Go With the Flow: Learning to Live with CPAP Therapy

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For those of us suffering from sleep apnea, CPAP devices can provide a new lease on life in the form of consistent air flow for safer, healthier sleep. But, for some, they are not without their challenges.
Dr. Jim Abraham presents ways to better tolerate CPAP therapy--from avoiding dry mouth and congestion, to making your CPAP device a simpler part of your normal routine.

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Go With the Flow: Learning to Live with CPAP Therapy

  1. 1. Learning to Live with CPAP Jim Abraham, MD, FCCP Sleep Medicinewww.SpringfieldClinic.com
  2. 2. Learning to Live with CPAP • What is Sleep Apnea? • What is CPAP? • Mask Options • Pitfalls and Challenges
  3. 3. CPAP = Continuous Positive Airway PressureKrames Patient Education “Snoring & Sleep Apnea”
  4. 4. Krames Patient Education “Snoring & Sleep Apnea”
  5. 5. Interfaces
  6. 6. Interfaces
  7. 7. Pitfalls & Challenges - Interface issuesCommon Problems • Potential Solutions Poor fit Try a variety of mask Air leaks Nasal pillows Skin breakdown Avoid over tightening Mouth and nose Humidification** dryness Chin straps Claustrophobia Desensitization Unintentional mask Low-pressure alarms removal Change mode
  8. 8. Pitfalls & ChallengesNasal Symptoms • Solutions Congestion  Nasal steroids Obstruction  Antihistamines Nose Bleeding  Ipratroprium (atrovent) Pain  Topical decongestants Runny nose  Humidification  Nasal saline
  9. 9. Pitfalls & ChallengesPressure intoleranceBloating Ramp Pressure “Ramp Abuse” Bi-Level, Flexible PAP Accept lower pressure Position restriction Weight loss
  10. 10. Pitfalls and ChallengesRain Out Cooling of heated humidified air water condensation in tubing Decrease pressureWarm roomDecrease humiditysettingWarming Cover

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