OSA Journey - Introduction

!±8± OSA Journey - Introduction

This seven part series takes you through the OSA journey - from diagnosis through equipment setup, comfort, compliance, cleaning, maintenance and replenishment supplies. Whether you watch the one video that is exactly matched to your personal journey, or watch the series as you embark on CPAP therapy, this series will help you understand OSA, CPAP and how to get healthy sleep

OSA Journey - Introduction

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Dental Treatments For Snoring And Sleep Apnoea

!±8± Dental Treatments For Snoring And Sleep Apnoea

A detailed diagnostic sleep studies on each patient must be done before treatment commences, to determine precisely what the nature and severity of their condition is. The results of the sleep study are then reviewed by an independent specialist sleep physician who will determine and prescribe an appropriate form of therapy.

If oral appliance therapy is prescribed, a specially trained and qualified dentist will custom-make an appliance, generally known as a mandibular repositioning device (MRD) or mandibular advancement splint (MAS). These devices are something like an orthodontic splint and are designed to sit comfortably inside the mouth while asleep. As their names suggest, MRD and MAS are designed to hold the mandible (lower jaw) and connected tissue forward and clear of the airway. Key benefits of this form of therapy is that the devices are extremely discreet, require no power to operate and are highly portable. This makes the devices an excellent choice for people who travel frequently, or who are sometimes unable to get access to mains power (for instance, when they go camping or boating.)

In more severe cases constant positive airway pressurisation (CPAP) is usually considered to be the most appropriate solution. This form of treatment works by introducing gently pressurised air into the upper airway to 'inflate' the soft tissue and stop it collapsing and blocking the airway. The pressurised air is introduced to the airway through a humidified hose and carefully fitted face mask which sits comfortably over the mouth and / or nose.

While this might not sound all that attractive, CPAP is recognised as the most consistently effective form of treatment, especially for severe cases of sleep apnoea. With a good CPAP nurse taking care of you, this form of treatment becomes surprisingly comfortable.

In really severe cases, ear, nose and throat (ENT) surgery may be necessary to remove, reduce or re-tension different parts of the soft tissue. Surgical intervention is normally considered a 'last resort', unless there is some specific malformation or growth which is crowding the nasal passage, oral cavity or upper airway.

The important point to note is that there are 'horses for courses'. No one solution will be suitable for all patients. When seeking treatment for your sleep disorder, make sure you deal with a provider who can offer the different forms of treatment, or who can at least refer you to experts who can. Beware of providers who only offer one form of treatment as they tend to have a vested interest in promoting it. And be particularly suspicious if the provider does not insist on a diagnostic sleep study (known as a polysomnogram) before commencing treatment.

Dental Treatments For Snoring And Sleep Apnoea

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Choosing the Ideal CPAP Machine

!±8± Choosing the Ideal CPAP Machine

You have been diagnosed wit sleep apnea for the most part you are dependent on your doctor, lab technicians, the equipment company and your insurance for which machine you will have the ability to get. But if you know what machines are on the market and what they offer you can choose a machine that will help you while keeping your needs in mind.

The first think you need to consider is cost. What really is the issue is not so much the cost of the machine, because they all run about the same price, but what you are willing to pay for and what you are willing to accept if you have insurance. Insurance companies have different ways of paying for durable medical equipment. Some treat as a regular part of insurance. So if you have a deductible of 0 and then they pay 80% for care once that deductible is reached then you know what your expense will be. This is not all insurances.

You may have an insurance hat has a durable medical equipment rider. In this case it will have its own deductible that you will have to meet and then it will pay a percentage after it is met. The third type of program is an HMO program. Usually they have a specific copay of -0. They also require the use of a specific durable medical equipment company and will limit what equipment can be used including machines, masks and if you get a home visit or if you receive the machine from a UPS box. If you are paying cash then you will have the most say over what type of machine you will receive. However if you have a big deductible and know it you might get a better deal paying cash and submitting the claim yourself then you would using your insurance.

