A Continuous Positive Airway Pressure
(CPAP) system
is a medical device which is designed to keep a patient's airway
open while providing respiratory ventilation so that the patient can breathe.
These systems were originally used in the treatment of obstructive sleep apnea
(OSA), but they are also used in some medical settings such as intensive care
units. In contrast with respiratory ventilators which require intubation, a CPAP
system is very easy to use, and it usually has less side
effects.
With a CPAP system, a patient wears
either a face mask or a nasal pillow, and a CPAP generator connects with a tube.
The generator creates a steady flow of pressurized air which holds the patient's
airway open, sort of like how the pressured air inside a balloon keeps the
balloon inflated. If a patient cannot breathe on his or her own, the CPAP system
provides a steady supply of air, while patients who suffer airway closures when
they sleep will not have experience airway obstructions while using a CPAP
system.
For people with apnea, a CPAP device
can make it easier to sleep through the night. Patients with OSA
wake up repeatedly as a result of the airway closures they experience in their
sleep, and they can develop daytime fatigue and a number of other problems if
the apnea is not treated. With CPAP, patients can sleep safely, and symptoms
such as snoring and insomnia will be resolved. It can take some time to get used
to sleeping with the machine.
CPAP systems are not usually
available over the counter, because the air pressure needs to be prescribed by a
doctor. For apnea patients, the prescription is usually written by a sleep
doctor who determines the level of pressure necessary to keep the airway open,
while patients in the hospital will have their CPAP systems adjusted by doctors
and nurses if needed. Getting the right pressure is critical, as pressure which
is too high can damage the lungs.
There are a number of variations on
the CPAP system. An auto-CPAP will modulate the pressure in response to the
patient's respirations, and bi-level CPAP machines reduce the pressure when
patients breathe out. Since patients sometimes complain of discomfort while
wearing a CPAP
machine, these more advanced devices can increase compliance with a
CPAP prescription by making it easier for the patient to wear the device. Some
CPAP machines can also humidify the air and perform other functions, including
logging data about a patient's respiratory rate.
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