What are the Complications Using CPAP?

What are the Complications Using CPAP?
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Continuos positive airflow pressure, or CPAP, is a device used to deliver slightly pressurized air during respiration. CPAP consists of a small machine that has a hose attached to it. Attached to the hose is a mask that fits over a person's nose. The machine delivers a steady stream of pressurized air up the hose and into the mask. The pressurized air keeps the trachea open during sleep. According to the University of Maryland Medical Center, CPAP is ordered by a doctor to treat sleep apnea, or pauses in breathing during sleep, and other respiratory disorders.

Irritation of the Mouth and Nose

According to the University of Maryland Medical Center, irritation in the nose and throat are the most common complications associated with CPAP use. Patients may report nasal congestion, dry mouth, and sore or dry throat. These discomforts often lead to noncompliance with the CPAP regimen. To prevent or treat such complications, chin straps, nasal salt water sprays, and heated humidifiers may be used. Using nasal saline spray before bed may also help with dryness. Patients experiencing irritation of the mouth and nose with use of a CPAP mask should talk with a doctor about the available remedies.

Poor Mask Fit

Patients experiencing skin abrasions to the nasal bridge or around the ears need to be refitted for their masks, according to the University of Maryland Medical Center. Along with skin irritations, poor mask fit can lead to air leakage around the mask which prohibits the formation of a solid pressure seal. Along with being uncomfortable, poor fitting masks do not work properly. Getting a properly fitted mask will help prevent these complications.

Feeling Claustrophobic

Patients may report feelings of claustrophobia when wearing the mask. The University of Maryland Medical Center reports that this is one of the main reasons for noncompliance with a CPAP regimen. To help reduce or eliminate feelings of claustrophobia, patients may try wearing a more lightweight or transparent mask. Nasal pillow masks, or masks for only around the nostrils, may also be suggested. Also, the patient should be encouraged to try wearing the mask for shorter periods at first, building up to a full night's use.

Difficulty Sleeping

Some patients may find it difficult to sleep with the CPAP mask on. MayoClinic.com reports that this is a temporary problem and usually resolves itself once the patient gets use to the mask and noise of the machine. Patients are encouraged to try wearing the mask for short periods during the day without the machine on until they become accustomed to how it feels.

References

Article reviewed by MER Last updated on: Jul 11, 2010

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