Once you have determines what you are willing to spend and what your insurance will cover then next decision is to figure out what is the most important aspects of the machine for you. If you travel a lot it might be the size of the machine. If you like to camp it might be that you want a back up battery. If you know you have a great deal of problems with nasal congestion in might be a machine with the best humidification system. Whatever issues you face it is important to know them up front so when you are working with the therapist who is setting up you new machine they know what is important to you.

The other issue is something that many patients are not aware of but is vital to getting insurance to pay for the machine. Many insurances including Medicare require documented compliance of the use of the equipment. This is usually done one of three ways. A person comes to your house reads the hours of use on the machine. The second way is that the machine has a card that you either plug into your computer and download and send to the DME company or your physician. The third, and newest way, is that your machine will have a modem that will allow the DME company and your physician to follow you use remotely. The remote compliance also allows changes to your machine without someone having to come to your house.

Now that you know about what factors are involved with choosing a machine let discuss what some of the machines on the market have to offer.

As far as size on the average the newer machines weight between 2.5 and 3 pounds and are quite small. They have built in humidification systems, although some are better then others. The newest machines are also more aesthetically pleasing. Resmed's new machine the S9 has a sleep look and resembles a book shape sitting on the night stand. Most of the other machines are either shaped as a cube or shaped like and alarm clock. They all have a hose and a mask to attach the machine to the patient. If however you plan to travel the Everest has the ability for you to purchase a rechargable battery that fits over the bottom of the machine. This allows for a stacked cube shape that is still faily light weight.

The cost can be a big consideration for a person especially if they have a high deductible or no insurance. Some of the basic machines like the Everest, the Tango and some of the older models do not have as many of the newer comfort measures but they do allow for good basic therapy at an affordable price. For those with no insurance and limited income many of the DME companies work with the manufacturers to get discounts of no cost machines based on income.

If you have trouble with drying during the night then one of the machines with a heated wire tubing system such as the Resmed S9 or the Fisher Paykel machines will pprobably be your best choice. Fisher Paykel is the leader in this technology having initially created it to help with ventilation of neonatal patients who were being ventilated.

If you wish for the newest, quietest machines with the most comfortable software so that the machines allows the pressure to work with you both the Respironics PR series and the Resmed S series of machines have been upgrades to be the quietest on the market. They have also created software for their machines that will work to make these machines more like natural breathing then breathing on a machine. Both of these machines also have th eability to have a modem added for closer following of compliance and for changing of pressures without having to go visit the patient's house.

When choosing a CPAP machine you should always listen to you physician but with a little education you might be able to avoid some of the problems that many new patients have. Decide for yourself what issues are most important to be met and then discuss your options with a professional. Look at these machines and try them out at your local DME company before you make a final decision.

Choosing the Ideal CPAP Machine

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Respironics Basic CPAP operation and use of Humidifier

!±8± Respironics Basic CPAP operation and use of Humidifier

This is a quick video of the basic operation of a Respironics System one Cpap with humidifier operation.

Respironics Basic CPAP operation and use of Humidifier

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General Definition of CPAP, BiPAP, Auto-PAP, & VPAP Adapt

!±8± General Definition of CPAP, BiPAP, Auto-PAP, & VPAP Adapt

Byron West, Certified Respiratory Therapist of Integrated Respiratory Solutions, gives a general definition of CPAP, BiPAP, Auto-PAP, and VPAP Adapt - equipment generally manufactured by Phillips Respironics, ResMed, Fisher Paykel - and explains the main components and technology behind the equipment and how it is used. For more information, see us at: www.integratedhsc.com

General Definition of CPAP, BiPAP, Auto-PAP, & VPAP Adapt

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How to Alleviate Daytime Fatigue Spells and Snoring Using CPAP Nasal Masks

!±8± How to Alleviate Daytime Fatigue Spells and Snoring Using CPAP Nasal Masks

Have you ever awaken from your sleep and feel as though you're more tired than ever? Did you have a more or less eight-hour sleep which doesn't seem as restful as you want it to be? Do you even have that mid-morning or mid-afternoon urge to take a nap out of the blue? Chances are you have developed a sleeping disorder called Obtrusive Sleep Apnea.

