CPAP therapy is used for the treatment of medium-severe obstructive sleep apnea, here are some CPAP tips on pressure, type and size of the mask.

If you have already been screened, you have a diagnosis and give a conclusion on the need for CPAP therapy, you can go directly to the selection of equipment. Please note that to configure the purchased equipment must have concluded with the selected treatment pressure, type and size of the mask.

To select a specific model appropriate to answer several questions:

1. What class of equipment to choose or how much you are willing to spend to purchase the device?

2. Which company and which model preferred?

3. What kind of mask you choose?

4. Do you need a heated humidifier?

What class of equipment to choose and how much you are willing to spend to purchase the device?

The cost of a standard set for CPAP therapy, which includes machine, heated humidifier, mask, snorkel, shipping the parts bag and an annual filter ranges from 1500 to 3000 dollars, depending on the class of equipment such as masks and the manufacturer.

The cost of the actual device for CPAP therapy is in the range 1000 – 2000 dollars, depending on the class of equipment. Briefly we can say that there are three classes of equipment: III – the most simple apparatus without additional functions, II – vehicles with compensation for medical pressure, I – machines with automatic pressure and a memory block on the outcome of treatment (Auto-CPAP). For more information on the comparative characteristics of the equipment can be found in a textbook on CPAP therapy.

Before you stop for any class of equipment, check out some thoughts about this. The principle of choice is quite simple and is very similar to purchasing a car. If you go on foot, and then got “Lada”, then your life will seem like paradise. However, reseeding behind the wheel of a Mercedes, you will understand what it is comfortable and safe ride on a modern car. So with devices for CPAP therapy. Anyone, even the most simple device of class III with moderate or severe sleep apnea will give a sufficient effect. However, the use of modern systems of class I (Auto-CPAP) provides significantly greater comfort, efficiency and safety of treatment. This is ensured by the functions avtovmaticheskoy setting pressure relief on exhalation of breath and maintain therapeutic options. Class II devices are intermediate in clinical effectiveness, but significantly inferior to Class I apparatus on opportunities for treatment monitoring.

The difference between the CPAP devices from cars is that the difference in price, “Lada” and “Mercedes” in the tens of thousands of dollars, and the difference between the simplest and most perfect device for CPAP therapy is not more than 1200 dollars. Given the resource of the device (8 years), should be weighed, are you willing to spend an additional approximately 0.5 dollars per night in order to ensure a more comfortable and effective sleep. But we emphasize again that even the most simple equipment can be effectively used in patients with sleep apnea.

Which company and which model preferred?

So, you’ve already decided on the class system. Now turn to the choice of firms and models. In our market officially comes five equipment companies (listed in alphabetical order): Breas (Sweden), Resmed (Australia), Respironics (USA), Tyco Healcare (USA), and Wienmann (Germany). Each firm produces the entire line of vehicles, respectively, in each of the classes there are at least 5 models of vehicles of various businesses.

Fundamental differences between the models in the second and third grades there, as this equipment has no significant additional features. Price devices also differ very insignificantly in the classroom (within 150 dollars).

As for systems with automatic pressure (I class), here the differences can be quite substantial. This article will analyze the current Auto-CPAP systems:

• Auto Set S8 Vantage, Resmed (Australia)
• iSleep 20i, Breas (Sweden)
• Sandman Auto HC, Tyco Healthcare (U.S.)
• RemStar Auto M-series, Respironics (USA)
• Somnobalance e, Weinmann (Germany)

All machines have enough kompatnye dimensions, vstraevyemye heated humidifiers (optional) and mass within 1.3-2.1 kg (complete with a humidifier). The most lightweight model – Sandman Auto HC – especially convenient for travel. The most ergonomic design of the apparatus have Auto Set S8 Vantage. The most powerful algorithms for automatic adjustment of pressure, including the differentiation of obstructive and central apnea, now have the machines Sandman Auto HC and Somnobalance e. These models also provide the most detailed reports for treatment, which is especially important for dynamic monitoring of treatment efficacy. The function to facilitate exhalation, providing additional comfort of breath, have almost all modern machines, except apparatus Sandman Auto HC. However, devices Auto Set S8 and iSleep 20i can use this function only in the case disable the automatic adjustment of pressure, which to a certain extent reduces the advantages of these devices. At the same time sets RemStar Auto M-series and Somnobalance e fully realize the automatic adjustment of pressure in conjunction with the function to facilitate breathing on exhalation. The most quiet machine on the market now is Somnobalance e.

