disorders: A Review

Mikha

Aljobouri

2021

NJES

View full text Add to dashboard Cite

Continuous Positive Airway Pressure (CPAP) ventilation remains a mainstay treatment for different respiratory disorders. Good pressure stability and pressure reduction during exhalation are of major importance condition to ensure the clinical efficacy and comfort of CPAP therapy. Obstructive Sleep Apnea (OSA) and today coronavirus (COVID-19) are the main two diseases mitigated by the CPAP. This paper introduced a systematic review of the CPAP design in terms of the hardware design, Simulation-based CPAP system, control algorithm, and the measured performance. The accuracy is used as measurement of performance and calculated from the pressure value. The accuracy was compared to the predefined U.S. Food and Drug Administration (FDA)-based threshold value in which it considers this value as a reference. The results related to the modern CPAP devices introduced in this study to explain the accuracy of experimental CPAP. These were compared with a commercial CPAP devices. Also, it was revealed how the results coincide with the error ratio defined by the FDA as an evaluation measurement. The FDA error ratio determines the performance of the optimized CPAP device. This work is the first review that presented the knowledge about engineering design of the CPAP system, so it will be the first in the literature.

show abstract

Practical Aspects of Interface Application in CPAP Treatment

Cited by 8 publications

References 20 publications

The Importance of Mask Selection on Continuous Positive Airway Pressure Outcomes for Obstructive Sleep Apnea. An Official American Thoracic Society Workshop Report

The Importance of Mask Selection on Continuous Positive Airway Pressure Outcomes for Obstructive Sleep Apnea. An Official American Thoracic Society Workshop Report

Recurrent Pneumothorax with CPAP Therapy for Obstructive Sleep Apnea

CPAP Hardware/Simulation and Control Design for Respiratory Disorders: A Review

Contact Info

Product

Resources

About