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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 ] ).
CPAP machines possess a motor that pressurizes room temperature air and delivers it through a hose connected to a mask or tube worn by the patient. This constant stream of air opens and keeps the upper airway unobstructed during inhalation and exhalation. [1] Some CPAP machines have other features as well, such as heated humidifiers.
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The conditions of hypoxia and hypercapnia, whether caused by apnea or not, trigger additional effects on the body.The immediate effects of central sleep apnea on the body depend on how long the failure to breathe endures, how short is the interval between failures to breathe, and the presence or absence of independent conditions whose effects amplify those of an apneic episode.
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The management of obstructive sleep apnea was improved with the introduction of continuous positive airway pressure (CPAP), first described in 1981 by Colin Sullivan and associates in Sydney, Australia. [121] The first models were bulky and noisy, but the design was rapidly improved and by the late 1980s, CPAP was widely adopted.
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