Obtrusive Sleep Apnea and the Layman

Obtrusive Sleep Apnea is a known sleeping disorder distinguished by the pauses of breathing during a person's sleep. A person unconsciously misses a breath or few with a minimum of ten seconds for each interval. Because of this, the person feels rather tired even after being awake.

Take note, anyone can suffer from this sleeping problem. Common symptoms of this sleep disorder are loud snoring, restless sleep, and the unintended sudden sleepiness during daytime. Other symptoms are morning headaches, irritability and or mood swings, learning and or memory difficulties, and et cetera. Therefore, if you feel that you are suffering from these symptoms, it is wise to consult your doctor to have you undergo diagnostics tests such as polysomnography.

A common treatment used to alleviate or remove this obvious health problem is with the use of CPAP nasal masks.

CPAP and Sleep Apnea

A CPAP (Continuous Positive Airway Pressure) machine is a method of respiratory ventilation. Although it's predecessor, PAP (Positive Airway Pressure) is mainly used in Intensive Care Units (ICU) of hospitals, it is also actually used in the treatment of sleep disorders such as Obtrusive Sleep Apnea.

A CPAP machine is also known as a respironics mask, a nasal pillow, sleep apnea mask.

By proper calibration, CPAP nasal masks release regulated yet pressurized air into the patient's lungs, making sure that they breathe on time and regularly during their sleep. This limits the chances of pauses of breathing during the patient's sleep and makes sure that they have restful sleep as much as possible.

CPAP Nasal Masks: Available and Maintanable?

Just like any medical equipment, these CPAP nasal masks are subjectively available to the general public. Subjectively because there are some countries which allow the easy access of these devices and there are countries which require at least your physician's prescription. These devices are also not cheap, so when you do get prescribed to use one, think about the long term goals of this treatment. Meaning, see if it's possible to rent or buy it and if it will best serve you in the course of the treatment.

Also, just like most medical equipment, these CPAP nasal masks are easily maintainable. If you want to maximize your treatment as well as your use of this device, it is adviced to do not only daily maintainance but also on a weekly basis to check for "wear and tear" of regular usage.

Better Safe than Sorry with CPAP Nasal Masks

Do you really want to walk into work looking as though you had a rough night? Do you really want to fall asleep in the middle of an important meeting just because your eight-hour sleep doesn't seem as "enough" as it should be? Do you really want to catch yourself sleeping behind the wheel as you drive home back from work? Of course you don't.

Unfortunately, there is no other way to treat Sleep Apnea except the use of CPAP nasal masks. So if you think you are suffering from this sleep disorder, contact your doctor. The more you get treated for this sleep problem, the more your chances of removing or alleviating it and those nasty above-mentioned symptoms.

CPAP Clinic - healthcare at your home
We serve Greater Toronto Area in Canada.
Contact: 1-877-430-CPAP(2727) or info@CPAPClinic.ca

How to Alleviate Daytime Fatigue Spells and Snoring Using CPAP Nasal Masks

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Forehead Support - ResMed Mirage FX

!±8± Forehead Support - ResMed Mirage FX

The new Mirage FX Nasal CPAP Mask has been released by ResMed. Building on the existing technologies of the Mirage mask line, the new Mirage FX offers unique features and abilities. The ResMed Mirage FX is designed to be easy to fit and easy to use. There are only 4 pieces and 1 size! This is truly a bold move by ResMed to make CPAP therapy as easy as possible for the patient. Check it out at TheCPAPPeople.com: www.thecpappeople.com

Forehead Support - ResMed Mirage FX

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Usage and Care - ResMed Mirage Swift II

!±8± Usage and Care - ResMed Mirage Swift II

The ResMed Mirage Swift II Nasal Pillows System is a major improvement over the previous Swift System. The Mirage Swift II is 86% quieter, through an improved air vent that circulates air away from the patient and bed partner. The Mirage Swift II weighs less than 2.5 ounces and multiple tube placement options allow for even more comfort. Check it out at TheCPAPPeople.com: www.thecpappeople.com

Usage and Care - ResMed Mirage Swift II

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