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The high price for prescription devices has led to a proliferation of lower cost non-prescription devices that are unproven and some sleep specialists suggest may be dangerous. [ 15 ] Adherence to oral appliance is strongly associated with patient reservations regarding the effects of the device on teeth, possible lack of efficacy, and discomfort.
However, while PEEP refers to devices that impose positive pressure only at the end of the exhalation, CPAP devices apply continuous positive airway pressure throughout the breathing cycle. Thus, the ventilator does not cycle during CPAP, no additional pressure greater than the level of CPAP is provided, and patients must initiate all of their ...
Breathing devices include the use of a CPAP machine. [21] With proper use, CPAP improves outcomes. [22] Evidence suggests that CPAP may improve sensitivity to insulin, blood pressure, and sleepiness. [23] [24] [25] Long term compliance, however, is an issue with more than half of people not appropriately using the device.
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The successful application of bubble CPAP requires elaborate nursing care. [6] There is a learning curve to the implementation of the bubble CPAP respiratory approach that requires a team effort. [2] Respiratory therapists are important members of the team. The system has to be snugly fitted and stationed on the infant's head.
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