term sleep disordered breathing encompasses a variety of sleeping
disorders that include, but is not limited to: Obstructive Sleep
Apnea (OSA), Central Sleep Apnea (CSA), Complex/ Mixed Sleep Apnea,
and Cheyenne Stokes Respiration.
Sleep Apnea is
the most common disorder and is characterized as a cessation of
breathing during sleep. It is caused by the collapse of the soft
pallet at the back of the throat which causes an obstruction of
the airway that can cause the patient to wake many times during
the night. It is estimated that over 4 million American’s
suffer from OSA with the majority of these patients remaining
Reduced Hospitalization in Patients
on CPAP Treatment
Utilization of Health Care Services
in Patients with Severe OSA
of Obstructive Sleep Apnea
Sleep Apnea although not as common as OSA; central sleep
apnea is when the brain forgets to tell the muscles that control
the respiratory system to breath. Unlike people who suffer from
OSA the airway remains open and unobstructed, but the patient
is unable to initiate breathing.
pressure support servo ventilation: A new spin on the treatment
of heart failure with central sleep apnea
Sleep Apnea is characterized by both obstructive and
central sleep apnea. Often people whom have been missed diagnosed
with OSA find that CPAP treatment can actually make their condition
worse. For this reason, it is important to find a lab that is
truly committed to accurate, quality sleep diagnostic services
(such as Fountain Valley Regional Sleep Center).
Pathophysiology of Central Sleep
Stokes Respiration is a condition often seen in critically
ill patients and patients on long term opiate use to help control
chronic pain. The condition is characterized by alternating periods
of shallow and deep breathing. A new treatment option for these
patients is found in noninvasive servo ventilation (auto-bi level).
1. Have DME or sleep center check to make sure you have
the correct mask size.
2. Make sure mask/interface is positioned correctly.
3. Loosen mask/interface slightly (make sure there are no areas
4. Make sure you are replacing mask every 6 month to keep in good
5. Consult w/DME to see if a different mask/interface may be required.
6. Make sure you are cleaning your mask on regular basis to keep
in good working order.
makes you feel claustrophobic:
1. Practice using device in the daytime to get used to breathing
while on the device.
2. Consult DME or sleep center to see if new nasal pill hybrid
mask is appropriate.
3. Consult DME or Sleep center to see if using nasal mask w/chin
strap is an option if you currently using standard full face mask.
1. Use CPAP ramp feature.
2. Practice using CPAP while awake to get used to breathing on
3. Consult w/DME or sleep center to see if Bi-level or Auto-PAP
is appropriate therapy for you (physician prescription is required).
4. Consult w/DME or sleep center to see if lowering pressure by
1 or 2 cmH20 is appropriate for you (Physician prescription is
5. Make sure you are using heated humidifier to optimize comfort.
Falling Asleep w/CPAP or Other Devise:
1. Delay going to bed until extremely tiered.
2. Make sure you are using good sleep hygiene.
3. Consult with your physician about temporarily using sleep medicine.
Causing Nasal Irritation:
Make sure you are using heated humidification.
2. Make sure humidifier is set at appropriate level to optimize
3. Use nasal saline spray before starting therapy.
4. Make sure you are properly cleaning clean humidifier water
5. Use nasal corticosteroid spray (consults DME, sleep center,
consult DME or Sleep center before contacting physician**
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