The CPAP Treatment Protocol

Because of such unacceptability, such uncomplainings do not accede with treatment protocols, and, as a consequence, the therapy is slight effective and efficient that it should be. The identification and elimination of problems associated with the use of CPAP equipment whitethorn lead to reductions in the proportion of OSAS patients who do not comply with CPAP treatment protocols (Hollandt, Kuhl, & Siegert, 1997b).

Developing Patient Compliance With CPAP Treatment Protocols

Attempts to correct patient compliance with CPAP treatment protocols may be classified ad as both behavioral and technological. Chervin, Theut, Bassetti, and Aldrich (1997) ensnare that two types of behavioral hitchs were effective in improving patient compliance. The prototypical intervention involved weekly telephone calls to patients to identify problems and encour develop patient compliance, while the warrant intervention involved the providing of written culture to patients on OSAS and the importance of CPAP in treating the condition. Both interventions were found to be effective to a statistically significant degree, and the positive personal effects were especially strong when the interventions occurred during the first month of CPAP treatment (Chervin, Theut, Bassetti, and Aldrich, 1997).

Meurice, et al. (1994) found that patients with the greatest initial clinical handicap were more likely than other patients to adhere to CPAP treatment protocols. Other findings of this study r

Ficker, J. H., Wiest, G. H., Lehnert, G., Fischer, C. J., Katalinic, A., & Hahn, E. G. 91997 November 28). Auto-CPAP treatment in obstructive stop apnea syndrome: A prospective e randomized study during instalment of treatment. (English translation). Deutsch Medicine (German Medicine), 122(48), 1482-1488.

Sanders, et al. (1994) found that the use of oronasal masks can be effective in CPAP therapy for patients who are either unable or unwilling to tolerate conventional nasal interfaces used with CPAP. The oronasal masks, however, are associated with high incidences of pressure device failure and the aspiration of gastric confine than is the case with the conventional nasal interfaces used with CPAP (Sanders, et al., 1994).

Auto CPAP in the treatment of quietude apnea hypopnea syndrome. (1996 December). Sleep, 19(10), Supplement, S281-283.

Fietze, et al. (1995) examined 10 male patients in the age range 40-55 years (48 +/- 6 SD) before and during the first iii nights of CPAP therapy. Cardiorespiratory polysomnography was performed and sleep was analyzed visually. Differentiation was made amidst respiratory arousal (RA) and movement arousal (MA). All 10 patients had a pronounced sleep apnea syndrome, wherein deep and dream sleep were reduced and significantly more respiratory arousals occurred than movement arousals. The black wave sleep (SWS) latency was shortened in the first therapy night, the deep and dream sleep proportions increased, and the RA decreased significantly. pass on significant changes in the sleep parameters did not occur during the second and third nights. The researchers found that the tour of apnea/hypopnea was not equal to the number of RA. The conclusions were that, when less arousal occurred, it was suggestive of a deficit of the parenthesis function, while when more RA occurred ,it was indicative of additional respiratory events, such as pharyngeal obstructions and hyperventilations which were not identifiable as apnea or h
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