What kind of mask you choose?

Here the answer may be quite simple. If you have already conducted trial CPAP therapy, it should have been picked up by a comfortable size and type of mask. Only necessary to equip your vehicle picked up before the mask.

Each company produces its own mask. At the same apparatus and masks all firms are mutually compatible. That is, for example, the apparatus Somnobalance e firm Weinmann (Germany) can be equipped with a mask Mirage Activa company Resmed (Australia). It should be noted that there are no bad or good masks. There are individually comfortable and uncomfortable mask. And even a very good mask that fits a significant percentage of patients who can not quite fit the individual patient. For example, the mask Mirage Activa (Resmed) provides dynamic protection against leakage of air from under the mask during movements in sleep, which gives extra comfort. But this mask is not acceptable for patients with claustrophobia (fear of enclosed spaces), as it is large enough compared with other masks. In these patients need to use nasal cannula Mirage Swift (Resmed). If the patient concerned noise from the discharge of air through the port of the mask, then the best solution is to use masks Joyce (Weinmann) with a unique quiet exhaust system reset.

Sometimes the problem lies in the fact that some local Somnological laboratory uses only one type of masks. This is justified from an economic point of view, but sometimes leads to the fact that the patient may experience some discomfort from a particular type of mask. In leading laboratories, the patient usually tries to 2-3 types of masks or nasal cannulae and selects the most comfortable. If you have experienced any discomfort from the mask in the trial treatment, and other masks you have no choice, it is advisable to go through the procedure of selecting the most comfortable mask on the acquisition device. This process can take place in and our office.We use a nasal mask Joyce (Weinmann), Mirage Activa (Resmed), Ultramirage (Resmed), Comfort Select (Respironics), nasal cannula Mirage Swift (Resmed).

Do you need a heated humidifier?

Contact with the jet of dry air on the mucous membrane of the respiratory tract can lead to runny nose, cough, dry mouth. Using heated humidifier can effectively address these problems and provide additional prevention of respiratory infections. In this connection, we recommend that all patients to use the heated humidifier.

If the patient refuses originally from a humidifier in order to save , it can be treated without it. In some patients, it does not cause side effects. If within a few days or weeks of treatment the patient noted significant problems with the stimulating effect of dry air, the humidifier can be purchased separately.

CPAP is one of the most effective therapy fo sleep apnea, here talk about what is CPAP therapy ? How to set cpap pressure, and how it work ?

CPAP Therapy

The CPAP therapy has been successfully used to treat respiratory arrest, sleep apnea during sleep. In the CPAP (Continuous Positive Airway Pressure) treatment, the respiratory system by light pressure to pneumatic splint and prevents the respiratory arrest.

Sleep

In sleep, the sleep of the patients studied by polysomnography. During the night, various vital functions, such as Brain waves, eye movements, breathing, muscle tension and oxygen saturation recorded. The next morning, the results are evaluated by a sleep specialist. The second night sleeping, the patient, if necessary, with a CPAP device. It is tested with the pressures of the sleep apnea can be reduced to a minimum.

CPAP Devices

Detailed records of the data in the device memory to help the doctor to monitor the success of the treatment. The useful life is saved, leaving substantial conclusions on compliance.

Oxygen mask

The most important link between the device and patient’s CPAP mask. They come in various designs and sizes. A distinction between the nose masks, nose masks, olive, and Oralmasken Full face masks. The CPAP mask has to fit to the anatomy of the user, since otherwise there will pressure points and leaks. You can prevent this by choosing the correct size and type of CPAP mask.

Heated humidifier

Due to the continuous flow of air in the CPAP therapy, the airways dry out. If you have already suffered prior to the CPAP treatment in dry air passages, a heated humidifier can bring relief.The Atembefeuchter is inserted between CPAP therapy equipment and breathing tube and moisten the airways during treatment. In the case of using a heated humidifier needs to be given compulsory hygiene, germs otherwise humidifiers, breathing tube and mask.

Douche