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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.
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, [ 119 ] and a systematic Meta-analysis.
BPAP can be described as a Continuous Positive Airway Pressure system with a time-cycle change of the applied CPAP level. [11] CPAP/APAP, BPAP, and other non-invasive ventilation modes have been shown to be effective management tools for chronic obstructive pulmonary disease, acute respiratory failure, sleep apnea, etc. [12]
Portable Home Sleep Test monitors (HST) are an alternative to sleep-laboratory polysomnography. Some of the HSTs allow for the breathing signals to be viewed within the raw data of the HST study and even a cursory review of these flow signals, will reveal those patients who would likely have upper airway resistance syndrome as well.
A review from 2021 demonstrated that the chronic use of non-invasive ventilation improves daytime hypercapnia. In addition, in stable chronic obstructive pulmonary disease, survival seems to be improved and there might be a short term benefit of health-related quality of life. [10]
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