Continuous Positive Airway Pressure (CPAP) is a therapy device used to treat obstructive sleep apnea. CPAP provides constant air pressure into the patient's airway to prevent blockages from occurring.
Auto Adjusting Positive Airway Pressure (APAP) is a NPAP device which allows the clinician to set a range of pressure settings rather than a single pressure. It is useful when the optimal therapeutic pressure is difficult to determine. APAP may also be used in select patients to assess need for a change of settings and in patients who have variable nightly needs.
Bi-level Positive Airway Pressure (BPAP) delivers a lower pressure during exhalation as compared to exhalation. two separate pressures that allow the patient to breathe in and out at different pressures. BPAP is mostly used in patients requiring high pressure settings. BPAP is also used in patients with heart and lung disorders.
Adaptive Servo-Ventilation (ASV) is a sophisticated therapy device used in patients with Complex Apnea, Central Apnea, heart failure, and some respiratory disorders. ASV assists the patients' breathing when and if they need it.
The Neurology and Sleep Clinic provides our private patients with NPAP and supplies from the major manufacturers. The devices are chosen to be reliable and comfortable. It is also essential that the device provides our clinicians with the necessary information to properly manage our patients.
Fisher & Paykel
Masks and Interfaces
There are three broad categories of masks used with NPAP devices. Nasal masks fit over the nose alone. Full-face masks fit over the nose and mouth. Nasal pillows fit inside the nares (nostrils).
Full-face masks cover both the patient's nose and mouth. These masks are used with patients who have nasal abnormalities, frequent nasal congestion that cannot be treated, and those who breathe through their mouths.
Fisher & Paykel Simplus • Full-face mask that holds a great seal without having to tighten the mask to an uncomfortable setting. • Good for patients with beards. • Headgear has three adjustable straps, making this mask very secure.
ResMed Airfit F10 • Lightweight Full-Face mask. • No forehead piece to cause discomfort. • Smaller that most full face masks. • Quiet. • Patient can wear glasses with this mask. • Cushion is softer than a gel mask.
Respironics Amara • Good for patient's with smaller facial features/narrow faces. • Available in a gel or silicone cushion. • Available in two sizes of mask frame. • Easy to adjust for leak with push button adjustment at forehead. • Snaps are easy to clip on headgear.
Nasal masks cover only the patient's nose and require that the patient breathes only through the nose. These masks are beneficial for patients initiating therapy, but a chinstrap may be needed the first few weeks to ensure that oral leak does not occur.
ResMed Swift FX/Nano • Frame is not hard. • Has three points of adjustment. • Good for side-sleepers. • Good for patients who like to sit up and read before bedtime. • Good for patients with contact claustrophobia. • Tubing does swivel.
ResMed Airfit N10 • Nasal mask without the forehead brace. • Good for patients who like to sit up and read before bedtime. • Good for side-sleepers. • Magnets on the bottom of the headgear for easy application. • Tubing does not swivel or connect to the headgear. • Vent is not direct, but is diffused around the tubing.
Respironics Wisp • Nasal mask without the forehead brace. • Good for side-sleepers. • Tubing does swivel. • Easy-off connection. • Sizing is different compared to other masks.
Nasal Pillow Masks:
Nasal pillow masks form a seal around the patient's nares. These masks require that the patient breathes only through the nose. These masks are good for patients who sleep laterally, who toss and turn, and who read prior to falling asleep.
Respironics Nuance Pro • Nasal pillow mask that has gel cushions to reduce nose irritation. • Gel on the headgear makes sleeping laterally more comfortable. • Good for side-sleepers. • Good for patients who like to sit up and read before bedtime. • Good for patients with contact claustrophobia. • Adjustable heagear at three different points. • Loop in the top of the headgear to run the tubing up and out of the way.
Resmed Airfit P10 • Multiple size pillows with one mask. • Pillows are marked left and right so there is no confusion on which way is correct. • Good for people who wear glasses for reading before bed. • Good for side sleepers. • Quiet and lightweight. • One strap headgear is easy on/off. • Good for patients with limited mobility in arms/hands.
Fisher & Paykel Pilaro Q • Comes with standard headgear and one strap headgear. • Pillow is one size, so there is no changing of the pillows to find the right size. • Lightweight, smaller tubing. • Air vents quietly due to a diffuser than can be removed if needed.