When Continuous Positive Airway Pressure (CPAP) Fails

Overview

Journal J Thorac Dis

Publisher AME Publishing Company

Specialty Pulmonary Medicine

Date 2016 Nov 22

PMID 27867577

Citations 33

Authors

Jagdeep S Virk

Bhik Kotecha

Affiliations

Soon will be listed here.

Abstract

Obstructive sleep apnoea (OSA) is increasingly prevalent, particularly in the context of the obesity epidemic, and is associated with a significant social, health and economic impact. The gold standard of treatment for moderate to severe OSA is continuous positive airway pressure (CPAP). However compliance rates can be low. Methodology to improve patient tolerance to CPAP alongside with alternative, non-surgical and surgical, management strategies are discussed. All patients that fail CPAP therapy would benefit from formal upper airway evaluation by the otolaryngologist to identify any obvious causes and consider site-specific surgical therapies. Patient selection is integral to ensuring successful outcomes. A multidisciplinary team is needed to manage these patients.

Citing Articles

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Khode S Indian J Otolaryngol Head Neck Surg. 2025; 77(2):1152-1154.

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The impact of resident involvement and postgraduate year on head and neck surgery for obstructive sleep apnea.

Bentan M, Mastoloni E, Lee L, Nord R PLoS One. 2025; 20(1):e0317381.

PMID: 39804892 PMC: 11729955. DOI: 10.1371/journal.pone.0317381.

An Alternative In-Home Protocol to Diagnose and Treat Obstructive Sleep Apnea.

Couto Patriota T, Pedrosa R Sleep Sci. 2024; 17(4):e401-e406.

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The Prevalence of Central Sleep Apnea in New Referrals to a Sleep Surgery Clinic.

Rodin J, Harkins T, Kent E, Phung C, Khan R, Seay E Otolaryngol Head Neck Surg. 2024; 172(2):686-692.

PMID: 39666826 PMC: 11773434. DOI: 10.1002/ohn.1083.

Prevalence of continuous positive airway pressure-related aerophagia in obstructive sleep apnea: an observational study of 753 cases undergoing CPAP/BiPAP treatment in a sleep clinic - part one of a two-part series.

Fukutome T Sleep Breath. 2024; 28(6):2481-2489.

PMID: 39215936 DOI: 10.1007/s11325-024-03152-8.

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