unable to use or get consistent benefit from Continuous Positive Airway Pressure (CPAP) - Uma visão geral
unable to use or get consistent benefit from Continuous Positive Airway Pressure (CPAP) - Uma visão geral
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CPAP via face mask: A full face mask is placed over the nose and mouth with a good seal. It can be used for those that are mouth breathers, or for pre-oxygenation in spontaneously breathing patients prior to intubation.
In an out of hospital setting, at first CPAP patients should be monitored in a sleep lab where the optimal pressure is often determined by a technologist manually titrating settings to minimize apnea. A sleep doctor or pulmonologist can help find the most comfortable mask, trial a humidifier chamber in the machine, or use a different CPAP machine that allows multiple or auto-adjusting pressure settings.
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In the inpatient setting, it should be monitored very closely with vital signs, blood gases, and clinical profile. If there is any sign of deterioration mechanical ventilation should be considered.
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Side effects of CPAP treatment may include congestion, runny nose, dry mouth, or nosebleeds; humidification can often help with these symptoms. Masks may cause irritation or redness of the skin, and use of the right size mask and padding can minimize pressure sores from tight contact with skin.
In the case of severe OSA,a health care provider or sleep specialist may suggest a person consider surgical options, should the obstruction blocking the airway require removal. Speak with a health care provider or sleep expert to help determine the best CPAP alternatives for your specific needs.
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Some of the most important things you can do to ensure successful CPAP treatment is being consistent, building a good support system, and ensuring you like and trust your physician or sleep specialist.
Severe air trapping diseases with hypercarbia asthma or chronic obstructive pulmonary disease (COPD)
Though it may here help to slowly acclimate to wearing your CPAP mask, it’s critical to work your way up to wearing it all night long, since you won’t reap the benefits of the last stage of sleep, rapid eye movement (or REM), if you’ve prematurely removed your mask.
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