Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea
Continuous positive airway pressure (CPAP) is the gold standard for the treatment of obstructive sleep apnea (OSA). Although CPAP was originally applied with a nasal mask, various interfaces are currently available. This study reviews theoretical concepts and questions the premise that all types of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pneumologia e Tisiologia
2014-12-01
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| Series: | Jornal Brasileiro de Pneumologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000600658&lng=en&tlng=en |
| _version_ | 1828418448372269056 |
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| author | Rafaela Garcia Santos de Andrade Vivien Schmeling Piccin Juliana Araújo Nascimento Fernanda Madeiro Leite Viana Pedro Rodrigues Genta Geraldo Lorenzi-Filho |
| author_facet | Rafaela Garcia Santos de Andrade Vivien Schmeling Piccin Juliana Araújo Nascimento Fernanda Madeiro Leite Viana Pedro Rodrigues Genta Geraldo Lorenzi-Filho |
| author_sort | Rafaela Garcia Santos de Andrade |
| collection | DOAJ |
| description | Continuous positive airway pressure (CPAP) is the gold standard for the treatment of obstructive sleep apnea (OSA). Although CPAP was originally applied with a nasal mask, various interfaces are currently available. This study reviews theoretical concepts and questions the premise that all types of interfaces produce similar results. We revised the evidence in the literature about the impact that the type of CPAP interface has on the effectiveness of and adherence to OSA treatment. We searched the PubMed database using the search terms "CPAP", "mask", and "obstructive sleep apnea". Although we identified 91 studies, only 12 described the impact of the type of CPAP interface on treatment effectiveness (n = 6) or adherence (n = 6). Despite conflicting results, we found no consistent evidence that nasal pillows and oral masks alter OSA treatment effectiveness or adherence. In contrast, most studies showed that oronasal masks are less effective and are more often associated with lower adherence and higher CPAP abandonment than are nasal masks. We concluded that oronasal masks can compromise CPAP OSA treatment adherence and effectiveness. Further studies are needed in order to understand the exact mechanisms involved in this effect. |
| first_indexed | 2024-12-10T14:36:57Z |
| format | Article |
| id | doaj.art-6820b3e3cb7d4757a59ffbd7d3d1d969 |
| institution | Directory Open Access Journal |
| issn | 1806-3756 |
| language | English |
| last_indexed | 2024-12-10T14:36:57Z |
| publishDate | 2014-12-01 |
| publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
| record_format | Article |
| series | Jornal Brasileiro de Pneumologia |
| spelling | doaj.art-6820b3e3cb7d4757a59ffbd7d3d1d9692022-12-22T01:44:48ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562014-12-0140665866810.1590/S1806-37132014000600010S1806-37132014000600658Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apneaRafaela Garcia Santos de AndradeVivien Schmeling PiccinJuliana Araújo NascimentoFernanda Madeiro Leite VianaPedro Rodrigues GentaGeraldo Lorenzi-FilhoContinuous positive airway pressure (CPAP) is the gold standard for the treatment of obstructive sleep apnea (OSA). Although CPAP was originally applied with a nasal mask, various interfaces are currently available. This study reviews theoretical concepts and questions the premise that all types of interfaces produce similar results. We revised the evidence in the literature about the impact that the type of CPAP interface has on the effectiveness of and adherence to OSA treatment. We searched the PubMed database using the search terms "CPAP", "mask", and "obstructive sleep apnea". Although we identified 91 studies, only 12 described the impact of the type of CPAP interface on treatment effectiveness (n = 6) or adherence (n = 6). Despite conflicting results, we found no consistent evidence that nasal pillows and oral masks alter OSA treatment effectiveness or adherence. In contrast, most studies showed that oronasal masks are less effective and are more often associated with lower adherence and higher CPAP abandonment than are nasal masks. We concluded that oronasal masks can compromise CPAP OSA treatment adherence and effectiveness. Further studies are needed in order to understand the exact mechanisms involved in this effect.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000600658&lng=en&tlng=enApneia do sono tipo obstrutivaPressão positiva contínua nas vias aéreasMáscaras |
| spellingShingle | Rafaela Garcia Santos de Andrade Vivien Schmeling Piccin Juliana Araújo Nascimento Fernanda Madeiro Leite Viana Pedro Rodrigues Genta Geraldo Lorenzi-Filho Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea Jornal Brasileiro de Pneumologia Apneia do sono tipo obstrutiva Pressão positiva contínua nas vias aéreas Máscaras |
| title | Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea |
| title_full | Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea |
| title_fullStr | Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea |
| title_full_unstemmed | Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea |
| title_short | Impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea |
| title_sort | impact of the type of mask on the effectiveness of and adherence to continuous positive airway pressure treatment for obstructive sleep apnea |
| topic | Apneia do sono tipo obstrutiva Pressão positiva contínua nas vias aéreas Máscaras |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000600658&lng=en&tlng=en |
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