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Sleep Apnoea Treatment

 
 
 
 
 

TREATMENT

 

 
 
If you suspect you might have Obstructive Sleep Apnoea Syndrome, you should consult a sleep medicine specialist doctor and carry out a sleep study.

If you are given a positive diagnosis for Obstructive Sleep Apnoea Syndrome, you should start the treatment and the doctor will tell you the most appropriate therapeutic option according to the results of your sleep study.


The treatment options for obstructive sleep apnoea (OSA) include:

  • Therapy through positive pressure (CPAP, APAP, BIPAP)
  • Therapy with mandibular advancement devices (Narval CC)
  • Alternative therapies.
 
 
 
 
 
 
 
 
 

Learn about the treatment options we can offer you

 
There are various treatment options for sleep apnoea and the products that you use can make a huge difference in the level of comfort experienced during therapy.

Obtain further information about them here so that you can decide on the best option for you.

Treatment options for Sleep Apnoea through positive pressure:

 
 
 
 
 
 
 

CPAP

 
The abbreviation CPAP stands for continuous positive airway pressure.

A CPAP refers to a device that, through a ventilator, injects air with positive pressure into our upper airways. This air pressure enters through a hose and face mask adapted to the patient’s nose and/or mouth. The pressure keeps the airways continuously open so that the air can flow into the lungs, enabling breathing.
 
 
 

APAP

 
The automatic positive airway pressure device is a smart machine that self-regulates according to the patient's needs concerning apnoea.

The difference from the CPAP device, that has a single fixed pressure during the entire night, is that the APAP device fluctuates during the night between a minimum and a maximum pressure value. These pressure fluctuations are reflected in greater comfort to the patient and in a lower residual apnoea-hypopnea index (AHI).
 
 
 
 
 

BIPAP

 
Bi-level positive airway pressure therapy follows the same principle as the APAP, but these devices provide inspiration and expiration pressure. This therapy is indicated for patients with more complex apnoea and other respiratory pathologies.

BIPAP devices tend to be used when a higher pressure is required to treat the sleep apnoea more effectively.
 
 
 

MASKS

 
Basically, there are three types of masks: nasal, facial and nasal pillow. The choice between one or another mask will always depend on the needs of each person and the treatment to be followed.

The choice of an incorrect mask could hinder the treatment and lead to its discontinuation. For this reason, it is very important to choose the right mask for you, and for you to allow yourself to be advised by specialists.


 
 
 
 
 

Get to know the complete range of options for treatment

 
 
 
 

ALTERNATIVE TREATMENT OPTIONS

 

 
 
Surgery is also an option for treating sleep apnoea; however, just like any other surgery, it implies various risks. An uvulopalatopharyngoplasty is a surgical procedure that is most frequently used for obstructive sleep apnoea syndrome in the United States. This treatment option has a relatively low success rate.

Results in the patient and comorbidities

An effective treatment can reverse the effects of daytime drowsiness, fatigue, grumpiness and depression. The studies show that when the treatment is successful for the patients, the long-term cost for the NHS is generally 50% lower 3-5.

There are also various serious comorbidities, such as cardiovascular disease, diabetes and cerebrovascular accidents, commonly known as strokes, which are strongly connected to sleep apnoea.

 
 
 
 
 
 
 
References:
 
01 – Benjafield et al. Climate Control: Humidification with heated tube. ResMed Science Center 2010
02 – JC Meurice et al. Orcades. A prospective cohort study of severe obstructive sleep apnoea patients receiving second line-treatment with a mandibular repositioning device (CadCam; Narval)
03 – Albarrak et al. Sleep 2005
04 – Kryger et al. Sleep 2005
05 – Kapur et al. Sleep 1999