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CPAP is the most effective treatment for moderate to severe obstructive sleep apnea, in which the mild pressure from the CPAP prevents the airway from collapsing or becoming blocked. [ 1 ] [ 2 ] CPAP has been shown to be 100% effective at eliminating obstructive sleep apneas in the majority of people who use the therapy according to the ...
Positive airway pressure (PAP) is a mode of respiratory ventilation used in the treatment of sleep apnea.PAP ventilation is also commonly used for those who are critically ill in hospital with respiratory failure, in newborn infants (), and for the prevention and treatment of atelectasis in patients with difficulty taking deep breaths.
For moderate to severe sleep apnea, the most common treatment is the use of a continuous positive airway pressure (CPAP) or automatic positive airway pressure (APAP) device. [ 67 ] [ 70 ] These splint the person's airway open during sleep by means of pressurized air.
In patients failing CPAP and oral appliances, surgical treatment with conservative uvulopalatopharyngoplasty (UPPP) as salvage surgery is recommended. Randomized controlled studies of the efficacy of UPPP are published, showing effect on nocturnal respiration and excessive daytime sleepiness, [ 117 ] and a systematic Meta-analysis.
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CPAP in combination with drugs may also obtain unsatisfactory results. [ 10 ] [ 17 ] For other patients there is an excellent response to CPAP treatment (e.g., for young women patients with catathrenia over a 5-year period, [ 18 ] patient with OSA and pulmonary hypertension, [ 16 ] and others [ 10 ] ).
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