Feature Article

Conducting a CPAP review appointment – timing, tips and troubleshooting

Feature Article

Conducting a CPAP review appointment – timing, tips and troubleshooting

CLAIRE M. ELLENDER, CERYS JONES, BRETT DUCE, SARA WINTER, CRAIG HUKINS

Figures

© cherrybeans/istockphoto.com model used for illustrative purposes only
© cherrybeans/istockphoto.com model used for illustrative purposes only

Abstract

Obstructive sleep apnoea (OSA) is a common chronic disease and continuous positive airway pressure (CPAP) is the gold standard treatment for most symptomatic patients. However, nearly half of patients starting CPAP will have side effects in the first few weeks of therapy. Early troubleshooting and motivational support increases treatment adherence and hence long-term benefits of CPAP therapy.

Key Points

  • Continuous positive airway pressure (CPAP) is an evidence-based treatment for obstructive sleep apnoea (OSA).
  • To have significant treatment benefits, CPAP usage should be four hours or more per night.
  • Poor experience with CPAP in the first two months predicts subtherapeutic long-term usage.
  • People of disadvantaged backgrounds and current smokers are at high risk of nonadherence with CPAP.
  • Daily mask cleaning can reduce side effects, such as poor mask seal, dry mouth and dry eyes.
  • Sleep specialist referral is indicated for patients who have not responded after two months on CPAP therapy.